University of California-Davis, Davis, CA, USA.
Harvard Medical School, Cambridge, MA, USA.
Health Promot Pract. 2023 Nov;24(6):1117-1123. doi: 10.1177/15248399231190362.
Access to healthy and appealing food is essential for individuals to be able to live a healthy and quality life. For decades, food security has been a priority issue for public health professionals. Food sovereignty expands upon the concept of food insecurity (i.e., having access to nutritious and culturally relevant food) by incorporating people's rights to define their own food system. The expanded focus of food sovereignty on food systems prioritizes public health professionals' role in supporting environmental- and systems-level initiatives and evaluating their implications for health, economics, and the natural environment. Food sovereignty is of particular importance for Indigenous peoples (i.e., American Indian, Alaska Native, Native Hawaiian, and Pacific Islander communities). Colonization had demonstrable consequences, with many Indigenous communities being forcibly relocated from traditional lands, alongside the destruction of traditional food sources. Indigenous food sovereignty aligns with the sovereign nation status that American Indian tribes and Alaska Native communities have with the United States. Furthermore, the worldviews that incorporate Indigenous communities' relational responsibilities to care for their food systems, according to their traditional practices and beliefs (Coté, 2016; Morrison, 2011), uniquely positions Indigenous peoples to lead food sovereignty initiatives. In this article, we explore what is currently known regarding food sovereignty and health. We then discuss opportunities to expand the evidence on Indigenous food sovereignty's relationships with (1) health and well being, (2) economics, (3) the natural environment, and (4) programming facilitators and barriers.
获取健康美味的食物对于个人过上健康有质量的生活至关重要。数十年来,食品安全一直是公共卫生专业人员关注的重点议题。食物主权扩展了食物不安全的概念(即获得有营养且与文化相关的食物),将人们定义自己的食物系统的权利纳入其中。食物主权对食物系统的更广泛关注强调了公共卫生专业人员在支持环境和系统层面的举措方面的作用,并评估其对健康、经济和自然环境的影响。食物主权对原住民(即美洲印第安人、阿拉斯加原住民、夏威夷原住民和太平洋岛民社区)尤为重要。殖民化带来了明显的后果,许多原住民社区被迫从传统土地上搬迁,同时传统食物来源也遭到破坏。原住民食物主权与美洲印第安部落和阿拉斯加原住民社区与美国之间的主权国家地位相一致。此外,根据原住民社区的传统习俗和信仰,将其视为对食物系统负有关系责任的世界观(Coté,2016;Morrison,2011),使原住民能够独特地领导食物主权倡议。本文探讨了当前已知的关于食物主权和健康的知识。然后,我们讨论了扩大有关原住民食物主权与(1)健康和福祉,(2)经济,(3)自然环境以及(4)规划促进者和障碍之间关系的证据的机会。