A mixed methods community-based participatory research study was conducted with Native American Lifelines of Baltimore to: (1) understand prevalence, correlates, and lived experiences with food insecurity and (2) explore the effects of and potential solutions to food insecurity. An online survey was completed by 250 American Indian and Alaska Native adults, and a subset of survey respondents (N=11) completed interviews. Quantitative analysis revealed food insecurity prevalence of 28% and increased odds of food insecurity with higher levels of food stress and COVID-19 hardships. Qualitative inquiry revealed harmful long-term effects of food insecurity on eating behaviors and several food sovereignty-oriented solutions to food insecurity.
Maudrie et al. (2025) studied this question.