Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Quebec, QC G1V 0A6, Canada.
Centre de recherche du CHU de Québec, Université Laval, Axe santé des populations et pratiques optimales en santé, Quebec, QC G1E 6W2, Canada.
Int J Environ Res Public Health. 2020 Nov 27;17(23):8818. doi: 10.3390/ijerph17238818.
Indigenous Peoples in high-income countries experience higher burdens of food insecurity, obesity, and diet-related health conditions compared to national averages. The objective of this systematic scoping review is to synthesize information from the published literature on the methods/approaches, findings, and scope for research and interventions on the retail food sector servicing Indigenous Peoples in high-income countries. A structured literature search in two major international databases yielded 139 relevant peer-reviewed articles from nine countries. Most research was conducted in Oceania and North America, and in rural and remote regions. Several convergent issues were identified across global regions including limited grocery store availability/access, heightened exposure to unhealthy food environments, inadequate market food supplies (i.e., high prices, limited availability, and poor quality), and common underlying structural factors including socio-economic inequality and colonialism. A list of actions that can modify the nature and structure of retailing systems to enhance the availability, accessibility, and quality of healthful foods is identified. While continuing to (re)align research with community priorities, international collaboration may foster enhanced opportunities to strengthen the evidence base for policy and practice and contribute to the amelioration of diet quality and health at the population level.
与国家平均水平相比，高收入国家的土著人民面临更高的粮食不安全、肥胖和饮食相关健康状况负担。本系统范围审查的目的是综合高收入国家为土著人民提供服务的零售食品部门的研究和干预措施的方法/方法、研究结果和研究范围方面的信息。在两个主要国际数据库中进行的结构化文献检索从九个国家中获得了 139 篇相关的同行评议文章。大多数研究在大洋洲和北美洲以及农村和偏远地区进行。在全球各个地区都确定了几个趋同问题，包括杂货店的供应/获取有限、接触不健康食品环境的风险增加、市场食品供应不足（即价格高、供应有限和质量差）以及常见的潜在结构性因素，包括社会经济不平等和殖民主义。确定了一系列可以改变零售系统性质和结构的行动，以提高健康食品的可得性、可及性和质量。在继续（重新）使研究与社区优先事项保持一致的同时，国际合作可能会为加强政策和实践的证据基础并为改善人口层面的饮食质量和健康做出贡献提供更多机会。
