Abstract
Background
Academic research on food security in Inuit Nunangat and Alaska frequently adopts the Food and Agriculture Organization of the United Nations' working definition of food security and Western conceptualisations of what it means to be ‘food secure’. However, in 2014, the Alaskan branch of the Inuit Circumpolar Council (ICC) stated that academic and intergovernmental definitions and understandings ‘are important, but not what we are talking about when we say food security’. The organisation subsequently developed its own conceptualisation and definition: the Alaskan Inuit Food Security Conceptual Framework (AIFSCF), which in 2020 received informal assent by ICC-Canada.
Aim
This protocol establishes a review strategy to examine how well academic research reflects Inuit conceptualisations and understandings of food security, as outlined in the AIFSCF.
Methods
Review structure and reporting will be completed according to adapted RepOrting standards for Systematic Evidence Syntheses (ROSES) guidelines. A comprehensive search strategy will be used to locate peer-reviewed research from Medline, Scopus, Web of Science and the Arctic and Antarctic Regions (EBSCO) databases. Dual reviewer screening will take place at the abstract, title, and full-text stages. Different study methodologies (qualitative, quantitative, and mixed methods) will be included for review, on the proviso that articles identify drivers of food security. An
Background
The concept of ‘food security’
Food security remains a multifaceted, contested and pluralistic concept (Jones et al., 2013; Renzaho and Mellor, 2010). As of 1999, over 200 definitions of what it meant to be ‘food secure’ were published in academic and grey literature (Smith et al., 1992; Hoddinott, 1999), and following calls for the incorporation of principles such as agency and sustainability, this number has only increased over the last three decades (Renzaho and Mellor, 2010; Clapp et al., 2022; Berry et al. 2015). Early designations of food security, established following the 1974 United Nations World Food Conference, placed a strong focus on the international context of food, the production and supply of food, and global trade networks; specifically, the ‘ Food security is ‘[a] situation that exists when all people, at all times, have physical, social and economic access to sufficient, safe and nutritious food that meets their dietary needs and food preferences for an active and healthy life. Based on this definition, four food security dimensions can be identified: food availability, economic and physical access to food, food utilization and stability over time.’ (FAO, 2021).
A range of measures and indicators are available to assess food security prevalence, such as the United States Department of Agriculture's (USDA) Household Food Security Survey Module and its six-item short form iteration (see USDA, 2012; Statistics Canada, 2022). Quantifying food insecurity in this way has considerable utility: data from food security surveys have been used as a means of positive empowerment by a number of Indigenous and minority rights groups in North America, providing an opportunity to expropriate a tool, legitimated and developed by national governments, to evidence structural violences (e.g., colonialism) or the ineffectiveness of current food policies (e.g., NFSC, 2014; St Germain et al. 2019; ITK, 2021). However, the nuance and complex make-up of many Indigenous food systems in the United States and Canada, combined with the numerous, pluralistic understandings of what it means to be ‘food secure’, can also make tracking and developing an understanding of food security challenging (Power, 2008; Jones et al., 2013; Council of Canadian Academies, 2014; ITK, 2021).
This issue is particularly pronounced for Inuit, whose food systems – while entangled with economic systems and global capital markets as a result of historic and modern-day colonialism (e.g., neoliberal capitalism, globalisation) – continue to prioritise and value the land-based harvesting and foraging of country foods (Gombay, 2005; Wenzel, 2019; Naylor et al., 2021a). These ‘mixed’ or ‘dual’ food systems are oriented towards far more than nutrition, economic access to food, or the role of food in ensuring a healthy life (Papatsie et al. 2013; Ready, 2016; Gombay, 2005; ICC-Alaska, 2015a, 2020; Stephenson, 2021). Inuit food systems are a means of preserving culture and spirituality. The practice of sharing and hunting country foods is considered a way of ensuring continuity with a pre-colonial past and research has also linked land-based activities and harvesting with improved mental health and well-being (Condon et al. 1995; ICC-Alaska, 2020; Cunsolo Willox et al. 2013; Sawatzky et al., 2019).
Food security in Arctic North America, Inuit Circumpolar Council (Alaska)'s definition and conceptualisation
The issue of food security has come to dominate academic research and public policy spheres in Inuit Nunangat (the Inuit homeland in Canada) and Alaska over the last two decades. In part due to its intersection with broader issues relating to colonialism, Indigenous Peoples’ health, and climate change (e.g., Chan et al. 2006; Ford and Berrang-Ford, 2009; Council of Canadian Academies, 2014; ITK, 2021). However, in 2014, the Inuit Circumpolar Council (ICC) (Alaska) (2014, p. 4) noted that contemporary definitions of food security and the application of food security approaches used by Western researchers and international organisations ‘do not necessarily reflect the Alaskan Arctic environment or its food webs’. Subsequently, they have stated that ‘nutritional value, calories and money needed to purchase food…[are] important, but not what we are talking about when we say food security’ (ICC-Alaska, 2015b, p. 8). Wider critiques of hegemonic perspectives on food security have also pointed to the myopicism of many conceptualisations, which recognise the existence of inequalities but fail to attribute colonial, imperial, or capitalist power relations as socioeconomic and political root causes, and a lack of nuance regarding social relationships, culture, and intra-community dynamics in non-market driven food environments (e.g., gender, age) (Stephenson, 2021; Devereux, 2001). In asserting the need for clarification on what food security means to Inuit, and arguing for a conceptual departure from the more well-established FAO 1996 definition and its subsequent iterations, ICC-Alaska outlined their intention to create the ‘Alaskan Inuit Food Security Conceptual Framework’ (AIFSCF) (ICC-Alaska, 2014).
Published in 2015, the AIFSCF (ICC-Alaska, 2015a) details a new definition and conceptualisation of food security, co-developed by 146 representatives from 15 Alaskan Inuit communities (‘Inupiat of the North Slope, Northwest and Bering Strait; the St Lawrence Yupik; and the Central Yup’ik and Cup’ik of the Yukon-Kuskokwim region’) and a 12-member Food Security Advisory Committee. The AIFSCF incorporates six dimensions of food security ( Inuit Food Security is the natural right of all Inuit to be part of the ecosystem, to access food and to care-take, protect and respect all of life, land, water, and air. It allows for all Inuit to obtain, process, store, and consume sufficient amounts of healthy, nutritious, and preferred food – foods Inuit physically and spiritually crave and need from the land, air, and water. These foods provide for families and future generations through the practice of Inuit customs and spirituality, languages, knowledge, policies, management practices, and self-governance. It includes the responsibility and ability to pass on knowledge to younger generations, the taste of traditional foods rooted in place and season, knowledge of how to safely obtain and prepare traditional foods for medicinal use, clothing, housing, nutrients and, overall, how to be within one's environment. It means understanding that food is a lifeline and a connection between the past and today's self and cultural identity. Inuit food security is characterized by environmental health and is made up of six interconnecting dimensions: 1) Availability; 2) Inuit Culture; 3) Decision-Making Power and Management; 4) Health and Wellness; 5) Stability; and 6) Accessibility. This definition holds the understanding that without food sovereignty, food security will not exist. (ICC-Alaska, 2015a).
Accompanying the AIFSCF, ICC-Alaska also published a technical report, which outlines the specific information and criteria that are required to inform each driver and dimension of food security they identify (ICC-Alaska, 2015b) (Supplementary Materials 1). The technical report provides a key context to both the meaning behind each dimension and driver, and the reasons why each was chosen and is of importance to Inuit understandings of, and requirements for, food security (ICC-Alaska, 2015b). In 2020, the ICC-Alaska (ICC-Alaska, 2014) definition was recognised and applied by stakeholders from ICC-Canada as part of the ‘Food Sovereignty and Self Governance’ report (ICC-Alaska, 2020).
This protocol outlines the process of creating a database of food security literature in Inuit Nunangat and Alaska and describes methods that will be used as part of a review that will examine how academic research has reflected Inuit conceptualisations and understandings of food security over the past two and a half decades, as outlined in the AIFSCF. The authors have chosen to include Inuit represented by ICC-Alaska and ICC-Canada living in Arctic North America (i.e., Inuit, Inupiat, Yupik, Yup’ik and Cup’ik), as these are regions that have approved, formally or informally, the definition provided in the AIFSCF. Applying the six dimensions and 58 determinants of food security identified by ICC-Alaska (2015b) as its
Methodology
Owing to the multidisciplinary nature and range of scholarship addressing the topic of food security in Inuit Nunangat and Alaska, which spans research situated in sociology, anthropology, environmental contaminants, and the ‘human dimensions of climate change’ (e.g., Ford, 2009; Brubaker et al. 2011; Naylor et al. 2021b; Fazzino and Loring, 2009; Beaumier et al. 2015) through to epidemiological and dietetics studies (e.g., Sharma et al. 2013; Huet et al. 2012; Egeland et al. 2010, 2011; Kenny et al. 2018), it was decided that a modified scoping review utilising deductive thematic analysis was best suited to answer the research question. Scoping reviews are an effective means of systematically identifying key characteristics relating to specific concepts in bodies of literature with considerable methodological diversity; establishing how a specific term or concept is used, by whom and for what purpose; for identifying and mapping gaps in knowledge; and for developing recommendations for future research approaches (Anderson et al., 2008; Munn et al., 2018; Micah et al., 2015; Berrang-Ford et al., 2015).
Stakeholder engagement
The scope and objectives of the review have been refined through discussions with academic experts in the field of food security and nutrition, and a University of Victoria research librarian. As part of the process, both the Canadian and Alaskan chapters of the Inuit Circumpolar Council (ICC-Alaska, ICC-Canada) and Inuit Tapiriit Kanatami (ITK) will be engaged to ensure that Inuit priorities for research are reflected, and to maintain the integrity and accuracy of the results prior to publication.
Research question, objectives and hypothesis
The primary research question for this scoping review is as follows:
To what extent does academic research on food security consider Inuit conceptualisations of what it means to be food secure, based on the six dimensions outlined in the AIFSCF? How well has past research addressed determinants of food security captured by the ICC-defined AIFSCF drivers? What has past research missed/failed to examine in the ICC AIFSCF definition thus far?
Secondary research questions that will be explored are:
The hypothesis for this scoping review is that academic research on food security in Inuit Nunangat and Alaska will identify the drivers outlined in the AIFSCF that fall within dimensions of food security that overlap with the FAO (2021) definition (e.g., Accessibility, Stability, Availability). Conversely, it is anticipated that there will be a lack of identified drivers that correspond to the AIFSCF-specific dimensions of food security (e.g., Inuit Culture, Health and Wellness, Decision-Making Power and Management).
Methods
Search methodology and screening process
Comprehensive searches will be developed with a professional librarian to identify peer-reviewed literature in four bibliographic databases: Medline (via Ovid), Scopus, Web of Science and the Arctic and Antarctic Regions Database (EBSCO). To locate articles published between 1 January 1996 and 31 December 2022, we will create a comprehensive search strategy incorporating subject headings (where available) and keywords, and using Boolean and other available search operators. No language restrictions will be placed on the search. 1 January 1996 was chosen as the starting date for the literature search as this was the year in which the seminal FAO (1996) definition of food security and its ‘four pillars’ was developed. This also covers the point (2004) before and after which both Canada and the United States monitored food security at the household scale through the use of standardised scales (the USDA Household Food Security Survey Module) (Tarasuk et al. 2018). The authors understand and recognise that ICC represents all circumpolar Inuit and acknowledge that there may be a diversity of perspectives on this issue of food security among Kalaallit, Chukchi, and other peoples represented by the ICC based upon the experience living under different settler governments and administrations.
The search string includes three groups of search terms, focusing on geographical area (where the ICC-Alaska definition has been endorsed), thematic focus (the issue of food security), and population (Inuit) (Box 1). The string was adapted from previous systematic reviews focusing on Indigenous Peoples’ food security and nutrition (e.g., Luongo et al., 2020; Kenny et al., 2020; Little et al., 2021), with modifications made based on the authors’
Medline (via Ovid) draft search strategy.
To be included in the review, articles derived from the search string will be independently screened and assessed for eligibility at two stages based on a number of inclusion and exclusion criteria (Box 2). Screening in the first stage will use two independent reviewers. Disagreement at the first stage of screening will result in automatic inclusion into the second stage. Disagreement at the second stage will be resolved by consensus or, failing that, mediation by a third reviewer with a majority vote. Inclusion/exclusion criteria will include publication between 1 January 1996 and 31 December 2022, being original research articles accessible from either the University of Victoria (Canada) or the University of Leeds’ (United Kingdom) library subscriptions, and having an explicit focus on food security in Inuit Nunangat or Alaska while also identifying determinants of food security. The first stage of screening will occur following the import of articles into DistillerSR – which will be used for organising the papers extracted from databases – where duplicates will be removed, and titles, keywords and abstracts will be scanned and assessed for eligibility, in addition to their publication details (e.g., date). Articles remaining after this stage will then be subject to a second round of screening, with papers read in their entirety and inclusion/exclusion criteria re-applied. The Kappa score will be extracted from DistillerSR and reported for both the first and second stages of screening to indicate the level of agreement between reviewers. The list of remaining articles will then be supplemented with relevant papers derived from snowballing (scanning titles of literature in reference lists of included articles), in addition to the titles in bibliographies of reviews identified during the review process (Hirt et al., 2020).
Criteria for inclusion and exclusion from the scoping review.
The bracketed component of the inclusion/exclusion criteria will only be applied in the second round of screening.
Coding framework and data synthesis
A preliminary evaluation rubric has been developed in the form of an electronic codebook, adapted from the application of previous examples to subject areas focusing on Arctic Indigenous populations (e.g., MacDonald et al., 2013), and from the 58 food security drivers established in the ICC-Alaska report (Box 3). As per Granheim (2020), the rubric will be piloted by two reviewers on a random sample (10%) of studies that are retained for review, after which point it will be amended to improve its efficacy and materiality. Any disagreement in amendments to the rubric will be mediated via a third reviewer, with the aim of developing a consensus. Failing that, the third reviewer will cast a vote to make a majority decision. Following amendment, the codebook will then be applied in its final form to all full-text articles by a single reviewer, except for questions 18 and 19 which will be scored by two reviewers (Box 3). The second reviewer will also independently review a sample (10%) of the total articles in their entirety to ensure accuracy.
Draft evaluation rubric/codebook for the scoping review.
Using the codebook, we will extract descriptive statistics, such as the publication trends of the articles (e.g., year, geographic location, authorship), study design (e.g., quantitative, qualitative or mixed-methods; longitudinal or cross-sectional) and methods used (e.g., semi-structured interviews, Household Food Security Survey module and focus groups). The context of each article's findings will then be examined (e.g., descriptive notes as to their aims and key findings), in addition to any applied themes or concepts relating to food security (e.g., inclusion of FAO (2021) definition of food security or previous iterations). To add legitimacy to possible critiques between Western/hegemonic and Indigenous perspectives in academic research, and to account for the increasing diversity of perspectives brought by Indigenous scholars to this research area, the papers will also be assessed for Indigenous engagement. Specifically, this will be done through a) identifying whether any Indigenous organisations or communities (e.g., the ‘Community of Arviat’) were involved in the publishing process and whether they were involved in the conceptualisation, paper writing or data analysis of research (listed in ‘author contributions’ sections), and b) through identifying whether a paper stated that it was using an Indigenous methodology or the principles of Inuit worldviews (e.g.,
Review structure and reporting will be completed according to an adapted version of the RepOrting standards for Systematic Evidence Syntheses (ROSES) guidelines (Haddaway et al. 2018). ROSES is an alternative to the PRISMA or PRISMA-scoping guidelines, developed specifically for the reporting of syntheses of non-medical, qualitative, narrative, quantitative or mixed methods articles. ROSES is especially relevant for a scoping review of this type, as it places a greater emphasis on limitations to the viability of reviews beyond simply exploring the risk of bias (the latter is not ordinarily required for scoping reviews), and is well suited to a review with a deductive framework (Haddaway et al. 2018).
Ethical statement and public involvement
This research will be a scoping review and will therefore not involve the input of the public, nor any research participants. As such, it does not require ethical approval. Due to the nature of the topic, permission and assent for this review, in addition to consultation throughout the process, will be sought from the ICC and ITK. Prior to the review's full publication, the results will be shared with both organisations for their input and comment.
Limitations
A number of possible limitations arise in this study that should be acknowledged. Although the methodology was developed by experts working across a range of disciplines in food security and nutrition (e.g., epidemiology, dietetics, sociology) and a university librarian, the
Supplemental Material
sj-docx-1-nah-10.1177_02601060221151091 - Supplemental material for Inuit-defined determinants of food security in academic research focusing on Inuit Nunangat and Alaska: A scoping review protocol
Supplemental material, sj-docx-1-nah-10.1177_02601060221151091 for Inuit-defined determinants of food security in academic research focusing on Inuit Nunangat and Alaska: A scoping review protocol by Angus Naylor, Tiff-Annie Kenny, Sherilee Harper, Dorothy Beale, Zahra Premji, Chris Furgal, James Ford and Matthew Little in Nutrition and Health
Footnotes
Acknowledgements
The review will be conducted as part of and will be funded by, ArcticNet-funded project P74: ‘Moving from understanding to action on Inuit Food Security’, with assistance and additional funds from the Indigenous Health Adaptation to Climate Change (IHACC) program.
Author contribution
Review conceptualised by AN, ML, T-AK, JF, CF and SLH. Proposed methods by AN, ML, T-AK, ZP, JF and SLH. Original draft by AN, ML, ZP and T-AK. Subsequent edits and reviewing by AN, ML, DB, ZP, TA-K, JF, CF and SLH.
Data availability,consent for publication and ethics approvals
Data for this review protocol/review is publicly available and will not involve human participants. Therefore, ethics approval and publication consent are not required.
Declaration of conflicting interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was funded by ArcticNet project: ‘P74 – Moving from understanding to action on food security in the Canadian Arctic [(Inuit Nunangat)]’ ArcticNet (Inuit Health Education and Adaptation) (grant number P74).
Supplemental material
Supplemental material for this article is available online.
References
Supplementary Material
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