0 UMI 0 OF HOM TIM OF FOOD Y T M D URIN OR E BRITI H 0 UMBI Jul ia Ru ll THE I EMITTED IN P R TIAL F LFILLM T THE REQ IREME T F R THE DE RE OF MA TER OF CIENCE F IN COMMUNITY HEALTH SCIE CE UNIVERSITY OF NORTHERN BRITISH COLUMBIA December 2 0 15 © Julia Russell , 2015 AB TRA T earch ught t pl r th e nal dim n i n f ~ d curity [! r p ople e p ri ncing n their health and w 11 -b ing. ata n in Prin and th w r c llect d u ing a m difi d appr ach t c mmuni ty mapping, a [! cu gr u and semipl h ve a wide ari ty f trategie that th y tructur dint rvi w . The r ult indi at that [! d. h r a a tr ng d ir [! r m r ulturally appr riate [! d t be mploy to ace pr ided thr ugh haritabl [! d ai d and r parti ipant t be me m re actively ngag d in producing th ir wn ~ d. h ical n ir nm nt , cial en ir run nt and relati nship were £ und t influ nc what[! d pe pl c n urn d and th re re imp rtant ea nal trend in food availability and ac h li ti c appr a h that can ace mm date c mplexity i nece ary t impr D d e urit and health, thu th pr m ti n f Indi genous fo d sy terns and lndigenou ~ d ereignt are n a imp 11ant future directi n . II BL T F T .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 T T ...................................................................................... .. .... ... ..... ........... 111 . . . . . . . ... . .......................................................................................... .. . .. . .... . ........ V 1 .. .... ······························································································· ··· ··············· Vll W M H PT R 1 : R l . l Re al , ar h T ............................................................................................. ... ..... ...... ! .................................................................................... ..... ......... l TI u ti n and 1. 2 M ti ati n fi r th p ifi ............................................................. 3 iti nalit y f R e earcher ............................................... 5 H PT R 2: IT R T R R I W ..................................................................................... . d t m ............................................................................. 8 2.1.1 H ealth ................ .................................................................................................... ... ....... 8 2.1.2 H n ............................................ ... ... ... .. .... .......... .. .... ..... ... ............ .... ..... .. ... ... 10 ............... ............................................................... ······ ··· .................... .... . ] 3 2 .1.4 H n 2.2 Food curity and , F od and Health ................................... .. .............................................. 15 d P liti c ................................ .. ....................................................... 1 2.2. 1 Th Ri ght to Fo d ... ..... ............... .................... ................... ....... ..... ............................... 20 2 .2.2 Food itiz n hip .. .......... .. .......... ..................... ... ........................................................... 23 2.2.3 Food Ju ti ce ... .... .... .... ....... ....... ............. ... ... ........ ........ ..... .................... .. .. .... ............. .... 25 2.2.4 Food overeignty ... ... ... .. .. ........ ........................ .... ........ ...... ............ .............. .... ............. 26 2.2 .5 Indi genou s Food 2.3 Food 2. 4 overeignty ...... ...... .... .. ........................... .. .. .. ...... .. .... .. .. ...... .............. 28 ystem as a Contex t for H ealth and W ell -being .. .. .... ..................................... .. ....... 31 onclu ion .. ... .... ... ..... ... .... ....... .... ........ ...... ....... ........... ........... ... .... .... ........ ....... ..... ..... ......... 35 H APT R 3: T UDY N TEXT ...... ............ .... ... .... ..... ........ .............. ....... ..... ..... .... ....... .......... 37 3. 1 Food Security and Poli cy at the 3 .2 R egional 3.3 Prince ational, Provinc ial, and Regional Level ...................... 37 ontext ....... ..... .. ... .. ...... ....... ............ .... .................... ........ .. ........ ... ........................ 40 eorge .... .. .. ....... .. ........ .. ..... ..... .. ...... ... ...... ... ............ .. .... ........ ....... ........... .. ... ............ 42 3.3.1 Phy ica l nvironm ent ... ...... .. ...... ........ ......... ... ....... ... ..... ....... ....... .... .. .... ....................... 4 2 3.3.2 ultural 3.3.3 ocial 3 .4 nvironment ....... .. ............... .. .... ..... .... ..................... ... ... ................................. 43 nv ironm ent .. .. ... .... .. ........... ........ .. ... .... ........................... .................................. 44 nc lu ion ...... ... .. .. ....... ... ... ... .... ........ ...... ... .. .. .... ..... ....... ............. .. ...................................... 4 H APT R4 : M TH Y N M TH D .. .. ..... .............. .. ......................................... 4 9 Ill 4 .1 rv1 w fR 4.2 4.2.1 ar h ign ............................................................................................. 49 ial Th ry ......................................................................................................... 5 1 on D 1 nizing M th d 1 gi ...................................................................... 52 4. M th d 1 gy ....................................................................................................................... 5 4.3. 1 a 4 . .2 tlu1 graphi In ight ................................................................................................... 55 4.4 tudy R arch .................................................................................................... 54 mmunit Mapping M difi ed ppr ach ...................................................................... 57 4.5 Re earch Pr ce , Timelin and Pha e .............................................................................. 61 4 .6 amp ling trateg and Recruitm nt.. .................................................................................. 64 4 .7 Data ll ection ................................................. ................................................................... 66 4.7.1 Parti ipant 4.7.2 Focu 4 .7.3 b 1 ati n ................................................................................................ 66 roup with mmunity Mapping Parti cipant ................................................ 68 emi- tructured Interview ........................................................................................... 69 4 .8 Data Tran cription and Anal y i ......................................................................................... 70 4 .9 Re earch Rig our .................................................................................................................. 73 4.10 Ethical Considerations ....................................................................................................... 74 CHAPTER 5: FINDING AND DI CUSSIO .......................................................................... 76 5.1 Pmiicipant Demographics .... .. ............................................................................................. 76 5.2 Northe1n Exposure: Food Security, Health and W ell-being while Homeless ..................... 79 5.2. 1 Food Availability and Access- "We get food every day, every which way!" ............. 79 5 .2.2 Food Quantity, Food Quality and Health - "It's less nutritious, but it' more filling" .. 91 5.3 Food Fight: Homelessness and Relationships across Social Strata ...... .. ........................... 102 5.3. 1 Relationships with Non-homeless People- "It' kinda the whole continuum of the homeless and poor stature in life" ........ ............................................................................... 102 5.3 .2 Relationships betw een Homeless People - "A street people welcome wagon!" ........ 112 5.4 Street Food: Physical Environments, Sea anality and Relation hip s ............................... 118 5.4.1 Downtown- "What am I doing here? This i where I don't belong" .......................... 118 5.4.2 Transportation - "Walk, walk, walk, walk, carry, carry, can y" ................................. 124 5.4.3 Natural Environments and Well-being - "Look at the birds and it's like I'm home " .128 5.5 Indi genous Food Systems: Multipl e Envirorunent and a (Re)Emergent Food y tem "It' . h 1t . ........... ...... .............. ........ .... ... ... .... .... .. .. . 13/_ . . [!oo d, .tt s everyth"mg th at goe wtt not JUSt ab out I II IV L HAPT R6 : ··································································································· 140 6.1 tudy finding in r lati n t th R ar h ue ti n ...................................................... . 140 6.2 M eth d 1 gi alln ight .................................................................................................... 145 6.2.1 Particip ant R ruitm nt. ............................................................................................. 144 6.2.2 arch M th d t the dapting R 6.2.3 M emb r h eking and nt t f tre t i ~ ........................................ 146 ll w-up ............................................................................. l48 6.3 tudy Llinitati n ........................................................................................................ .. ... . 150 6.4 Recommend ati n ............................................................................................................. 152 6.5 Ar a f Futur R ear h .................................................................................................. 155 6.6 Final Rem ark ................................................................................................................... 156 REFERE ........................................................................................................................... 158 APPEND I ............................................................................................................................ 184 APPE DIX : Requ e t fo r upport and Letter of upp rt .................................................. 184 APPENDIX B : B Re earch Ethic Board pproval. ...................................................... 187 APPE DIX C: Recruitment Po ter ......................................................................................... 188 APPENDIX D : Info n11ation beet ................................................... ....................................... 189 APPENDIX E: Con ent Form .............................................. ............. .. .................................... 192 APPENDIX F : Semi-structured Interview Guid e ................................................................... 194 APPENDIX G : Research Assistant Confi dentiality Agreement .......................................... ... 195 APPENDIX H : Supplemental Info nnation : Connnunity M apping Schedule & Detail of Individual Interviews .......... .............. .. ..... ........ ....... ... .. ............. ..... ......... ...... .............. ............. 197 APPENDIX I: PDF Selected Exercpts from the Book created with Parti cipants ................... 199 v LI T OF TABLE Tab! 1: v rvi w ofr ar h pha ............................................. .......... .. .............. ... .......... ...... 63 Tab! 2: Parti ipant d mo raphi for rh diffi r nt primary data oil tion m thad ............... 73 Table : Leng th and typ of hom l n exp ri n db parti ipant ...................................... 74 Table 4: Participant e p ri n d h alth condition and th onn ction to emerg ncy food aid as id ntifi d by parti ipant .............................................................................................................. 91 Table 5: mmunity mapping . h dul ...................................................................................... 197 Table 6: Th numb r ofparti ipant at a hint n ·i 1-1' and th parti ipant s lee! d lo ation and food ............................................................................................................................................ 198 VI LI T OF FIGURE Figure 1: "An c logi al fram rk d picting th multii le influ n on what p ople eat" from tory tal. (200 , p. 2 .............................................................................................................. . Figur 2: rthem H alth I I C area . dapted fr m rth n1 alth, (n.d.a) ....................... 41 1gur 3: eature f participant ' D d a ail a ilit and acce pathway in Prince eorge ..... .. vii LI T OF A RONYM : BC: Th anadian pr vmc CFAI: Illin unity FNH : Fir t d ation f riti h lum Ia tion Initiati ealth uth ri ty FNFNES: Fir t ati n utri ti n n 1r run nt tud y HEAL: H althy ating and cti Living LGBTQ: Le bian, ay, ual ran gend r, w - pirit, ontrol, cce NH: North rn Health OCAP: Owner hip ron PG: Prince George PHSA: Provincial Health erv1ce Authority SAD: Standard Ame1i can Diet VIII ueer, uestioning etc. ACKNOWLEDGEM NT I would like t t nd my inc re t thank t all f the p a11ici ant in thi r earch, nn , an-' ' K athl n Jam i a, M ami , M ary M 1 dy, har n and Zack. ur t ries and y ur idea for a bett r futur . It gener u ly sharing y ur time wa a pl a ur t w rk with y u and ur nthu ia rn D r the pr j ect wa very enc uraging. To m y the i up erv1 or r. M arg t Parke thank y u D r y ur upp rt and guidance along the 1 t year . incer t thank as way . I am am az d by h w much I ha 1 amed fr m y u th well go to m y c mmitt m ember r. h re Healy and r. eil Han! n. Invaluable fin an ial upp rt D r thi re earch wa pr vided by v ral ource , th e Univer ity of lumbi a thr ugh th Re earch Pr ject ward - pring 20 14 omp etiti on, the N 11hem Briti h onference Travel ward and th raduate ch lar hip 20 14, from r. M argot Parkes to facilitat c nference attend anc and fi nally fr m th Anne Fergu MacKay Gr undwater and Mmiel Ro s Groundwater Bur ary fo r mmunity Health tud ents. IX CH PTER 1: I TROD U TIO ignifi ant limitati n t impr h m el r n 1 ap ing [! r und r tand ing f [! ar her and chariti . Kn pl during tim s of ernm nt , h alth care pr v id er , d p f h m el popul ati on na iga te ea urity [! r p d ple ' [! d acqui iti n trat gi s, and how nal and dail barrier t impr ving th ir [! nutriti n i limit d, de pit num r u int 1 nti n t redu d ecurity and 1nalnutriti n in thi p pulati n (Tara uk Da hn r Po land , hamel pl ar m r limited in their abili ty t c ntr l th ir D od supply, including ne , p what th y can ace Thi r , purcha , prepar , a e, hunt, [! rage, gr w and , ultimately, con um e. arch t ok place in Briti h lumbi a' 'northern capital' of Prince eorge (P ) (See ection 3.3) a place with varied approache to addre ing food ecurity i ue and a large homele population. The city ha a t tal populati on of approximately 7 1 974 people ( tati tics Canada, 2015) and in 2010 , 361 individuals w ere counted in a one day censu s of the hom eless population (Kutzer & Ameyaw , 201 0). However, e timate of the number of p eople w ho are homeless in PG are as hi gh as 1050 (The Stone Soup Proj ect, 201 0). It is necessary to consult people with lived experi ences of homele sn ess to better und erstand the severity and consequences of fo od insecurity, and th e extent of th eir acces and utilization of the food syste1n. Understanding the acquisition strategies, and the m ean s through which food is available, are important because they influence b ehaviours, including hi gh-risk behaviours (Tarasuk et al. , 2009). A s th e most visible and reco gnized elem ents of the homeless food system are charitable organizations, the different wa ys in which peopl e who are homele s obtain food outside of charity may be overlooked . 1 c nt t, [i 1nmunit h alth and d i " ital t plain that "th g al f fl d nd ating ell -b ing" (Rich ithin m an , 1 9, .2 1 b riginal c mmunili w rld " Martin, 2 12, p . 2 11 . 1artin · id nli fi ali n f ultural imp 11ancc f fl mmuniti e i pe iall 1mp rtant ithin thi l pr vid a d th ir camp pra ti d pl ting D d uppli rge ar Addre ing H m el m an area . n a ea ting th at the maj rity [ p ation backgr und (Prine d fl r tud y. lumbi a i a pia e where pn r t c in Prin . Martin culture, uph ld ultural traditi n , and tr nglh n cultural kn wl dge ab ul the mean l e Indi g n u f ulturally, but, regard! Th m anmg urr unding ating and pr paring [i 2 nizati n , ir t ali n p e pl e nal ba i , in part t av id pl e ex periencing homele ne e rge mmunity Partner fa ir t n 2003), thi cultural elem ent prov id e in ight int potential [i od u and preference, elf-provi i ning, and receiv ing gift 3 [ fl od, which influ ence fo d ec urity and 4 food citizen hip . Practicing one' culture i an important component of well-being. The We te111ization of Indigenous diet ha had evere health con equence and ther are increa ing call for Indi genous people to become food overeign 5 in order to deco lonize fo d y tern . Acce s to 1 Aborigina l: In the Canadian Constitution refers to First Nation s, M etis, and Inuit peoples {Government of Canada, 2013) 2 Colonialism : "A process that includes geographic incursi on, socio -cultural dislocation, the establishment of external politica l control and econom ic di spossessi on, the provisi on of low -level social services and ultimately, the creation of ideological formulation s around race and skin colour that positi on the colonizer at a higher evolut1on level that the colonized" {Kelm, 1998, p. xviii) 3 Food sec urity : "Wh en all people, at all times, have physica l and economic access to sufficient, safe and nutnt1ou s food that meets their dietary need s and food preferences for an active an d healthy life" {Food and Agncu ltu re Organization of the United Nation s, 2006, paragraph 1) 4 Food citizenship : "is defined as the practice of engaging in food -related behaviours that support, rather th an threaten, the development of a democratic, socially and economically just, and environmentally sustainable food syste m" {Wilkin s, 2005, p. 269) . 5 Food sovereignty : "is the right of peoples to healthy and culturally appropriate food produced through ecologically sound and sustainable method s, an d their right to define their own food and agncultura l syst ems" {La Via Campesina, 2007, para . 3) 2 culturally appr priat D d 1.1 Re earch oal Th g al Qu ill h lp t r duce th h alth in quiti tion and p cifi Obj ectiv f thi r y t m arch ar t addr pe pl , and t impr the health and w ll-b ing f h m le p pl experiencing h rn 1 th d fi ci ncy f kn wl dg ab ut the D d und er tanding p r n . Th in P dimen i n of :D d (in ecurit . The ea intere t within thi pl wh ar faced by f h w l cal £ d y terns impact e g al will be achieved by ngaging with 1 arn about th n ir nrn ntal, cia! and cultural nal element of fo d ace s i an area f particular tudy becau e it had n t b n previ u ly tudi ed in relation to h m ele sness. The aim of thi re earch i to identi fy a p tenti al trategy to impr ve the health and well -being of homele populati n in northern B through increa ed awa rene and und erstanding of participants' experience and desire regarding food availability, access and use. The questions and obj ectives which guided thi re earch are· Research Questions: 1: What are the experiences with food security of people who are homele in Prince George, and what are the perceived effects of these experi ences on their health and wellbeing? II: Does the food system and food ecurity of homeles peopl e differ throughout the year? What accounts for the si1nilarities or differences? III: In regards to the food system, what do people experiencing homelessne s see as positive, and what changes do people desire? What does this suggest in terms of programming and policy development? To answer the research qu estions this stud y was designed to meet the fo llowing objectives: • 1. To complete a review of literature on food politics and ocial-ecological systems as they relate to health and well -being for people who are homeless. • 2. To describe the foo d system of homeless people in Prince George throughout the year including temporal variability. 3 • p • 4. d crib th c nn in Prine • and utilizati n f differ nt kind m e tigat th a ailability a c ti n am ng .D lf- r v1 1 nmg f fo d . d, h alth and w 11-being that h m le pe ple rge id ntif within th ir li cial, cultural and en ir run ntal fact r that in.Ou nc the .D 5. To d t rmine th p 1 in rin e Th r earch bj provid d in rg , including ple in Prin f fo d and ti hapt r 4 ( ee w rea chi hapt r 4 rg . d thr ugh a D ur-pa11 pr j e t d tail f whi ch are abl 1). Th fir t pha e includ d a literature review, relation hip building, btaining 1 tt r of upp rt and Re earch thic approval ( ee Appendix A and Appendix B). The econd pha e includ ed p arti cipant recruitm ent ( ee Appendi x modifi ed community mapping and d ), mi- tructured interviews ( ee Appendi ces D-H). In th e third phase the interview were tran cribed and parti cipant were contacted to review their individual transcript. Analysis and coding took place and a seri es of thesis drafts were written. Participants contri buted to the development of a results dissemination pl an and decid ed that creating a book using their quotations and community maps w ould be appropriate (See Appendix I). The fin al phase involved the book di stribution to pa11icipants, the thesis defence, and results dissemination. Critical ocial theory ha been used to theoreticall y infonn this research. This research also draw s on literature concerning homelessne s, foo d issues , health, and the connecti ons to physical, social and cultural environm ents. These different areas are each important for understanding the complexity of food systems for hom e]e s individual . For the purpose of this research, the fo od system of people experi encing homele sn ess includes all food and foo d products that are availabl e fo r purcha e, distributed , prepared and consumed, during peri ods of hom elessness . Food security and foo d citizenship activiti e both 4 influ nc and ar rall fl hap d by th en ir runent . Th t nn fl d tern wa ch fl d a being r at d within a dynan1ic food y tern within fl y t m rather than empl t m and ar m d rat d by d n becau e f th imp rt.an a di ta in their fo d y t m r gardl f of c n ptualizing t m fr m fi ld t fl rk and the pr m ti n of 1 ca l ereignt framew rk . d cial and phy i al ithin my re earch I e amin th fl r ca ll in rd r t includ h n they ha e c n umed it. identify alm n a a p311icularl imp rtant fl d rything the pa11icipant id entify r exampl e, participant m ay urce, but m ay rarely have ace to it. Thi differ from a di tary recall , whi ch i limited t mp rally and m ay n t refl ect change the p r onal ignifi cance of fl d, or h w fl od wa d ver time, btained. The term fo od cap i al o appli cable within thi re earch and can be u ed interchangeably with food y tem . F od cap e are defin ed by King (2009) as, "the way m which food is produced purcha ed or obtained, prepared, and consum ed, and the relati onship between food and the individuals of the community"(p . 2 11 ). Foodscape stu di e of eatin g in outof-home envirorunents, such as school , are increasingly investigating how the foo d provided affects both the individual and the envirorunent (Mikkelsen, 2011 ). Mikkelsen (20 11 ) writes that m any contributors to the concept of food scapes are working to bring power dyna1nics to the fore and chall enge how food is produced and consumed. The tem1 food envirorunent, is used to refer to the food available for purchase in a given area, thus excluding food avail able through other means (Mikkelsen, 2011). Kelly, Flood and Y eatman (20 11 ) propose that food envirorunent m easurement m ay not devote suffi cient attention to the local context. 1.2 Motivation for the Research and Positionality of Researcher Describing m y position and motiva tions as a researcher provi de important context for the research, and also d monstrates respect and re ponsibility to there earch proce s and 5 participant . My p ra ism in the iti nalit i duall im anadian tat and W e t m r haped i1np rtant a p t of th r earch pr m th d 1 gi al implicati n . tigmatiz d r putati n r tw h re man f th hi t ry f c 1 nizati nand ar h traditi n , and becau e and c ntribut d t th d m y life circum tance 1 pm nt f ar , I li ed in a 1 w inc me neighbourh d with a highl y f th r ear h participant fr qu entl y vi ited r lived. Further ethn graphi in ight r g ding thi My intere tin :tl rtant b cau p ri nc ar includ ed in hapt r 4. d r lat d i ue ha ari en fr m my wn ch ice t :tl 11 w a vegan di et and my c nc 111 with the indu tri alizati n and c rp rati zati n f the gl bal :tl d ystem . I was th fir t p r on in m imm diate famil y t earn a univ r ity d gree and m y und rgradu ate education wa in intem ati nal de elopment and environmental cienc . I have w rked in ilviculture organic agriculture and with marginali zed p pulati on . I recogni ze th at I am an out ider to the tudy region and that I have th e privileged po iti on of researcher on thi proj ect. Research traditions have been Eurocentric and coloni al, and as a person of European ance try, I acknowledge this history and took efforts to avoid reproduction of this. As a wo man, I have been mindful of how gender performance hap es interaction and perception . My po itionality influenced not only what individuals cho e to share with me, but also how I interpreted it. I have previously und ertaken research on foo d secUJity with Bolivian street youth. This experience shaped m y current ideas surrounding homelessness. Li ving and working wi th the youth for a year, I came to see the social elements of food con umpti on, and how these were a determinant for food choice within their sub-culture. There are similarities between the Bolivian and nmihem B1itish Columbi an context, including a hi tory of colonization, and associated W esternization of traditional di ets. A a result of different cultural and individual factor , it 6 b cam cl art m that it i imp rtant £ r p articulat th ir £ d y tem and t be Thi th i b gan m pl t a tud y' r arch r p and a d cripti n f the tud c nte t in hapt r . h lit rature r iti nality, a literature review in envir runent and hea lth. Th meth d 1 gy and meth d cia! th e ry a a len i intr duced, hapter 2 i w i c ntr d on 1 gical, n role of critical ti n and objectives, arch qu which ar £ 11 w d by a tatem nt f r home! curity, t ngag d £ d citizen . f th ith an th ir wn 1 v 1 of fo d cial and cultural ecti n £ 11 w, m hapter 4, where the ith an explana ti n f h w ca e tudy re earch and ethn graphy were drawn n t in£ rm the re earch. Fo ll wing this, the modifi ed approach to community mapping i xplain ed. The meth d l gy i then connected to the method of participant ob ervation, focu group and emi - tru ctured interview . hapter 5, the findings and di cu ion, pre ent the food y tern, the effect on health and well -being, and the role of social, cultural and enviroru11ental force in influencing the food system of the participants . Chapter 5 positions the findin gs in relationship to the literature, and in parti cular in regards to Indigenous food systems. The thesis ends with Chapter 6, the conclu sion, which includes a summary of there earch, limitations and reco1m11endations. 7 H PTER 2: LIT R T RE R VI W Bu ilding n the intr du ti n in flit ratur that hapt r 1, thi ch pt r pr r drawn n t inD nn th r atnin in gr at r d pth th c nn cti n am ng h m ial, and ultural n ir nment that e pie phy i al 2 .1 Health Homele 1 Thi ne cti n m lud ar h de n id ar w f th pnmary 1 pm nt. In thi , D d p litic h pt r I health, and th up y. and Food y t m an e1 te f the c r c nc pt y tern . It begin with an intr du cti n t th c ia! det rminant f hea lth, hom le ne s and D d f h alth and empow erm ent which are imp 11:ant topic D r und er tanding health a influenc d by y tern dynami c . 2.1.1 Health Increasingly in the We tern world th e c ncept of health i viewed in a more holisti c manner. In 1986, The ttawa Charter of H ealth Promotion establi hed health as "a posi tive concept emphasizing ocial and per onal re ources, as well a phy ical capaciti e " (World Health Organization, 1986, p. 2) with a set of necessary prerequi ite resources which are required to favour health. Rather than regard health as simply the ab ence of disease, health is seen as a combination of the physical, mental and social well-being of a p erson (WHO, 20 12). This vi ion is more akin to the holistic manner in which Indigenous ideologies env i ion health (Martin Hill, 200 3; Metis Centre, Nationa l Aborigina l Health Orga ni za tion , 2008 ; R ootman & O'Neill, 20 12). The social detem1inants of health are broadly defined as the condition under which people live, work, grow and p lay (World Health Organiza tion (WHO), 2010). According to the Public H ealth Agency of Canada (20 11 ), the following are 12 key deten11inant of health: income and social status; social suppot1: network ; edu ca tion and literacy; employm nt/working conditions; socia l environment ; physical environments; personal health practice and coping 8 kill · h althy child de 1 pm nt· bi logy and gen tic nd wment · health erv1c ; g nd r; and culture. H alth in quiti e ari Rootman, up ' r ' &P der experi ncing h mel inequiti ne i a prima ry~ u r di ad antag fr m unfa ir ad antag n,20 12) . m oci ty ( 'N e ill , id ent in thi li t f 12 fact r n ted ab ve, people m a face multipl barrier t health quity. R edu ing health f th fi ld f h alth pr m ti n ( , 19 ). Three key cone pts in health pr m oti n which ar imp rtant ~ r thi re ear h are emp werment, the cial det rminant of health and ca ll fl r a gical appr ach t h alth (Roo tm an & 20 12· W orld Health 6 . rganizati n (W In addition to con idering advoca ted ince the ttawa cial d t nninant ' e ill , f health, and the socioecol gical approach hater f 1986, thi re earch draws from th developing field of eco y tem approache to heal th (ecohea lth). cohealth empha izes a holistic appr ach to health and is a benefi cial lens through which to approach complex problems, by examining the interconnections among health, eco y tem and ociety. As Parkes (201 0) expl ains "[e]cohealth is based on the recognition of ecosystem s as li fesupporting found ati ons fo r health and well-being, building on long-standing know ledge of the links b etween health, comn1uni ty, environment and econom y, and the overlaps between health and sustainability" (p . 3 ). Ecohealth has roots in development, public and environmental health (Charron, 20 12), and thus is well suited to discussions of health, environment and food . Parkes explains that ecohealth is especially applicable "in communities facing rapid ocial and ecological change where concerns regarding health, environment and inequities are intensified"(p. 3) . Such is the case in northern BC, where the land being developed are Indigenous tenitories and Aboriginal conm1unities are often everely impacted, regardless of what each First Nation in the region's individu al stance on development is. Ecohealth en1pha ize 9 integrati n , appli ati n and ngag m nt in r ar h and pra ti c and c nfr nt challenge with div r ity, m rg n e and r ili en (P rk att nti n t th e imp rtanc t m within etting (P ar f that an empha i cur m ec thi re arch c h alth h a influen animal mi grati n and pl ant gr h alth appr ach 1 gi a l appr ach H rwitz (2 009) are criti cal f h proc , 201 0) . e plic itly draw H rwitz, 2 00 ). Park and ften neglect th multitude f n b ing plac ba ed . h erefore, within d m c n id erati n f the ea nal pr ce e of climate, th, in dditi n t from holiday t hunting cycle . An ecohea lth appr ach i aluabl w hen w rking w ith i u e related to food politi cs becau e th e principl e of ec health, a de crib ed by han n (2 01 2) , f y t m s thinking, tran di ciplinarity, u tainability, g nd r equit y, oc ial equity, particip ati on, and know led ge-t action, are de igned to deal w ith comple ity w hich i inherent in is u e related to food production, di tribution and consumption. Ecohealth considers both th e environmental and social aspects of su stainability (Charron, 20 12) which m akes it especially well suited to addre sing the social and physical components of the food system . 2. 1.2 Homelessness Hou sing is a social determinant of health , yet rates of homele sness are increasing in th e w ealthy, industrialized n ation of Canada (Pmier, 2004). E tin1ates of the number of Can adians who are homeless are in the tens of thousands (Hw ang, 2001 ). However it is unknown precisely how m any people are homeless becau e estin1ates are dep end ent on th e number of people who access servi ces (Hwang, 2001) . For instance, it is suspected that in T oronto, O ntario , up to 75% of homeless you th do not access overni ght shelters (Hwang, 2001 ). Thi s suggests de pite the existence of en rices for p eople who are homele , people m ay not alway choo e to, or be able 10 to a c the r n ne wa n t unc tmn n fi r p e pl would ace a hn r and T ara uk (2002) fi und that it ampl , in th ir tud h are h m 1 t ha t h e b twe n which erv1 ce th y each da . It i i1np miant t in e tiga t th fac t r that can influ en rv1c acce and u e when e alu ating and de igning pr gram1ning and t en ure that p e pl with lived ne exp n nc hom e! n H mele n und er-hou ented in re ar h . R p ecting peo ple w ith experience of m ea n including them in deci i n m aking pro e e , n re earch team s, and in policy d vel pm nt fi r fi ituation ar e repr d curity i ue ( lli t Jayatil aka, r wn, Varl ey & orb ett, 20 12) . exi t in di ffer nt fi rm . Pe ple wh are living in precari u h ou ing p erhap with friend r fa mil y, r in un afe li ving c nditi n , are con idered to be d and in dan ger f lo ing their hou ing (Hwang, 200 1). Tho e w ho are leeping in the treet or ta ying in helter are con id r d the ab o lute hom ele absolute homele (Hwang, 200 l ). Th e are often more vi ibl e than th e under-hou ed and thi is the group w ith whom the majority of studies on homelessne s and health have occulTed (H wang, 2001 ). Kutzer and Ameyaw (201 0) report that 27% of re pondents in the Prince G eorge H om eless Count experience absolute homelessness . The length of time and frequency of homelessn ess one exp eri ences is furth er classified as cyclical, chronic or temporary (Grant, 2011 ). Cyclic hom elessness is a condition where an individual m oves between periods of being homeless and hou sed . Chronic hom elessness is longterm homelessness . The participant inclusion criteria of this research included people who had experi enced an y fmm of homelessness for longer than 6 m onths in PG. In the W estern world, single m en tend to make up th e m ajority of people within hom eles populations. In Vancouver, 70% of the hom eless populati o n fa lls into thi s category (Hwang, 2001) .This is important to note becau e gender, sexu ality and relation hip status are determinants 11 nd n defi impl binar la ifi ati n . r p rt that am ng b ri ginal p e uall and g nd er di er rt ho id nti fy a L 1an, th e had di ffi ul ti e plained h id ntit and ft ntim d , and riginal h hi h t na il (20 14) upp rt n gr at t ri k [! r h pl , th m lc trum that ar lndi g n u y uth artici ant a , ran g nd r - pirit, u r, tc. in the T r nt h l ter au c f their ex ual/g nd r [! It a[i r and le unc il , 2 14 ). upp rt et lC that homel n m ntal illn , addi ti n, p nz ie , Ruth er[! rd, W l h, rn a b c nn ec ted t th r cl n and R i l determin ant , including lack f edu cati on, rty and hi g h unempl ym nt rate . anadi an hi gher rate of hom le ne k (200 ) argue amo ng lndigen u p pul ati n . In Briti h ciety ha led to lumbi a, g vemm ent ac tion led to the de tru cti n f ub i tence life tyle , whi ch neces itated greater depend ence o n the tate (Alfred 2009) . The tate ub equ entl y focu ed erv ice in larger centre to increa e both migrati on to urban areas and ettled life tyle ( !fred, 2009) . A cknowledgem ent of thi hi tory of colonization i nece ary when con idering current erv ice D r the hom e le . Ae ro C anada, people of A boriginal descent are o ften overrepre ented in hom ele s populatio n . For exampl e, Toronto's homeles population ha 10 time more Abori ginal peopl e than th e proportion within the general population (Hwang, 2001 ). 6 Two- pirit: "Hi tori ca ll y the term i based on a per on· in clinati on toward ce rtai n ro le . re pon sibiliti es and behav iours seen as traditi nall y male or female. It is n t based up n ne' s choic o f ex ual partn er or gend er preferences a these are Western co ncepts. It i a gift th at, in a lot of case. , was thou ght t be di coverabl e at childh ood.[ .. )the Two - pirit ro le was ne to be celebrated be au se of the abd1t to . ee and fulfill male and female per pecti ve and respon. ib il1ti es. Imp rtantl y today, Two- pmt en ompasses the spmtual co mponent oflndi genou identiti es" (Toront o bori gi nal upport er 1ces oun d, 20 14, p. 3 ). 12 b riginal id ntity h uld influ nc £ d aid £ r h m 1 r comm ndati n made b Indig n u h lar, aiaiak col nizati n , and imultane u ly impr ing ph traditi nal di t. llan and akam t (2 14 hould focu on gend r and al expen nee and d m n trat ll an and lfr d (2009) £ r v r oming i al and m ntal h alth, i a r turn t a p iii ally r commend that d c ioni zing that " b rigi nal w m n a n ultati n a helper " (p . 0) . r p ith p pe pl , a am ng the rv1 ce e ing ervice w uld be rec gni zed pl e peri ncing h mele ne b th h n urs their lived t. akamot (20 14) al o pl ain h w c 1 nizati n Aboriginal w men wh were p werful , c ntral t argu ed that today thi m anife t a bl am e on ught t destr y the r le of and re p cted within their co mmuniti es. It is bori ginal wo men fo r "elevated rates of m ental and social di tress unfolding in their communiti e while imultaneou ly ignoring hi torical, social, and environmental factor "(Tait, 2009, p. 1970) . !len and akam oto (20 14) expl ain how current discourses of homelessness and service de ign continue to rein fo rce this message while negative experiences of care "could compound personal and societal experiences of coloni zation and racism" (Allan & Sakamoto, 2014, p. 72). On the other hand , accessibility can be enhanced through care that is genuine and accepting (Allan & Sakamoto, 20 14, p. 72) and hom eless Abmiginal women were found to actively help and upport one another. 2.1.3 Food Systems Food and agriculture policy is presently heavily influenced by powerful corporations and lobbyists, such as the Dairy Fanners of Canada (The Lobb y Monitor, 201 3; Vongdouangchah, 2013) . While the UN Special Rappmieur on the Ri ght to Food, Olivier De Schutter (2012), ha suggested that Canada could promote access to healthy, sustainably produced foods, he 13 a know l dg trad agr u h a in tituti nal ' bu 1 al' 7 practic that appr ach ment . H w r, imilar appr ach ha be n tak n, wher uld c ntrav ne fre ch 1 b ard c nn cted chool feeding pr gram dire tl y with 1 cal agricultural pr due r ( 1 ck et al. , 200 ) . Initiative uch a thi can 1mpr macr -1 1[! d n ir nment by fav uring mall cale, 1 cal, u tainabl producer . H althy c mmunity [! debate ver the r le f [! d d charit m are u tainable for human and the environment. There mm ing t ward thi g al. The [! rm that aid i often provided in i n t u tainabl e for tb c n umer, th e envir nm ent, r the charity it elf. There i a growing recognition that impl y pr iding em rgency [! d aid n t onl y fa il to addre the tructural a pect of food in ecurity and h m le ne , but it can contribute to worse I ng-term health outcome for tho e reli ant on food a i tance (Rock, 2006). om e argue that th e provisioning of food charity reinfo rce dominant power relation hips within ociety because those in positions of pow er choose what is provided as aid , how, when, with what frequ ency, and if the recipient is deserving of aid (Curtain & Heldke, 1992 ; Tarasuk, 2001 ) . However, individual control over food choice and suppl y is not a panacea becau e foo d choice is largely shaped by societal pressures and forces . In much of the world , agriculture ha 9 become industrial and the population is und ergoing a nutrition transition (Marmot, 2007). People are eating more processed food which is hi gher in calories and fa t, while being lower in nutrient , with resultant health impacts (Mam1ot, 2007). As the Ontario Healthy Communitie 7 ln st itutionai 'Buy Lo cal ' pra ct ices: " Due to the reach, influence an d extent of procurement and th e me as urab le econom ic difference of buying local , m any arg ue th at focusi ng mo re procurement dollars on local compan ies 1s a good strategy fo r econom ic developm ent. Th e rat ion ale is t hat m ore m oney kept in a local economy p rov ides m ore jobs, tax dollars and w ealth to support oth er bu si nesses" (Du ffy & Pringle, 2013 , p. 7) 8 food aid and food charity are used interchangea bly in th is th esis. 9 Industri al agriculture: "th e syst em of chemica lly intensi ve food pro duction developed in th e decad es after W orld W ar II, f eaturing enormous si ng le-crop f arms and anim al prod ucti o n facilitie s" (Union of Con cerne d Scientists, n.d. par a. 1) 14 c aliti n found " n unheal th di t i 1 ft n a matt r f p r nal ch ic and m r functi n f ocial and c n mic in qualiti " (2 0 6, p. ). R imp rtant b cau "[a] ce t d, ffi rd abl ~ g than health education " (Wilkin n d y t m 1 very m r diff~ r nee t what e ple at d mak M nn t, 20 tru cturing ~ ft n a p. 2 ). 2.1.4 Homelessness, Food and Health H mele n fa ce barri er in ph y ical When peopl e acerbat ell-b ing, and pe ple wh are home]e train n hea lth and ocial and cultural nvir nment that other citizen d n t experience. h ar homele b c m e unwell th ir ability t acce limited (Hwang, 2001 ). Individu al wh are h m le general populati n, including high er rate of illne hav p medi cal ervice can be rer hea lth utcom e than the and m 11ality (Hwang, 200 I ). imil arly, when a per on ha limited food acce , or can onl y acce ~ od of inadequ ate qu ality, it leads to poor health and w ell -being outcom e . In tum, poor health inhibits a per on's ability to navigate social and environmental challenges to acquire appropriate and suffi cient foo d . Improving food security and food citizenship for people experiencing homele sne s can contribute to better health outcomes through the prevention of illness and increased feelings of well -being, while addressing detenninants of health and empow ering peopl e. The factors that shape an individual's nutritional needs are compl ex and va ri ed bu t homelessness likely increases caloric and nutrient requirem ents due to high levels of physical activity, insuffi cient amounts of sleep, and exposure to extreme temperatures which are typical experiences of people experiencing homelessness (Darmon, 2009). Rates of substance use are high among hom eless popul ati ons which is signifi cant becau e substance use decreases micronutrient availability and body ma s index (Dann on, 2009; Sealand, Haugan, Erik en, Smehaugen , W and el, Boluner & Oshaug, 2008). 15 urr nt t 1 D r mea uring and under tanding D d are in ufficient (H Hand K nned populati n ha Hwang, 2011 . R din f [i high 1 t f tr t liD , ear h ha indi a ted that h mele urit and malnutriti n ( li , hahab , ara uk, 199 ; Hamlin, M er i r, Muynck 2004· Ant niadi curity in th c nt hijima, & d ' dard , 2 006 ; H !land et al. , 20 11 · Hwang, 2001 ; Tara uk t al. , 200 . Thi am ct ph y ical health a well a m ntal and 1 impa t elf-effi acy and beha i ral capability (MiewaJd & ocial w 11-b ing, and negati entre D r u tainable countle mmunity ev 1 pment, 2009). o d and health are c nnec ted in way , but with marginaliz d p pulati n , th re i a tendency t reduce th e c mplexity of thi relation hip to a D cu on either nutriti n r hunger. Food aid, which focu e excl u iv lyo n nutriti n, may exclud e oth er imp rtant component of health uch a cultural element (Da1mon, 2009). Food charity, which focu es on the provision of the mo t nutritious food to the neglect of other element associated with eating, is reminiscent of the biomedical justification of improving hea lth statu that ha often been used to rationalize colonial policies el on, 20 12). Therefore food charity should be critically examined as an approach, to understand the motivations and culturally engrained preconception that it envelopes . There are cultural and social elements embedded in both preparing food and eating food with others. Riches (1999) refers to these as "integrating forces" (p . 206) within a society. These cultural and ocial elements are an important aspect of the mental health benefits which come from food. Preparing one's own food can also provide an individual with a sense of pride and autonomy. The unique politics and economics of the street influence consumption of food by homeless people. A better understanding of the food systems of the homeless, including the role of trading and sharing food , i crucial when planning food charity to avoid potenti all y eriou 16 h alth c n equ nee . Yet ft nth re i little c n ultati n with h m ele their need and d ire wh n d el ping~ p opl in r gard to d p li cy (H alth Pr m ti n R arch entr , 2005) . Appr aching the well-being f h mele indi idual fr m a m re h li tic tandp int would be ad antage u t impr ving th ir ~ curity. om meth d in~ rmal channel , of~ d d acqui iti n by h mele uch a r cei ing ~ Alth ugh th y ma y ha e ther m an indi idual remain invi ible through d fr m fami ly r friend , r by elf-provi ioning. f pr curing [! d, many h mele s pe ple do rely heavil y n charitabl e~ od d nati n (Mi wald & Me ann 20 14; Tara uk, P land, aetz, Booth, & Dachner, 200 ). Howe er, the h m 1 s are al limited in what they can acce in this rea lm . Charitable food ource can be diffic ult to acce depending n phy ical distance or operational times . Often aid organization e tabli h uniqu e eli gibility criteria regardin g who may receive their m eals (Miewald & McCann, 20 14; Tara uk et al. , 2008) . Therefore access to food charity may depend on willingness to attend reli giou s services, fitting within a certain age group, or may be based on merit that has been predetennined by the provider (Dachner & Tarasuk, 2002) . Setting conditions to receive assistance is problematic because it impacts the individual's right to food . Charitable food providers are trying to meet the need for food with limited resource and voluntary labour. Although homeless populations are not homogenous groups, and nutritional need vary between individuals, there is usually only a single meal option offered. This is problematic because it does not allow for consideration of taste preferences, ethical, religiou , or health related restrictions in diets (Me ntee & Naumova, 20 12). This ystem exhibit an oversimplification of the compl exiti es between food, hea lth and well-being. As mentioned there 17 i a t nd n y t r due t d curity t hunger rath r than r try, 2 11 ). det nninant of health "( o ter, K 11 r, McK e, 2.2 Food ecuri ty and Food Politic lncrea ed fo d curit 1 ad t 1mpr being. Th c n ept f indi idu al t at a colle ti re id ent gm z th c nc pt i a "k y d ecurit , d crib d in hapter 1, can al be c nceived of 1 vel a c mmunity D d e uri t , which i defined a "wh n all c mmunity btain a afe, p r nall y a ceptabl , nutriti u di t through a u tainabl e fo od ys tem that rna imize healthy ch ice , c nununity (Dietitian of m nt in th quality f n ' hea lth and well- If-reli ance, and equal ace fo r everyone" an ada, 2007, p . 1). F 11 wing thi definiti on community foo d ec urity means that: The ability to acquire foo d i a ured; F od is obtained in a manner that uphold hum an di gnity; Fo d i sufficient in qu ality and qu antity to sustain hea lthy growth and development, and to prevent illne and di ea e; Food is produ ced, p roce ed, and distributed in a m anner that doe not comp ro mi se the land, air, or wa ter fo r future generation (Conununity N utriti ni t ouncil of B , 2004, p . 3 ). The British Columbia govenunent end orses the F AO definiti on of foo d ecurity described in Chapter 1 (Foster et al. , 2011 ), whil e the c01nn1unity food security definiti on above has been advocated by BC's Provincial Health Services Authori ty (PH A , 20 15) ( ee Chapter 3 ). According to the definitions above, having food that meets an individual's ethical, mora l and religious foo d preferences is a legitimate component of foo d security. McEntee and N aumova (20 12) found that, because of a lack of und erstanding of food insecurity, a conunon attitud e that exists is that people in need should sim ply be grateful for any food they are given tlu·ough foo d charity. This attitude suggests that a person' needs or preferences are insignificant, which m ay be dam aging to a homeless individu al's sense of self and emotional or mental well being. 18 In c ntra t t fl d urit , fl f nutriti nail ad quat and afl fl fl d in ciall a cepta 1 wa d in curit i "d fin d 11 hite, 2 iding fl hi h ar Wi k , 201 ; Ri he ). aum rt n, ull cn, Mhurchu , 201 0; cmm ental, have limited re urce , rp rati n fl r d nati n d y t m and rporatc d nati n are ftcn [ fl ked r n ar e ' pirati n and & Wick , 201 0; Me ntee ft n ). d are ft en n n-g and ar fr qu ntl d pend nt n the indu tri al fl (Lundahl aila ility " ( ara uk, 2 0 1, p. 4 7 . ack f finan cial re urce B c kei, 2 11 ; W bb that are pr Jiain r limited r unc Iiain bili t t a qUir ac ptabl k, 2 0 id ag n i a limit d run d-like pr du ct , n id r d ·\\a te pr du t' by th d nors ( und ahl a, 20 12). Thu chariti e ft n have little inilu nee ver the nutrition and qu ality f the mea l, which imp act the hea lth [ th Ame1ican context, corp rati n are reward d for pr e c n uming the fl d. In th iding donati n via tax incenti ve and reduced waste di po al fee , whil e improving their corporate im age as ociall y and environmentally re pon ible (McEntee & aumova, 20 12; Tara uk, 2001 ). Wh n donating fl od, en mi ng optimal nutrition or cultural appropriatene for peopl e in need may not be con id red a important a eliminating produ ct , which are near expiry or are over tacked, from tore shelve (McEntee & Naumova, 201 2). As one author write about private emergency food aid in the fonn of food banks, aid i disa sociated from what th e cli ent require in that the amount and kind of a sistance received i "driven not by their need for food o much a by foo d policie and practi ce designed to maintain operations in the fa ce of a limited, hi ghl y variabl e, and largely uncontrollable upply of food donation " (Tarasuk & Eakin, 2003, p. 15 11 ). UITent food aC ty regul ati n regarding donati n often nece itate that th fl od citizen donate ha been produced, and purcha ed, within a fram ework f indu tri al agricultur and co rporate control. 19 epti n t thi t gr w pr du t d nat t charitabJ m al pr gram ( verth le thi m n an iet tandard and in re ingly rgamz ti n ar en mg p ral n ir nm nt pr m te the and di pl ac tr diti nal diet and th a and ar m r like] nt e ' ciated cultural, eri u ramifica ti n a it in whi h pe pi e bee m m re fa mili ar with a parti ul ar .G d influ n e life! ng .G M nful, 2014 ). n umpti n f a h m genized and piritual el m nt . Thi appr a h t meal planning ha charit uraging gardener ntinu c n uming it, aum haritabl e [i n when th ey bee me ind pendent f .G d a, 20 12) . i i ning y tem may ha broad r n gati ve con equ ence , beca u e th y create d penden e n an un u tainabl e y tcm and de clop a patcm ali ti c attitud e t ward recipi ent f D d charit y, p pi e are u uall y n t ac ti vely engaged in thi component of th ir fo d y tem (Tara uk, 200 1). Thi i a lo t pp rtunity [! r kill building, creativity, ocial interacti n, nutrition educati on, and cultural and piritu al well -bein g. Melanie Rock (2 006) de cribe how a ta kforce on hunger and ocial development in Montreal developed a li t of food that hould b rejected by foo d chariti e a donati on , and provided a rational e forth exclusion of each fo od on the li t. hariti e ometim e appeal for certain food s that are in hi gh demand , but they can also expli citly refu e other , whi ch would force corporations to recon id er their poli cie around food donati on. The list devel ped by the ta kforce considers the influence of food produ ct on per onal factor of the rec ipi ent , uch a future purchase patten1 and the development of food kill and cooking abilitie (Rock, 2006). 2.2. 1 The Right to Food The numb r of anadians who acce 2010, over 5 000 peopl e receiv ed .G pri va te emergen y food aid i grow ing. In March d from B fo od bank , which are non-goven1mcntal 20 erv1c (F t r tal 2011 ). In through Privat th nit d anada, and man m rg n d ati n , all p ple ha en hrined in the th r countri d ( nit d nant n and ratifi d the d clarati nand the c cial and c n m1 cording to ultural Right . ati ns, 2013) a anada ha igned nant (Riche , 2002) . hi s ri ght e i t at all time and is not d p ndent n an indi idual fir t becoming h u under tand be au e it pro id ften ati n , 201 ). The right t D d i larati n f Human Ri ght in article 25 ( nit d 111 w 11 a the Int rna ti nal It i the federal g aumova, 20 12). ) (Me nt a Ri ght t , D eding th 'hungry' i d. he ri ght t D d i imp rtant to the ju tificati n D r cri ti ci m [the inad equaci s of D od charity. ernm nt' re pon ibility to en ure thi ri ght i m et for peopl e unable to m eet their own need (Riche , 2002) . tate mu t re pect, protect, facilitate and provide the ri ght to food ( ffice of the High 1nmis ioner for Human Right n .d.). A the ri ght to food and the evo lving conceptualization of health both include per onal elements, uch as culture, simply providing food that is nutritionally sufficient for urviva1 is not sufficient from a ri ght to food or a health perspective. However, if homele people were found to be food ecure, then the Canadian government would have little obligation to intervene in this area. According to the UN Special Rapporteur on the Right to Food, Canada has generally made sufficient efforts in protecting the right to food internationally, but not domestically (De Schutter, 2012). The right to food has not been added to the Canadian Charter of Ri ghts and Freedoms and First Nations people are patiicularly vulnerabl e to food insecurity (De Schutter, 2012). Ensuring the right to food for people within the Canadian state serves as a fonn of primary prevention for a vast number of ailments including disea e frequently experienced by homeless individuals. Some of the primary disea es associated with food insecurity include: 21 malnutriti n, b ity typ 2 di abet HI infecti n and p r m ntal health ( rt n et al. , 201 0; Tara uk 2001) . ch lar m upp ri fthe right t ~ od argue that n urn r have nl y limit d amount of p wer whi h i ba ed nth ir ability t ch n t t bu y certain[! od and t purcha e oth r in tead W 1 h c nan , n can ee h w hom ele have 1 M a Rae, 19 ). In thi pow r, a they rn a b unwelc me in c rtain purcha e r tran p rt go d . If they are r c iving ~ go hungry. H we individual tabli hment , r lack the ability to d aid , they m ay have the opti n to ea t or to r, ther ar peo pl within rganization who are w rking t take advantage of the potenti al fo r mpowerrnent. approache to hom ele ne n ampl e of a pl ace u ing innovative and locally adapted and foo d i ue i the Homele While Hanlon, Ro enberg and ard en Project in alifomi a (20 10) . la by (20 07) de cribe v Juntary service prov id ers as hav in g the capacity to be re ponsive to need becau e of th eir grassroot nature, fu ndin g chall enge have been describ ed as leading to competiti on between organi zati ons that are attempting to access the same pool of financial re ources . Hanlon et al. (2007) also go on to describ e the concept of insidious rationing among organizations who lack capacity to meet demand . Hanl on et al. (2007) describe how some volunteers at the e organi zations m ay choose not to adveriise their organization's services and instead selectively prov ide services to peopl e they choose. Thus those who benefi t do so largely due to chance, or social connecti ons. Actions such a these can further infringe on the right to food. Although humans have a right to food, there is a "marked relationship between social inequ ality and foo d (quantity, qu ality, type of foo d consumed, style of it consumption)" (Riches, 1999, p . 206) . This social inequality leads to increased health inequitie experien ced by peopl e who are homeless. As human ri ghts are not granted on the ba i of wealth, pow er or privil ege, 22 the right to fi d, and with it th r p n ibility f [i d citiz n hip , mu t b e tend d to all m mb r of o iet including th home! 2.2.2 Food Citizen hip W 1 h and MacRa e ( 19 bey nd con umer , but d e n t m r pon ibiliti ) argu e that th anti-hung r m vern nt aim t emp w r . A they put it "[f] n urn r t citizen hip , which ha rights and d citiz n hip ugge t b th bel nging and participating, at 11 f the r lati n hip (p. 241 ). he c nc pt f citizen hip i rel vant tope ple wh are they are ft n e clud d from th r fi 1m home] f participation a m embers within society. F od i an imp rtant rea lm in whi ch to challenge di emp werment and marginalization becau e: Food, like no other commodity, allow for a politica l awakening, as it touche our live in o many ways . Food citizen hip draw s on and helps nurture authentic relation hip . It ha the potential to generate active citizenship , rather than the tri vialized notion of citizen hip that aul (1995 , p. 168) describe , in which our involvem ent i reduced to "isolated act[s] of vo ting and .. . voluntary activities (Wei h & MacRae, 1998, p. 241 ). Food citizenship advocates choosing food that are produced in a sustainabl e, ethi ca l manner (Wilkins, 2005). A passive eater may be unconcerned and unaware of how, by whom, and under what conditions their food is grown, processed, and transpoiied . Through food citizenship, social justice and the environmental sustainabili ty of food system s can be improved (Welsh & MacRae, 1998). The concept of food citizenship strives to transfonn consumers, with little power, to participants in the food system (Wilkins, 2005). This happens when con umer engage in dialogue regarding their food, and either produce their own food or u e their financial resources to suppmi pra ctices and bu sines es that fUJiher their ideal (Wilkins, 2005) . Whil e the term food citizenship may sound unrea listic for people experiencing homelessness, the actions proposed for food citize n hip are ca1able to be suitable for the 23 indi idual and the c nte tin whi h th make fo d choic li on, 2011 . communi ti e 20 12). Pe pl hav a r 1 on ibility to whi hare u tainabl (Wilkin , 2005 ), but th y mu t be encouraged in making re p n ibl deci i n thr ugh the Finla (Wilkin tabli hment f a upporti e nvir nment (Horwitz & d citizen hip acti n ar m re healthy and u tain able for individual , and n ir nment ( A tud y b W bb rand ilkin , 20 12). ollahite (2 00 ) d m n trated that c ncem about food quality, production and farming practi ce were c mm n am ng low- inc me head participant e pre input f h us hold. M any d cone rn o er geneticall y m odi fied rgani m , pe ti cid e , chemical antibiotic and hormone in th ir food, but were unabl e t affo rd organi c produce (W ebber & Dollahite, 200 ). Webber and Doll ahite (200 ) al o noted that, although the e lowincome people have per onal experi ence with inequity, and would pre um abl y not w ant to perp etuate inequity they are unabl e to afford products that were certifi ed fair-trade, organi c or that uphold their ideal s about agricultural animal welfare. Often times, produ cts of thi s nature were not available for purchase where the participants hopped (Webb er & Doll ahite, 2008). However most participants in the W ebber and Doll ahite (2 008) study were not particularly concerned with where their food was produced. Some people did m ention the importance of supporting local farmers, and the negative social , cultural and economic consequ ences of 'bi g box' stores. Participants described local food as tasting better and being fresher, which w ere desired traits (Webb er & Doll ahite, 2008). Participants in the W ebber and Dollahite (2008) research also obtained food infon11ally through "gard ening, anim al husbandry, fora ging and hunting, and bartering activities" (p. 196) and were found to rely on bartering and networking more than middl e class families did . This research explored the role of these informal fo od networks to develop a more compreh n ive 24 und r tanding f the £ d y t m indi idual , pr u r earch ha prima1ily expl r d £ od availability thr ugh ch rity. and it i Imp rtant .G r h m 1 With ri ght com e r p n ibiliti in th ir £ d t m, to ha ve b cau e the h m le v ic and defend th ir ri ght are af.G rd d littl p w r ithin individu al t be active bvi u ly, thi i chall enging ci ty . However, there are pe pl m vement around thew rld whi ch aim t take c ntr 1 f ' d y t m and recla im fo d overeignty, wh rea incr a ing c rp rat c ntr I er de the e concept (Riche , 1999). International m ement uch a La 1a ampen ina, unite marginalized pe pl e , pea ant and mall cale agri ulturali t t reclaim their food y tern . 2.2.3 Food Ju tice In the W e tern context, peopl e involved in the food m ovement tend to be middl e class Cauca ians (Alkon & Agyeman, 2011 ). However, a the W eber and Doll ahite tudy demonstrates this is not to suggest that other groups are not concerned about food issues. In BC there are many groups that are working pecificall y for Indigenous food ystem , including the Indigenous Food Sovereignty working group, and the Vancouver Island and Coasta l Communities Indigenous Food Network. Indigenou s food sovereignty has also been examined by food policy groups such as Food Secure Canada (Food Secure Canada, 20 13). Demanding food justice benefits both marginalized producers and consumer . Food justice is: Increasingly substantiated by racial and income- based exclusion, food ju tice operates to prioritize just production, distribution, and access to food within the communiti es being impacted. This is the focus of the food justi ce movement, thou gh environmental and economic benefits often result from the e effort a well (Me ntee & Naumova, 20 12, p . 237). The food justice movement i driven by the peopl e, is holi ti c and place based, and it resists the commoditisation of food (Bamdt, 20 12). Furthermore, "by linking low-income and 25 mm rity p pulati n with alt rnativ prioritize human w 11-being ab (M nt e & & aum aum m f :D d r ducti n and c n umpti n , advocate pr fit and al ng ide dem a 201 2, p . 2 7) . ualit f .D ratic and d i a c mp n nt f fl ocial ju tice va lu d ju tic (Me nte a, 201 2) . The level f attenti n to pecifi c gr up r individu al .D d n ed and health quity can be evaluat d u ing Paty huck' (2 0 11 c ntinuum f hea lth equity f h ea lthy eating and .D ecw·ity. The continuum build the linkage between .D n the them e f critical d cial theory but pecificall y c n id er d ecurity and h alth equity. In thi framew rk , acti on are evalu ated and range from uni ver ali m/c 1 ur blindne t di ver ity/cultural competency to anti - raci m/anti-oppre ion. A component f fo d ecurity i en urin g that minority group have acce to appropriate food . Exampl e of an anti -oppre ive approach to food are: recogni[tion] that raci m function a a barri r to cormnunity elf-determin ation and selfsufficiency and que tion white-dominated food initiati ves. Reduce food strategie ' dependence on corporate food indu try donations that do not meet the need for nutriti ous culturally approptiate food " (Patychuk, 2011 , p . 41 ). Increasing access to country food s, for lndi genou p eopl e who want them , improves food justi ce because, as one Elder cited in Elliot et al. 's tudy expl ains, "Traditional foods should not be a privilege (for the wealthy) , it should be available for all!" (Elliott et al. , 201 2, p . 6) . However, Patychuk's schema is limited in that it does not explicitl y promote the involvem ent of people who would be the recipi ents of food aid in the proposed actions. 2.2.4 Food Sovereignty The concept of food sovereignty is based on a premise of environmental and social sustainability, including wom en's rights (Grey & Patel, 20 14 ; Wittma n 2011 ). Increa ing food sovereignty leads to improved interactions between humans, animals and environment, and thi s naturally leads to a cha ll enge in the preva iling iloed thinking abo ut these different aspec ts of 26 " t m . Th m foo d em nt t ward comp n nt of th ho li tic~ f p opl and g ~ r qUir d o d y tern . r ignty i a c nc pt that "~ cu mm nt t det Imine th 1r wn ag1icultur envir nment , and m de f pr du ti n. c tnmunity in olv ment a a d y tern , [! on the right d market , reignty i a radical alt rnativ t c rporate- led, n o-lib ral, indu trial agriculture!! (Koc;:, umn r, in on, 201 2, p . 85) and i usuall y a ociated with mall- cale fa1ming and 1 calized produ cti n . Working within a food overeignty framew rk would in lud a control the current~ t f tak h ld r wh are much different than the takeholder who d uppl y in current large scale corporat anada. An increa e in fo d overeignty would mean that the takeh ld er would 1 e power, influence, and pr fit. Food overeignty would not nece arily occur with th achievement of~ d ecurity, but a food sovereign place hould al o be food ecure. Food overeignty would al o lead to a more egalitarian distribution in power and control over the food y tern, and more local knowl edge and involvement in food production. De pite these promising benefits, the current English language research on food overeignty and health equity is minimal (Weiler, Hergesheimer, Brisbois, Wittman, Yassi, & Spiegel, 2014 ). Food sovereignty is rooted in place, so in a food soverei gn scenario peopl e would be reliably able to access local food. Food is not just available in a place, but is also of a place. There is a connection between what is available and where one is. While homeless people are often confined to one area of a city, the food that is avai lable to them i neither reliable in supply nor is it likely to be a product of the place, due to the neoliberal policies that see corporately controlled food donated to charities . The principle of sustainability is closely linked to food politics. Healthy social-ecological systems depend on the susta inability of the food supply and vice versa (Declaration ofNyeleni, 27 2007) . It c uld be argu d that u tainabilit i th dri ing [! rc b hind fi fi od eking long-t rm er ignty i and indep nd en health f th yeleni fo d 111 c mmunitie luti n t fi pr er e g netic di n ir nm nt ( e larati n f v reignt i fi cu d r quir m ent alu ed a y tem thinking of fi d which fi ter w 11-being r ity in plant p cte ' leni , 2007) . d n the ntir ty f the being r ducti e, each c mp nent, wh th r that b cl imate, fi con umpti n patt m d overeignty becau cc rding t the people dming time of hom ele ne 111 d gr wth, fo d pr paration or a ntra t t how emerge ncy fi ften perate eclaration f cial-eco l gical y tem . Rather than ntributing t the wh le ( eclarati n f reignty i and pr t ct the yeleni , 2007). The d aid provisioning for wh re the ignificance i pl aced on hunger or nutrition. How ever, h m ele ne , hunger and poor nutrition are all indi cators that a system i not functioning prop erl y rather than b ing i a lated i ue . 2.2.5 Indigenous Food Sovereignty Indigenous food overeignty is described by the Indigenou Food ys tems Network a a specific policy approach to addres ing the underl ying issues imp acting Indigenous peoples and our ability to respond to our own needs for healthy, culturally adapted Indi genous food s. Community mobilization and the maintenance of multi -millennia! cultural harvesting strategies and practices provid e a basis for fo rming and influencing policy driven b y practi ce (para. 1, n .d). Inherent in this definition are four key principles of Indigenous foo d sovereignty. These are: sacred or spiritual, participatory, self-detennined, and policy related (lndi genou Food System Network, n .d.). Coloni al control was exerted by banning important cultural event such a the potlatch, among other practices connected to food . This ban is a fonn of symboli c violence, because it positioned European foo d cultures as inherentl y better. As Mcllwraith (20 12) writes, food cultures that involved fora ging were considered impoverished by co lonizer . 28 Indig n u [! d reignty i a aluabl c ncept b cau and it hed light nth h alth inequiti Indi g n u D d er ignty "pr it i a m an fa ed b Indi g n u peopl . Morri id e a re t rati ve fram ew rk fi r a c f dec 1 nizati n n (20 11) say that rdinated, cr -sectoral appr ach t p li cy r D nn in D re try, fi herie , rang land, en ir nmental c n erva ti n , health agri cultur a well a rural and c mmunity de e1 pm nt" (p. 10 1). that Indi g n u fl d r y and Patel (2 0 14) argu reignt cann t be di c nne t d fr m larger "cultural, cial, and p litica1 r urg nc " am ng t Indigen u p e pl e (p . ). H wever, Mi ewald and Me ann (2 0 14) ugge t that initiati t m ake the city r D d y tern m re environmentall y fri endly are at tim e conflat d with increa ing ocial j u tice, o it i nece ary t be aware of the di stinctions. The Indi genou D od er ignty m odel pr po ed by lli tt et al. (20 12) posits that th ere are overarching oluti n that will lead to increa ing traditional D od access . T he olution offered are empow ennent, knowledge renewal, and renewal of fa mil y and community relationships. Based on Elliott et al. 's proposal s, Indi ge nous food system offer an eco log ica l orientation to fo stering both environmental and social determinants of health , noting that, "Indigenous food system s include all land, soil , water, air, pl ants and animals as well as Indigenous knowledge, wisdom and values. These food systems are m aintained throu gh our active participation in cultural harvesting strategies and practices in the fi eld s, fo rests and waterways which represent the most intimate way in which we interact with our environment" (20 12, p . 98). Dawn Morrison writes that, "Indi genous cultures are shaped by our unique re lationship to the land and food system s within our respective traditional tenitories" (20 1 1, p . 97) . he goes on to explain that "the und erlying principles of Indigenous food sovereignty are ba ed on our 29 r pon ibilitie to uph ld ur di tin t ultur and r lati n hip to th land and fl od y t m . " (2011 p. 97). urth nnore, "fl r m ntal h alth biol gical and nutrit:i nal m chani m may be in eparabl fr m the cultural and cial a pe t f traditi nallifl tyl ample, the Whapmag o tui cone I t m t cl r to engag in land ba d acti iti " ( arle, 201 , p . 4 ). or related t 'h alth ' nece itate the ability , in luding hunting, ha ing belt r and ea ting appr priate fl d ( rey & Patel, 20 14 . R earch that amined .G d ecuri ty n a Fir t ati n re rvati n m n rthem B found that th comn1unity m emb r had a trong d ire fl r nutriti n edu cati n pr gram which were r f1 ctive of th ir ati n · w rldview and no t ba d n We tern knowledge sys tem (Tobin, French & Hanlon, 20 10) . Ind ed, Patychuk t al. (20 11) tre that Aboriginal elf- detetminati on i a nece ary part of health promotion. Promoting and wo rking fro m a framework of Indigenous food sovereign ty i challenging. However, culture is a oc ial determinant of health and adequ ately addressing social determinants of health requires recogru tion of levels of complexity in ecosystem s and social systems (W ebb et al. , 20 10) . There are many sm all changes that can be readily implem ented to begin the proce s of decolonizing food system s. Aboriginal foo d cultures have successfully been incorp orated into large scale food provision in the Kahnawake Schools Diabetes Prevention Project and the andy Lake Health and Di abetes Proj ect (Elliott et al. , 201 2). Indeed, Northern Health addresse the benefits of institution serving traditional food and acknowledges that, "There are impotiant social, cultural and environmental dimensions to all stages of the foo d chain and each has the potential to support or undem1ine individual, comn1unity and cultura l hea lth" (Northetn Health, 201 2, p .11) and that "[l]ocal food and food systems can also promote diverse health functions. Participation in food procurement and preparation can serve as a premise for shating, celebrating 30 and maintaining traditi n , and tr ngthening indi idual r 1 and re p n ibiliti cial n tw rk and pr m ting awaren mmunit " ( in th f 11hern H alth, 2 12, p. 12). 2.3 Food Sy terns a a Cont xt for H alth and We ll -be ing In publi hea lth, and 111 p iall h alth pr m ti n, ngage in dail ac ti iti hi h p fac t r int ra t t af[i ct h alth and [i r thi c nt ell - re ear h and 1 ca l fa and participant ' li t in . Thi hapter Thr e. examine the infl u n (Poland & D f th ll1 r ial nt xt hi h en ir nm ntal, rgani za ti nal and p r nal e rge 1 th ing" W I , 1 ifi t th tting i di u tti ng ar "th pl c etting it and r gi n uniqu ely hape th e [! d y tern d m t rm 1al, cultural and envir nm ental I gica l m del [! r hea lth pr m ti n tak setting int ace unt and ntir y t m n health, including cultur , tru ctur and hi tory ri , 201 0). The e etting can th en b u d t und er tand health di tributi n trend and interv nti on effectivene (Poland o ri , 20 10). Poland and D ri recomm end [! tering u tainable hea lthy etting by building n a et to prom te change, bein g pl ace- ba ed, takin g into account 'whole y tern 'while recognizing individu al contri buti n , and "conn ect[ing] li ved experience to that of other and to the practi ce , tructure that crea te and u tain inequity" (20 10, p . 28 9) . arter, Duboi and Tremblay, (20 13) recentl y co mpl eted a review of literature sunounding pl ace and food ecurity. They detem1ined that mo t tudi e are nabl to incorporate the neces ary amount of compl exity to ad equately ex amine the level of environmental influ ence on food ecurity ( arter et al. , 201 3 ). How ever, re earch by Kirkpatri ck and Tara uk (20 I 0) found that, for low -income famili e , the proximity from their pl ace of re id nee to low-co t grocery tore , food bank and community garden had no influ ence on their level of food ecurity. he e ervi c were clu ter d in area of low oc ioeconomic tatu , but the efTect on 31 th p pulati n wh actuall ace Tara uk, rge a ther i clu tering of fl od security 201 0) . ituational imilariti r lat d wa unkn wn Kirkpatrick d th rv1ce in an area that i 1 w- ine m e nd includ e m any h Iter and ther ervic for individual wh ar h m el Inform d by exp ri enc with th er etting £1 r hea lth pr m ti n, developing a ettingsba ed approach t u tainabl [! d tern (and m ing t ward [! inter enti n on multiple le el . t ry, K aphing t, R bin ecological fram ew rk of [! n- ' ri en, and d ch ice ( ee Figure 1 bel w) offer al. ' (2 00 ) fr am work addre e the d vereignty) will require lanz' , (2 00 8) ne uch appr ach . tory et cia! environment (and the phy ical envir runent to an extent) and attempt to explain di ffe rent elem ent of[! od ch ice. H owever , the fram ework fa il to empha ize the importance of the natura l environm nt to food securj ty, food justi ce and health . 32 ,----------, oess 1 • • 1 • I I • I I • I I I I • I '-- • I t I • • Su rrn Go n nd poltU<.:at stl'OdU:r&~ aJld po!sae'S ood as. • afi(.'il$ ogtem$ • HEm care ems • Land "*se and -rans-ponatwn ~--- •Ro~ m®ettflg t t •S~al suppcwt J I (1 _ _ _ _ _ _ ..J •SodaJ~s ' • Family • • Friends • Peers. Figure 1: "An ecological framework depicting the multipl e influences on what people eat" from Story et al. , (2008, p . 23). Ecological models have been criticised for not making the linkage between levels explicit, becau se they are difficult to test, and fail to emphasize w hich factors are the most influential for individuals (Winch, 20 12). Furthem1ore, they may not accurately define systems for p eople who live outside the boundaries of the norm (Winch, 20 12). Expandi ng on Story et al.' s model, and informed by an ecohealth and socioecological settings approach, thi re earch considers the natural environment, and the ability to hunt, fish, and forage. Seasonal dynamics within the food system are ano ther example of the importance of the natural envirorunent and the value of a combin ed social and ecological orientation to food systems. As will be expanded in Chapter 3, the vari ation between seasons is especially r levant in Prince George. Food security can be affected by seasonality in multiple way . Fore ample, 33 r arch indicat that in n n an tat wh r p pl had hi gh r hea ting c enior citiz n w r m r lik ly t b £ d in cur b rd t in the wint r, au e th y redirect d th ir finan cial Kant r, 2006) . many p pl n1ove betw r ourc £ r £ d t ward hea ting p riod f b ing h u d and being h m le , it i imp rtant t r m mb r that pe ple may have dif£ r nt c t a n ciated with each ituati n. tud y condu cted by W ebber and ll ahit (2 0 ) had participating h u eh ld record data in the ummer-fall and winter-early pring. The author did n t r p rt ignificant difference betw en the ea on . They n t d that participants w re not enthusia tic about the notion of eating a nally, but that h u eh ld wh participated in programs th at provided th em with coupon to fanner ' mark t were able to uppl ement their£ od purchase durin g the growing ea on (W ebber & D llahite, 200 ). easonality is al o important becau e the phy ical environment ha historicall y provid ed local First Nations in northern BC with adequate sustenance to m eet th eir needs and theoretically could be a source for self-provisioning of food . Thus, bound by seasonal changes, foo d and lifestyle became intimately connected: For Canada's Aboriginal peoples, hunting, fi shing and gathering practices fonn an integral part of their culture. Not only is there a high dependence on food thus acquired to maintain their traditional and preferred di et, but also for many Aboriginal peoples the food procurement and distribution process is the way through which societal values, such as sharing, are transmitted (Robe1ison, 1991 , p. 14- 15) Throughout time, the foods people consumed have been what they have been able to forage , fish, hunt, or grow on the land and water, immediately sunounding where they live, shaping the development of culture. People often associate sp ecific places with their identity, and thi relationship is o important that it ha s been argued that pl ace "can be seen as a centre of human meanin g, 34 int nti n and alu " (Wind r M y, 2005, . 14 7). Thi relation hip i amplifi d b twe n Indig n u cultur d pend d nan intimate kn wl dge f th land cap and e dditi nally, the piritual imp rtance f pi a e cann t b homele ne and D d ar imp rtant t c n id r. abl t acce traditi nal D d thi affect r pre entativ of id entity. and th land . urvival hi t ricall y fan area. 1 gical pr ce rl ok d. Relation hip to place, h n pe pl are di placed they are n 1 nger r hunting or fi hing gro und and they ar marginal area . Thi inju tice ha c n qu nc Homele d i al ften fore d int more ~ r [! od securi ty an d health equity. p pulati n may b con idered di placed pe ple (M urphy & Tobin, 2011 ), and en e of elf and belongi ng (Vandermark, 2007) . As fo d i linked with pl ace and culture, eating local traditional food , may help pe ple feel a greater en e of conn ection to cmnmunity and ociety. Vand rmark (2007) state th at, "ex ternal obj ect can ex tend the en e of self to the group , for example, ethnic food "(p . 244). onnecting to one's culture is a manner tlu·ough which people define identity and increase sense of self. Food is a cornmon cultural good that people have an intimate relationship with a they consum e it, and sub equently shape their bodies based on consumption practices. Access to land and th e connection to food ecurity is complex. For example, even people who actively gard en may not be food ecure, although they are producing food (Gorton et al., 201 0) . Indigenous people in the United States found that a access to land was gained, the preparation time required to prepare traditional food emerged as a barrier (Gorton et al., 20 10) . 2.4 Conclu sion The review of the literature in this chapter has highlighted the complexity of the interrelationships among homelessness, food politics, health and environment. tudies which synthesize and integrate across these themes are needed to better under tand the e perienc s that 35 peopl ha e with fi d y tem during tim indi idual who ar h m el and c ntr 1 within h uld al n dri ci ty mu t b addr . The e p ri nee and valu e of future re ar h and , in parti cular is ue d. In hapter ur, I will e plain h w th r f pow r arch meth d logy and d ign are u ed t achi e thi g al, but fir t further c ntext n theca e tud y location of Prince ical and nvironm ntal settings is provid ed in eorg and the cial, ph hapter Tlu·ee. 36 CHAPTER 3: T DY 0 T T f the literature a it r lated to h m 1 hapt r Tw c ntain d a r ial and ultural nvir nm nt in h alth and w ell -being. Thi f phy i al, chapter pr id pertin nt c nt tu al inD rma ti n r gardin g the dif[t r nt macr and micr 1 v 1 influ nc that hape th 3.1 Food ecurity and Polic at th ne t ne , [t od n ir nment 1 [t r m ea uring [! Canada in the 1970 , to tra k the c f pe ple li ing in rinc rg . ational Pro incial , and R gional Level d ac e ibility i th h althy [! t f h althy [t d ba ket, introdu ced by Health d ver time ( ietitian of an ada, 2011 ). The ba ket i m eant t be repr enta ti e of an average diet ace rding t anada' foo d guid e u ing onl y tapl e food , o it i not adju ted to dietary preference or pecial need (Di etitians of Canada 2011 ). The m onthl y co t of thi ba ket for a ingle adult male aged 3 1-5 0 in B is $243.59, which is roughly half the amount of money that a single person wi thout dependant would receive on social assistance (Di etiti an of Canada, 20 11 ). T he cost of purchasin g foo d would be high er for people experiencing homelessness , because w ithout a place to live and cook they are unable to save m oney by purchasing in bulk, by refrigerating leftover foo d, or preparing food from scratch. When food is prohibitively expensive, people may compensate by purcha ing lower quality foods and/or consume less fo od, consequentl y j eopardizing their health and wellbeing (Cook, 200 8; The Stone Soup Proj ect, 201 0) . In Canada, a tenth of all househo lds are considered food insecure (Cook, 2008; Pedersen & Bocskei, 2011 ). The hom eless and people of Aboriginal descent are among the populations at hi ghest risk for food insecurity (Pedersen & Bocskei, 20 11 ). Among urban population aero the country, Abori ginal Canadians have a hi gher risk of hunger than non-Abori ginal peopl e. 37 In B fo d curity i Mini try f H alth r gard it a n c c mpr hen i ad popular r pla ard a ~ cu y tem whi h i 4 th Pub 1ic H a1th n c mmunity fi od ociation f curity whi ch, i an increa ingly m nt for harit and individu al c ntr d anti-hung r programming which hav d p liti i ed hunger ( food ecurity trategi that addre c k i, 2 0 1 1 . In 2 (P eder n cated for a hift t ar fi r a public h alth car k,200 ;W il er et al., 20 14). In , public h alth unit are a k d t add t th ir r gi nal health plan , leadin g to th devel pment f program both imm diate n d and und erl ying i sues c ntributing to fi d ecurity ( ook, 200 ). nder the core fo d ecurity pr gram, th B M ini try f Healthy Living and created the Community Food Action Initiative (CF I) (B Food ecurity port ateway, 2011 ). The CFAI is a public health program de igned to "increase fo od ecurit y at the population level wi th a focus on vulnerable populations, including children and low-in come parents" (Cook, 200 8, p . 13). There is an Aboriginal H ealth Initiative Program run by V ancouver oastal Health which includes teaching people about acces ing traditional food, and training in gardening (Cook, 2008). However, the initiative do es not include programs specifi cally for individu als during times of homelessness. Although anecdotal evidence is positi ve, th e program 's ability to affect poverty related food security issues is considered minimal, but more research is needed (Cook, 200 8). Communities can find support for initiatives through CF AI or, in northern BC, through the Healthy Eating Active Living Network (HEAL). Thi includ s financia l support for project being developed by c01nmunity orga nizations (Northern H ea lth, 2008). Food security related action taken by public health agencie in B have included: writing po li cy document , 38 tabli hing c mmunity gard n funding c mmunity ba d rganizati n w rking in ft od curity and including xplicit language f [t d ecurity in ffi cial p iti n pap rs. Th ari u 1 c 1 gical fram w rk f [t d ch 1ce, acti n n approa h mpa m t be appr priat t addr majority f em erg nc [t rv1c within th high . relying n the d multipl influ nee . curity r lated initi ati e are n n-g pite th e e the effmis, the errun ntal and the demand for cc rding t H anl n t al. (2007 , th pr in ial government i incr a ingly luntary ect r t provid e the p pulati n . The recently e tabli hed Fir t c ial erv1c ati n H ea lth Authority ( prograrmning that wa pre iou ly d livered by H ealth Branch- Pacific R gi n . The F H t HA) ha taken over the anada' Fir t Nation and Inuit Health ha publi h ed a rep o1i entitl ed Healthy Food Guidelines, in which they advocate for Indigenou Food overeignty stating th at it includ es, "th e elem ents of sacredness and elf-determination" (John on , 2014, p . forward) . In addition to th e nutritional benefits of traditional food s, the FNHA promotes their con umption for ph ys ica l activity and spiritual grounding, for community food security and for greater su stainability (Johnson, 2014), but also acknowledges that environmental changes have led to increased diffi culty with their procurement (First Nations Health Authority, 20 15). The results of the First Nations Food , Nutrition and Environment Study (FNFNES) from BC indicated that most First Nations people on reserve wanted to consume more traditional food (Chan, R eceveur, Sharp, Schwmiz, Tikhonov, and Mimeault, 20 11) . In general, traditional foods are "high in animal protein, nutrient rich, and low in fat or high in marine ource of fat" ( arle, 2013, p . 2). A third of respond ents in the FNFNES understood the health and nutrition aspects of traditional foods, with another 22% beli evi ng the e foods to be safe and natural (Chan et al. , 20 11). 39 n mnp tion of traditi nal [! alm nand d er b ing th m d a found t b gr eat t c mm nl y at n traditi nal [! t in th ummer wi th moo e, d rep ti ed by r pond en t ( han et al. , 2011 ). Thi c ntra t with th r 1 cal hi t ri al refl ecti n , uch a a rep 1i by a T' nn h ld r, at a uni h eid li r it e ent I att nd d , that June wa tra diti nall y a m nth of famine in their tenit ry. na week and m and d er n rag , parti ip ant in th engaged in the [! llow ing acti iti 111 rep rted ating aim n nee a han et al. , 2 11 ). T h r pond ent al o er tw : fi bing ( 5%), harve ting w ild pl ants inc luding benies (33 %) and gard ening (2 %) ( han et al. , 20 11 ). ther tra diti n al foods c n um ed incl ud ed; fi h, ben-ie , land matnm al , beach foo d , w ild pl ant , mu hr m , bird and tree foo ds ( h an et al. , 2011 ). When a ked w hat th primary ban ier preventing peo pl e from eatin g more traditional fo od were, the pa11icip ant reported prim arily a lack f pr p er equipment and transp ortati on (Chan et al. , 2011 ). 3.2 Regi onal Context Vancouver and Vi ctoria, which are among th e largest and m ost populous cities in outhern BC, are the primary locati ons w here hom elessnes h as been studied in Briti sh Columbia . There is, however, a different contex t in notihem BC, and seasonal access to foo d differs in a northern climate. Fmihennore, residents of north ern BC have been fou nd to have hi gher levels of food insecm-ity than southerners (BC Mini stry of H ealth, 20 ll ). For this research, northern BC communities are defined as those w ithin th e region of the Notihem H ealth Authority (See Figure 2) . Northern H ealth is one of fi ve region al hea lth authoriti es and it erves approxim ately 300 000 people (n.d.b.). The service area is approximately 600 000 kilometres squ are, w hich includes rural and remote communi tie , although the hub of operation i located in Prince George (N01ihern Health, n.d .b). 40 Fi gur 2: rth m H alth In north ern B , ea in th rv tce rea. dapted fr m ( rthern Hea lth, n .d.a) nal change are m re ignificant t D d uppl y th an in urb an area outh of th e pro in e. Du to a m ail er p pul ati n and be ing more rem ote, n rth ern B al o ha le connecti n t intern ati nal .B d m arket . In th e n rth , th ere i a redu cti n in cho ice , m re ex pen ive and po rer qu ality of fre h fo d (Th e to n oup Pr ject, 20 10) . Poor winter weather can delay hipm ent of pr du ce leaving gr eery tore he lve noti ceabl y bare. Seasonal change al o includ e animal mi grati on and plant grow th patterns. homeless popul ati on , and hom ele ea onal effect on popul ati on ' re pon e to these affect , have been unexplored until now . Re earch that examined food ecurity n are erve m n rthern B fo und tha t the community member had a trong de ire for nutrition edu cati on program which were reflective of their worldview and not ba eel on W e tern know ledge y t m (Tobin et al., 2010). ulture i a ocia l cl et rminant of health and th re i increa ing recognition of it importance for health. For exampl e, th e Northern H alth Po itio n on Hea lthy 41 ating de cribe how healthy eating can "c ntribut t kill d lopm nt and u p rt th pra ti ce and c ntinuity f traditi nand cul ture " (20 12, p. 1). Th rth 111 H alth P iti n n Hea lthy ating r ecurity which i d fin ed a including D d a c Health, 20 12a) . orthem H alth al r n ct a h li ti appr ach to food afety and u tainability ( that [! gmz rth rn d ecurity includ e c ncetn about cultural a c ptabili ty (i . ., that the particul ar way in which a cultu ral gr up btain , prepare , di tribute and con urn [! di igni fi cant) and cial ju tice fi r pr du cer and consumer orth rn H alth, 201 2). 3.3 Prince George Du e to it not1hem locati n, it large home! tatu a a hub in the regi n, a gr w ing 'food cene', and a population, Prince Ge rge pr vid e a umque etting fo r thi re earch. Whil e fo d is readil y available in PG , it i uncertain what foo d i actuall y avail able to peopl e experiencing homelessness. As W ebber and Dollahite expl ain, "[f]ood choice i influ enced by the "food 'context' (physical surroundings and ocial clim ate where foo d might be acquired)" (2008, p . 188). The centralized manner in which social services are provided today in Prince George is in contrast to how the First Nations in this area lived before contact with Europeans, when they moved their villages seasonally to avoid depleting resources in a ingle location. 3.3.1 Physical Environment Prince George is located in the Fraser Basin in the montane cordillera ecozone (C han et al. , 2011 ). The summer is short but warm, whil e winters are long and snowy (BC Mini try of Forests, 1998). The city is surrounded by the forests of the sub-boreal spruce zone, and forestry has been a primary industry of the region, along with some beef and dairy farmin g (BC Mini try of Forests, 1998) . ln more recent years, there has been expansion of oil and natural ga 42 p rati n . Wildli:D in th regi n in lud d w lve :D xe , b ar , c y t , h ptan11igan (Briti h lumbia , m untain g at, carib u , lk, p, tt r , mu krat, rapt r , ini try fWat r, and and umm r, alm n pawn in the ra er Ri Within th city limit r, m f Prince ngbird h rebird and 1r r tecti n, n.d.). During th late r ( a1ner e ani Tribal rge, th [! ugar , ouncil, 20 11 ). d y tern includ a limit d number f small rind pend nt gr c ri e , everal difD rent up rmark t chain , mall fam1 r markets, and r taw·ant downt wn and lining th mai n art rial r ad . Whil many of the e 1 ca tions ar acce ible by publi c tran it, th tran it chedule i li1nited on evening and weekends, when many route run redu c d p rati n , if at all. 3.3.2 Cultural Environment Colonization and dramatic chan ge in life tyle severely di rupted Aboriginal food sovereignty and had deva tating effect on health and well -being. Prince George i located on Dakelth land (PG CP AH, 2003 ), and on land expropriated from the Lheidli T'enneh Fir t ation , at the confluence of the Fraser and Nechako Ri vers. The total size of the Lheidli T'enneh's traditional tenitory is over 4 .3 million hectares (TourismPG , 20 11 ). However in 1911 , the Lheidli T'enneh were forced off the site where th e city now stands by the threat of destructi on of their property through burning (TourismPG, 2011). Similar forced di spl acements have happened in other areas of northern BC as well. The experience of the Cheslatta T'en, whose land was flooded by construction of a dam, is another example of displacement in the northern BC area (Windsor & Mcvey, 2005). The Dakelth peoples' traditional food system include : salmon, whitefish, trout, deer, moose, duck, geese, berries, and a wide variety of plants. The Carrier Sekani Tribal Council 43 bpag d ribe h w d in relati n hip t th th cha-K h "the ri hang r in th di tan "( T 2 11 ): ak ' t, "autumn ", i v.h n v. tra It th e ha- h' 111 ny lake. In Khit, "wint r", w [! II \ traplin av r and mu krat. and r turn t th lak s in sprin g, ' lulh, [! r hunt d du k and g e e in th ha- h' u k rfi h and tr ut. Traditi n II , a an tua [! r mi gra t ry bird . , hin ." umm er" i when mar he n ar nd rh [, n th aim n arri . Thi i t im rtant re urc ( , 2 11 , para. 5). H e er, und r th tr ng inilu n e f th [the m1 i nari , and Indi an ag nt ( T ur p an c 1 ni?er , incl ud ing fur trader , ak lth pe pl e b came m re sedentary 2011 ). 3.3.3 Social Environment Th city f Prin e ( tati tic anad a, 20 15 ). (Milligan & tati tic rg ha a p pul ati n [ 7 1 974 and 33 990 pri va te dwelling ppr imat ly 11 % f citizen in P anada, 20 10) whil e, within the hare increa e to 1 % (No rthern Hea lth, 20 12). Th e 11 % in the 5 year leading up to 2006 (Milligan & are f Ab rigin al decent rthem Hea lth ervice area overall , that bori ginal p pul ation f P tati ti c increa ed by anada, 20 10). With in the censu agglomeration of PG, 89% of people peak Engli h a their fi r t languag ( tati tic 20 15 ). The majority of people in the anada, orthern Hea lth ervice area are empl oyed in the re ource and ervice ector . Prince Ge rge ha received nati onal medi a attenti on in recent year becau e of Maclean's ma gazine's con i tent ranking a one of anad a' mo t dangerou citi e (Mac I an· Magazine, 201 2). As the large t city in northern B , PG today is a pl ace where peopl e mi grat to acce s ervices that are unavailable in mail er town or on re erve . There are many oc ial en r1ce avai lable in P , and high level of tigma a ociated with ce11ain neighb urhood (H ealy, tuart, apo tin ky, Joyce, & Lucier, 2006) . 44 Highwa that r 40 1 , kn wn a th High\ a n murd r d in thi r g1 n during th eg k ff mg r earch t k pla e urin g thi time a tri al wa he ld in , and dy [ three ne g irl , ata ha hm arn r kani ring and umm r [ 2014 . a g n e m1 ir t f mn r g irl , m n ati n p e pl , h a rv ice , 2 n i ted f th fir t d nn nt n e (Fund aL 2 14 ). In lat 2 14, harg tw f th r mainin g un ekani Family rv1 1 d murd r tim at d rg . It i fT ar , run thr ugh Prin m e n and li e ( und a l, 2 14 ). egeb k ff w r la id aga in t an th er m an , in a ft er th ca c had be n p n ~ r ~ ur decad e ( a rri er , 201 5) . Thi a p c t f th c ial and ultura l conte t f P i re leva nt t th ere ea rch beca u e [ len e th at w m en e peri ence, e pec iall y th e wh o are A bori g ina l, treet in ol ed , or 1i ing in p erty . Thi re earch t trial , and many peopl e who ar treet invo lved ha ve been , and c ntinu e to be imp acted by, th e e k place during th e time of th e Legeb k ff ca es. Warning ign are po ted along High way 16, but hitchhiking re m ain a dail y reality ~ r low income p eople, because there are few o ther opti on fo r travelling fr m re erve o r rem o te location , without a priv ate vehicle. A introduced in Chapter 1, there are hundreds of peopl e w h o are ex p eri encing homeles ne s in PG . During the cour e of thi re earch , I spo ke with p eopl w ho a id they h ad o bserved that more under hou ed/homel e p eople w ere mi grating to P sp ecul ated it was due to economic sh ift in the northern region . Prine to acce ervice a nd eo rge ha an array of enfJ ces pecifi call y fo r m arg inalized , h m eles , and und er-hou ed peopl e . There are at lea t 10 agenc1e whi ch provide p riva te em ergenc y foo d aid . (Prince eorge ommunity , e m ent and A cti on N etw rk, n .d .). Service ra nge fr m w ekday m al , t food hamp r , to a so up bu . The 45 majority f th in P £ d 1 ice agencie and th r er i are 1 cat d in th d wnt primary plac that h m el Th P rrununit majority f h m le m rgency £ d er 1c n c r . Th p £ d in th d w nt wn neighb urho d . pl ddr ing H m el n a i tance (2 9%), and 22% am m n thr u gh c ll ectin g b ttl tore in d wntown P , alth ugh n t very ne m a ha e acce uch a c n em enc the area of low inc m e n ighb urh re taurant , and at low c 11 (20 1 ) indicated that the r rge recerv me m a i tance (55%), or di ability pe pl d wntown core, other place w ere a sumed to be th . here i n e larg gr eery t it. Whil e it i central t the t r s and fa t £ d re taurant are closer t d . Fo d m ay al be purch a ed at d ll ar tores, t tlu- ugh a c ok training pr gram . It i w rth n ting th at m an y of th e sm all er tore selling fo d frequ ntl y change their regu lati on regarding bringing bags or backpack into store a theft prevention m ea ure . The e m ea ure m ay impede acce by hom eless people who c arry their belongings w ith th em . There seem s to be burgeoning intere t in local food in Prince George, a hown through the increased growth in local farm ers m arkets (Connell & D ewar, 20 12) . T here are m any initiatives underway with the intention of improving food security. These range from con1munity garden proj ects, fa1mers' m arkets, community kitchens, public lectures on growing, preserving and selling foo d, and campus food system s proj ects. For instance, the city ofP G h as inco rporated food security issues into its Integrated Cmm11unity Sustainability Planning Process (Picketts, 201 2). Citizens have also demonstrated interest in em ergency food aid provided in PG . For example, at the time of w riting there w ere initiatives under development to reroute leftover food from UNBC to St. Vincent de Paul, and the pre-m ed club at the univer ity also organizes monthly volunteer sessions at St. Vincent de Paul. The right to foo d i gaining recognition 46 through a m m ent t ntr n h the ri ght t a cl an, afe en ir 1un nt and :B barter (P PIR , 2014 . Th annual "M arch gain t M n ant " £ r the pa t ral y ar , i an ampl e f a mall re earch ha b n informed by tud ie and ini tiati c ntinu d need £ r pr j ct t [i cu n h m le al cial capital 10 and £ d hich ha taken place in P fil rt t ward il od v reignty. Thi s alr ad underway. H wever th r 1 a il d curi ty and il Kirkp atri ck and Tara uk, (2 0 10) [i und tha t th re wa a p perception of ity d in a P d citizen hip . itive a ciati n betw en 1 w curi ty, but thi relati n hip wa mitigat d by household ocioeconomic factor . H m el indi idual in Prince e rge m ay n t differ greatl y in current ocioeconomic 1 vel , but th r p tenti al £ r a tl y different level of cial capital, w hich influence whether an indi idu al i the r cipi nt of a gift of£ od, or where th ey can acce food. P1i nce George i an expanding city wi th new housing development located further from the downtown core. Larsen and Gilliland , (200 ) have indicated that with the suburbani zation of cities comes a loss of sm all grocery tores, food retailers and supermark ets in downtown areas. This can make access to food di ffi cult fo r hom eless popul ations and create a 'food desert 11 ' or alternatively 'food swamps 12 ' both of which are situ ations where access to healthier foo ds i limited, while unhealthy food options are easily accessible. Food access i further compli cated as individuals who appear to be homeless may feel sti gmatized when they attemp t to shop in gro cery stores. Previous research indicated that people exp eri encing hom elessnes in PG have limited knowledge in regards to healthy food and food preparation (The Stone Soup Project, 20 10) . Thi 10 soc ial cap ital: "noneco nomic fac tors to explai n the success of cettain economi c processe , [...] co ncepts such as trust, partici patio n in civil society and social networks"(van Kemenad e, 2002, p. 4) . 11 Food desett : A foo d environment whi ch is void of fresh, healt hy food options and i. typi call y located in lowerincome areas (Ko<;: et al, 2012). 12 ood swa mp : A locati on where ease of access to un healthy food , typifi ed as betng hi gh in ca lories, sugar and odium, is greater than to hea lthy foo d (Behrens & im ons, n.d) . 47 lack of kn wledg mbin d with limit d tran it pti n , wa :D und t lead t hi gh r food c forth h m le . Re p nd nt c nvem nc t n tor than tra t und it a ier t bu m re e p n i 1 t gr cer the comm nt w re relat d t [! chatiti n in Prin e iti n fp eorg wer c n ult d, in 200 , r t kn w ab ut h mele n s, veral f d, pecifically increa ing pr du ce and nutriti u food at [! , including cultural! appr priat [! charity opti n for pe ple d at and try t d t 1min what they could eat (The oup Pr ject, 20 10). Wh n h m 1 about what they would lik peopl in p prepared :D ho ar int t d pr icat d (P iding le junk[! d d, and having more fo d P H, 2003 ). 3.4 Conclu sion Thi chapter ha pr vided the c nte t of there earch a the basi of a more integrated ocioecological approach that refl ect the id ea id entified a prioriti e in the literature review (C hapter 2) including the ocia l, phy ical and cultural environment a important to food security and food y tems. Understanding the context of Prince George and northern BC i al o important because of ongoing effects of colonization which are exp erienced today (DeLeeuw, Cam eron, & Greenwood, 2012). The next chapter outlines the m ethod ology and th e m ethods that were part of this research process, including the measures that were taken to faci litate participation of people expe1iencing homelessness. 48 H PT R4 : METHODOLO Y Th pr r i u thr arch. Thi chapter DM THOD chapt r intr du d th rati nal , primary th m ntain a d cripti n f the th , and c nte t £ r the retical appr ach that influenced the arch wa c nducted . re w 11 (20 1 ) define a meth d 1 gy a the pro f re arch that i de ided n g1 n th phil phical a umpti ns of the r ciat d di ciplin h 1 e f meth d and th mann r in arch rand their a logic, i cont t p cific, and u one goe about und 11aking r re earcher' philo hi h th r an m erging de ign arch ( b re well, 20 1 ). It i the way in which n, 1999). he ch ice f the ry 1 reil ctive of the phi al a umpti n and th that it influence the qu . It may be chara terized by the u e f indu ctive ry ma y be u ed as a len to guid e the research, so tion that ar a ked, and the verall re earch de ign ( re well, 2009). The relative ignificance of theory i conceptualized in several way and , althou gh theory can beau eful guide in re earch Dob on ( 1999) cautions that it hould not be o stri ctly ascribed to that it prevents alternative interpretations from em erging within the tudy . Thu s I have drawn on theory to inform my study, however my research de ign wa fl exibl e to allow for the emergence of alternative interpretations as they arose. In this ection , I will begin with a bri ef overview of the overall research design, follow ed by a more detail ed explanation of the theoretical perspectives I drew on and the methodologies that have informed the research. The section concludes with specific details regarding the methods used for data collection and an alysis. 4.1 Overview of Research Design The primary focus of this research is on a group of people who are vulnerable and m arginalized within society du e to vario us social determinant including hamel ssness and racism. This stud y explores the issue of oppre sia n within the food sy tern and the health and 49 well -b mg c n qu nc drawn n critical [! r p ial th pl e ri n ing h mel ry [! r m th hich from the tim r ti al p r p cti f th phil ne . e ryday liv riti al cial th . hu , I hav ry i born f ph r Kant, ha c m e to b "aim d at a critiqu e criti al r a n, of e i ting c1 ty, with th g al f the mancipati n f human b ing fr m a vari ty of arbitrary and (c 11 cti 1) lf-i mp ed re tri ti n nth ir abil ity and ca pacity t f1 uri h and expre th m el e equitabl , freel , and auth enticall " ( arr 11, 2 12, p. 7) . ann (20 14) e plain that Miewald and M geographi ca l re earch in the pa t, it ha mapping. Th author h n [! d acce ha been the [! cus f fte n been quantitati ve and hi ghl y depend ent on tate that thi appr ach a! n i unable t addre i ue ther fore identifying a gap. Thi and th ir pi temol gy f them to utilize qualitative approach I the compl ex ity of the cial c n tructi ni m , has led them elve (Miewald & Me ann, 20 14). In an effort to fill thi gap in the li terature, thi re earch wa likewi e a qu alitati ve end eavor. This stud y ha been informed by the m ethodologies of ca e study re earch and ethnography. Prince George, British Co lumbia, as the geographically defi ned ca e stud y, serves as an instrumental case. Informed by these m ethodologies, the overa ll research de ign was focused on a modified approach to community mapping, in ord er to begin an expl orati on of major them es in a manner that was inclusive, and enabled the p miicipants to influ ence the direction of the research . The data coll ected through this research were rich, qualitative data. M ethods used to collect data were elected to ensure that the participants' rea lity was abl e to emerge tlTiough the fmdings. These m ethods included a focus group and one-on-one interviews; where parti cipants were encouraged to self-de cribe points of relevance to them . The one-on-one interviews allow ed for in depth di scuss ion and elaboration of reoccurring theme that emerged in the larger group setting. 50 Th r arch wa al o upp rt d b th r data ethn graphy including participant b 1 additi nal data ide c nt urc al e pand on data pr 4.2 ritical hel d pr 11 cti n m th d drawn fr m ati n and fi ld n t t p ( r tty, 1 9 ). n rating thi ific inD nnati nand t c nfinn and id d b th participant . ocial Th eor I ha e ch n t draw n criti al cial the t inD 1m th de ign f thi tudy b cause of the oci tal marginaliza ti n f pe pl wh ar h mele . The earl y rigin of criti cal ocial theory are in the rk of Karl Marx , and the social th ory wa later influ nc d by the phil critical ocial the ry i al rman rankfurt ch 1during the 1930s. ritical pher Pabl Freire ( ickin n, 1999). Today, een t be highl y relevant t the field of health prom tion ( an 11, 20 12) . Critical ocial theory examine the individual, ocietal and hi tori cal factor of oppression. It propo e that a dominant group i ab le to determine the norms of a society and exert power in order to enforce these norms while devaluing the norms of the oppressed groups leading the oppressed to internalize the negative self-image that is created (Dickinson, 1999). Dickinson ( 1999) also proposes that the oppres ed group can become empowered through mutual respect and collaborative action, and emancipated through critical elf-refl ection, conversation and action for change. Individuals who are homeless tend to be both oppre sed and exclud ed fro m participating as citizens within society. Deci ions about many intimate details of their lives are often made for them. Control over food is of particular imp01iance because of its connection to mental, ocial, cultural and physical health and well-being. Eating is a very intimate act and connects nutrition, infectious food borne disease, globalization, climate change and economic (Wa ltner-Toew s, 2009). Friere proposes that the oppressed may internalize both ideas that the oppre ors hold 51 11 a th d ab ut th m which are ft n n gati thu wi h t bee me th t !ling of th di tributi n f p r thr u gh ut iti nalit ( ar h that u e criti cal ). hi i c nn cted to di t becau e c1 ty. ickin n , 2 0 ; Ree e , lb rt, Kup er, H dges, 200 8) . The c ia! the ry i t re eal the way pe pl e are oppr s develop wa y too ere me thi d minati n ( ickin critical ocial th or and plore h w p wer and ppre sion are m anife ted within cia! the ry 1 ociety ba ed n p g al f r f th oppr t eat, i a way t dem n trate id nti ty, and wh at i available to eat i al o what ne ch ritical ( r tty 1 ppre ire d and to n 1999) . Within thi research , I draw on ry t con ider inter ecti n of ppre i n , patern alism , freedom , cla , gend er and ethnicity in th e framing, analy i and di cu i n of th proces e of coloniali m are relevant w ithin Prince tud y. Hi tori cal and ongoin g eorge, wi th their c ntinu ed ex pre ion and the enduring con equence for Indi genou p eople . 4.2.1 A Note on Decolonizing Methodologies It is not uncommon for peopl e who are homele s to be m embers of minority population(s), w hether racial, or sexual , for example. It is important to be attenti ve to power dynamics, issues of access and control and to ensure fairn ess and reciprocity in research (Government of C anada, 20 13). A ll participants in this research self- identifi ed as having either First N ati ons (Status and N on-Status Indians) or M etis heritage but m ay or m ay not identify with a particular Indigenous conununity. It is important to acknowl edge th e significa nce of these dynamics b ecause there is a long history of exploitative research that has taken pl ace 'on' Indigenou s p eoples (Schnarch, 2004 ). Although I have no t specifica ll y u ed a decolonizing m ethodolo gy, as a non-Indigenou s research er, I have taken steps to avoid reproducin g an 52 e pl itati r lati n hip and ha be n in£ rm d b r ading nd loni ing m th d 1 gy thr ugho ut th r I draw n d c ntrol a ce 1 ni ing m th d 1 g1e wh n c n id ring th e principle of own r hip , and p that the participant ha e 1n( ir t ati n gr at r c ntr 1in th r earch pr c own r hip o er th kn wl dg th y hared and h they cho ntre, 20 5; chnarch, 2004), t ensure r e ample, participant have they are credited; during the consent proces e to be identifi ed by a fir t name r by p eud nym . Wh n citing their pecific knowledge within the the i and in any ub equent literatur pr du ced, participants are acknowledged by the nam e elected- actual or p eud nym . Where parti ci pant revealed information of a en iti or potentially cond emning nature, I u ed discretion with this approach and did not name participant . Both critical and decolonising approache are al o relevant to -and often u ed in- food tudies .... and also 'food citizenship' where active invo lvement in th e food system is favo red over "passively consuming" (Welsh & MacRae, 1998). Comn1unity mapping is well suited to a critical social theory research perspective, because it is recognize that man y research method s are facilitating the "reproduction of systems of class, race and gender oppression" (Crotty, 1998, p. 15 8), while a critical social theory perspective aims to challenge these systems. 4.3 Methodology Informed by the ideas of critical social theory introduced above, I will now introduce the methodologies of case study research and ethnography that have infom1ed the design of the research and the choice of methods. 53 4.3. 1 Ca e tudy R e earch r 11 de crib a ca e tud a r n vent acti it h n "th r r m r indi idual " tudy i th "pre£ rr d trat g hen "h the£ cu i h n m n n n a c ntemp rar ca e tudy re earch £ u d n th int th city f Prine org , B . Thi i why the primary them connected to the " r 11 h ithin II ar h r e pl r r well 20 9, p. 15) . in argues that a e qu ed [ ... ]and when ti n are being p m real-li£ conte t" 1994, p.l ). This lay f pe pl e p riencing h m le nes in 20 14 within hapt r 2, f h mele n cial, phy i al and ultural n ironment of data collection were u ed to fully de elop theca e. In ca records interview , ob nte t p cific ( r well, 20 13 ). uch, th re ult w r highly from in d pth a pr gram, an fP , .D d, and health w r e m hapter 3. Multipl e fonn tudy re earch , data ma y includ e rvation and phy ical artifact ( re well, 2013 · Yin, 1994 ). Thi 1s con istent with the data collection outline of this research. Theca e tud y m ethod has successfully been u ed with other health related re earch ( reswell , 2013 ). The choice of using a case study is most appropriate when there is little known about the phenom enon (Yin, 1994) and this is the situation with the sea onality of food system , food security and food citizen hip for homeless populations, and the subsequent effects on health. Creswell (2013), explains how an instrumental case is one that has been selected in order to study a specific issue. The case is selected to illu strate the issue, but not becau e there is something unique about that specific case. Prince George is an instrumental case because the food systems of homeless populations have been understudied , especially in regard to seasonality in the north. Case study was chosen because it allowed for inve tigation of the multiple levels of influence in the lives of the homeless in relation to food choice, and required context specific in-depth analysis . This is necessary as otherwi e one ri k becoming blind to the 54 r ality that " ppr i n ha m n fac and c n rn fl r nl e p n an b c ti b f th 19 f ther p. 1 ). In additi n t th fl atur f a - tud r n fl nn f ppre i n at the nn ti n b tw en th m " ( ro tty, arch, th r ea rch ha al be n inform d by ethn graph . 4.3.2 E thnographic In ight tlu1ograph i a fl nn f r ear h m th d I g wh r in there earcber tudie a cultural group tlu· ugh in-d pth in thi appr a h i t de tiga ti n in the fie ld r a pr 1 nged peri d f time. T h purpo e f 1 p an und r tanding and de cripti n f the gr up under investi gation ( re w 11, 2009 ; D n co mbe, 2007) . It in 1 e m eth d uch a partici pant observati on, int rview and fi eld n te that imm r e the re earcher in thew rid of the gro up and encourage critical refl ection and ongo in g ob ervati n ( re well , 2009) . thnography va lue the tud y o f everyday events and occunence (D n combe, 2007) . As Den com be (2007) de cribes m odern, "[ e ]thnography generally prefers a holistic approach which tre es proces es relati onship , connections and interd ependency among th e compon nt part " (p .62) . E thnographic research it is analytic, critical, can lead to theory development, or be used to test theori es (Den combe, 2007) . This study was not an ethnography, rather I drew on ethnographic teclmiqu es such a participant observation in order to develop a more ful som e und erstanding of the participants' experiences with food during times of hom elessness. As mentioned in Chapter 1, I lived as a student for two years in PG . During the time I was a student in Prince George I was acti ve in the cormnunity through both work and volunteering. I worked for the city as a lifegu ard w here I frequently interacted with low income and at risk populations. I vo lunteered, among other pl aces, with the Prince George Native Fri endship entre in 201 3, working in food related progranuning. In 20 14, I vo lunteer d with the 55 Fir Pit, which i a cultural r lunch and nack ar 1 ur ed at n c Th n ighb urho d I li 2006 1 mg 11h wher d in wa 1 w-ine m and highl y ti gm atized. 4 D m al ), th unempl oym nt rat th labour D rc (B iti e t t pa11icipant . en u data , the m dian inc m in th neighb urh 913 mal abu centr , and a branch f P tat , 20 1 ). The turno d in which I li d wa ccording to 20 369 ($25 a 12.2% and 29% f p e pl e were n tin r rate £i r dw !ling wa i lence and crim w re c mm n, and m y life wa ry high . ub tance ft en directl y impacted by th e activiti e . Through thi unint nti nal e p rience, I ga in ed ignificant in ight int the lives of people expeti encing hom el n and p verty in Prince e rge. The participant and th ir famili e were m y neighb ur . They lived in the apartm ent aero s the hall, and in th building aero the treet. It wa n t uncomm n to enco unter participant in m y dail y life, which wa of great significance to thi s research . I often saw peopl e who lived in my building attending charitable food programming where I vo lunteered and other neighbours explained their inability to access food aid for a vmiety of diffe rent reasons. These are some ethno graphi c insights about the neighbourhood that info rmed m y interpretation of events. The most conunon question I have had when discussing m y research thus far, has been related to how I 'gained' trust and access to participants. Where and how I lived was a large contributing factor. My experiences provid ed invaluable insight in to the realities of cyclic homelessness and poverty in Prince George. These local interactions and my previous experiences were incredib ly advantageous wh en I engaged with peop le who were experiencing or had experiences of homelessness in Prince George. 56 4.4 Modified ommuni ty Ma ppin intr du pp r a h ti n 4.1 thi din tud [! u d n a m difi d thn gra hi e appr a h appr ach t r m apping i link d w ith th int rvi w , nununity m apping p cific ata lle ti n m th d u ed in thi r mi - tru tur d int rvi w and backgr und t 1runum kno 1 dge and d m ap m g a an ap r a h t rib e k The m dern u rti ipant b rvati n . T hi impli ati n D r r f map in health re baring and e d arch i ithin a health re ar h cont have tend d to fo cu on the detrimental a pect mmunity arch f .G cu gr up cti n pr vide hanging c rmnunity arch de ign. ft n attributed t J hn n w in 185 4 London, England a h m app d a ch 1 ra utb r ak t 1 cat the 2011 ). When u . t, ma p f place F urce f infection ( oster et al. , h wing health r lated ubject m atter ter et al. , 20 11 ). ommunity mapping i a timely meth d becau e health p licy m akers are using health related m aps with increased frequency; the vi u al nature of m ap i an appealing way to quickl y, and effecti vely, share infonnation with audi ences from a wide vari ety of background (Fos ter et al. , 2011 ). Where maps were once u ed by the co lonizer to dem onstra te elitism and dom ini on, they ar e now b eing used as tools of social ju tice (Lydon, 2 00 3) . Lydon (2003) describ e how Indigenous people worldwide are presentl y using m ap s to define their territories and sp aces of being and how "mapmaking has been a key foundation for the recovery of th e cultural and econmnic power they lost over one hundred years of colonization" (2 003, p .9). While the maps them selves w ere not analyzed as data, they were used to help facilitate discussion in the fo cus group and the semi-structured interv iews. T he m aps fea ture prominently in a results dissemination throu gh the development of a book (See Append ix I). Community mapping was selected as one of the methods of data coll ection because it i con idered 57 tran par nt, inclu i 2010· W t nd method that and mp d d n, 200 · Mi wald Iban z- alTa ataly t entre, 2 09 . h e ar important qualitie for r f ri tical p nd t th u h li ti and pl ac ba ed nature dri ing [! principl e f tran paren mapping i an ial th ry. d ju ti e, and becau , in lu i n and mp w rm nt, cell nt t 1 [! r ploring [! d p li ti Fm1hennore, it requir -ba arch mmunity m apping hare the it i al p siti n d on arndt, (20 12) ugg ts co1mnunity within a c mmunity. mmunity mapping i an appr priate m th d t e pl re 1 u "grounded theoretically in pla urn r ering ( f pl ace becau e it i d m ·ironm >ntal ducat ion" ( arndt, 20 12 p. 73 ). refl cti n to con ey indi idu al experience . Vand ennark suggests that, in torytelling, "r f1 xi ity an b a healing and n rm alizing proce (2007, p.245) with hom ele in mental health care" ind i idual , and can help erv1ce pr viders to view cl ients in a new light. Creating maps is a fo rm of torytelling whi ch i repre enting human relati onships with the environment. Vandennark (20 07), goe on to say that "[ e]ncouraging disp laced persons to describe and consider their own experiences can prom ote a psycho ocial transition back to a state of health and belonging" (p . 246). The northern location and environm ent of Prince George, a relatively small sized city, affects foo d systems for everyone in the city but, as Winchester (2005) expl ains, even peop le living in close proximity to one another experience the sam e environment and events differently. Modified community m apping was used in this research to help highlight an otherwise invisible perspective of the food system . Homeless people living in the sam e area may have shared experience , creating a geographi c and situational community. Community m apping has been uccessfully used with homeless groups to help m ake invisible components of their lives visibl e to the wider population 58 ( utb rl t, Tremblay, & Yat , 2007) b VanWyn b rgh au it refl t p opl ' liv d p n nee ( m den & 2005) . Paradi (2000) argue that re arch ith h m le particip ant , or nth ubj ect of h m ele ne i " p ciall y p litical becau e it in rea ingly i u d by g v rnm nt to legitimize th ery c n mi p licie that cau e h m ele ne " (p . 54) . fl cu may r inforc nega ti e p rc pti on f pe pl e p riencing h mel nan ow re earch , and lead t dam aging p licy de elopment (Paradi , 2000) . herefl r it i 1mp rtant that a re earcher takes an approach tore earch that c n id r the c mpl e ity, and tructural fl rce , th at contribute to hom elessnes . The pa11icipant were enco uraged to con id r car fu ll y what they would like to m ap , and how they could capitalize on the opp rtunity to expre s them elve , their concerns and need , a de ired. Community mapping pl ace pm1icip ant as active m embers within there earch, whi ch both engages participants and helps them to maintain interest in th e research acti vity. Comn1unity mapping ha s led to increased group cohesion, raised awarenes of issues in the community and led to greater empowennent of pm1icipant (Blanchet-Cohen, Ragan, & A m sden, 2003; International Fund for Agricultural Development, 1999). Community mapping and decolonizing methodologies are both de igned to empower. (Barndt, 2012) . Cmmnunity mapping can be used to redu ce "w id espread sense of alienati on, lack of voice, and dissatisfaction with community services" (Amsden & V an W ynsberghe, 2005, p . 358) . In some First Nations cultures of British Columbia, maps are consid ered an interface fo r different realms of existence, including the spiritual and phy ical (Blanchet-Cohen et al. , 2003 ). The maps may "represent th e relationships betw een patial/phy ical lements, cultural va lues and abstract ideas" (Blanchet-Cohen et al. , 2003, para . 6). Furthem1ore, vari ou gro ups have 59 u c y t m fully u ed cmrununit mapping m th d t 1nap multiple c mpon nt W t nd F atal d a an appr priate m th d throu gh (Blan het- hen t al. , 200 ). tran fer a greater d gre fp In their mapping w rk participant . I felt that 1 t hi h t ntre, 200 ). erall, n tru ctiv di al gue with par1icipant atalyz a r m re pe pl w uld b t m eaningful , inclu ive and c heren t di i 1th ry b ca u e it tructured than an intervi w . r t participant a it i lanch t- d mmunity mapping i seen a m th d, it i well ui ted t cri tica l ith hildren, f dif£ rent£ hen t al. (2 00 ) had gr ups f 15 t 20 m any parti ipant to be abl e t have a u i n in the il cu gr up I e tabli hed a m ax imum o f 10 participant .D r the c mmunity mapping. Ten parti cipant i generally the upper limit for focu group (Patton, 2002). During the community m apping the pat1icip ant were a k ed to draw (or write) elements of their fo od y tern . The modified community m apping u ed the questi on of "what is?", "what could be?" and "what should be?" outlined in Valeri e Brow n's "Social Learning piral" for appreciative inquiry, in ord er to gain a ri cher sense of the food systems homeless people in Prince George use throughout the year and their effects on health and well -being (Brown, HarTis, & Russell , 201 0). The qu estions proposed by Brown were selected du e to their relevance to exploring complex probl ems and their application in a range of work addre sing health, environment and community concerns (Brown et al. , 201 0). Par1icipants began with two blank bristol board s and hand drew the maps. Therefore, the final products are personal, the creation process was accessible and each pat1icipant is able to identify their contribution. Hand drawing m aps was practical and inclusive, because literacy or computer skills were not necessary to pm1icipate. The m ap were not used as data, and therefore 60 ar n tin lud din th th r i . H we r u ed a a p int f r fer nc during the r, th map pp ndi I). arch and help d t inD rm th int Pe pl ften find r c iving D d harit , u h a thr ugh D d bank , demeaning, pl e acquir ~ (Tara uk, 2001 ) and thi can influ en h wp fo d pr curement trat gi up kit h n and D d bank . It i important to c n id er be the e 'in i ibl ' fac t r becau nd th h lp hape the fo d r ceptive to being a ked ab ut th m dir ctl . d. he h m 1 hav a vari ety of tern, th ugh pe pi e may n t be ith c mmunity mapping, pe pl can expre s them elve through art and d cid e what they w uld like t explicitl y di scu , r to leave repre ented in v i ual form nl y. 4.5 Research Proce , Timeline and Ph a e Data collecti on point with the parti cip ant included th e ori ginal meeting to di scu s the project, community mapping and focu group exerci e, then an individu al or partnered interview depending on the interviewee preference (See T abl e 1). Thi was fo ll owed by transcript checking, book development and fmally casual discu sions about the research that occulTed between May 1st and August 3 1st, 2014 . Participants choose which elements of the research they would take part in, so some points of data collection have more participants than others. The research process consisted of four phases (See Tabl e 1). The firs t phase involved the completion of a literature review and defence of the thesis proposal. Follow ing thi I applied to the UNBC Research Ethics Board for ethics approval to begin the research. The UNBC REB made some suggestions for refinement and clarity of the stud y, and after a round of revi ion I reapplied to the REB and was granted ethics appro va l (S ee Appendix B). Next was relationship building with cmrununity partners, who helped provid e insight into the loca l context, and also assisted with promotion of the event among their program attend ee (See 61 ppend ix A) . The d th c mmunity mapping, D cu gr up and int I iew . Then in th third pha e th intervi w were tran crib d and partic ip ant were tran ript and a draft f th b took place, and a n able 1, pha k( f th i draft ere upport wa of-D red .D r participant how v r n n m ade u i w th ir individual pp ndi I). naly is and c ding ritten. ith lit ra y chall enge t re i w th f thi a i tance. re i wed th ir tran cript and 5 pr ntacted t r f the 11 p op l wh p articipat d in interv iew , 6 id d fee d ack, alth ugh nly ne p r (a con ection fa gramm atica l n r). T e d cuments, n requ e ted a change participant kept th eir tran cript after review . The other parti cipant w h re i wed their tran cript lected to return th m to me fo r sa fekeeping. All of the participant re iewer de cribed how unu ual it wa to read their peech a writing and ome felt elf-con ciou about it. verall parti ip ant were pl ea ed w ith what they had said during the interview. The fourth pha se of the proj ect involves the the is defence, book di tributi on to participants and sharing the findin gs with local organi zations, community partners and oth er hom eless individuals (See T able 1). Ba ed on input from the participants, a book was agreed upon as the best method . Participants will be given access to all final docum ents and m edi a produced as a result of this research . The results will be published after the defence as research articles and will include rec01runendations to inform f-uture food security programs and erv1ces (See Table 1) . Dissemination of results through conferences, community events, academic and popular publications, and policy forum s has begun to occur and more is anti cipated. At the time of writing I had presented the results at the ana di an Association fo r Food Studies 2014 Conference, the Indigenous Health and W ell -being Initi ati ve Fieldschool, 2014 and The 5th 62 bi ennial c nfl rene f th lnt rnati nal iati n £ r col gy H alth. mi ng th tran cript ch eking and ca ual c n er ation participant w r c n ul t d n what they £ lt wa m Table 1: Ov rvi w of r Pha e 1 1 1 2 2 2 2 2 3 3 3 3 3 4 4 4 arch p h a . a ti1•iti t and parti ipatio n Who i Involved * Action and M ethod Phase 1: Summ er -Fa ll 2013 Literature review and defence of Thesis Proposal, obtained letters of support . Prior to the commencement f thi research I ent letters of Intent to the -Lheidii T'en neh Fir t at1on notifying them I wa. gomg to be condu cting re. earch 10 the1r traditional territ ry. etter ere aL sent to the 1rst at10n . Health Auth nty, amer- ekani Famd erv1ce and the Pnnce eorge at1 ve Friend h1p entre (Appendix A) . Received UNBC REB approval , certificate number E2013 .1211.120 .00 Relatio nshi p Buildmg (Appendix B) Pha se 2: Spring 2014 Began regul ar volu nteering w1th local food provider. A k organization to recommend potential partiCipants . Participant Recruitment -Meet individually with potential parti cipants (Appendix C) . Snowball . ampling a needed. Partici pant Observation begins. Co mmuni ty Mapp ing and Focu Gro up (Appendice D E, F, G, H ). Partici pant Ob ervation . Semi-structured interviews (Appendice D, E, F, G, H ). Participant Observation. Presentat ion at the Canadian Associatio n fo r Food Stud ies. Pha se 3 : Summ er 2014-Summer 2015 Transcripti on and Coding. Preliminary Analys is, Co nsul t about boo k developm ent. Consultati on with Parti cipants about Results Di sseminati on (Feedback Sess ion). Presentati on at Co nferences. Member Chec king (n=5). January 201 5- update to two parti cipants in person. Analysis and Write- up . Finali sati on of Drafts. Phase 4: Fa ll 2015 Di stributi on of Participant Boo k (See Appendi x I). Thes is defence. Results Di ssemin ati on. JR, JR JR, local aid orga n1zat ions JR JR, local aid organi zations JR, Participants JR, Participant , Research Assistants Participants JR - convenience co n ult w/. orn e participants during Interviews JR JR, Participant JR Participants, JR JR JR, Particip ants JR JR with without Pat1JC1pants *Note: Input from the Thes is Supervisor and Committee Members was received at regular point throughout this proce 63 4.6 amplin g trat gy and Recruitment Parti ipati n in th pr j and had p ri nc d at 1 a t Participant had a rang f t pen t indi idual m nth n p n nee ne 1 1 em nt and dift rent 1 a ith ' tr h were 1 year f age r ld r, within th pre 1 u five y ar . fr m ab lute t hidden h n t lit '. P artici ati n wa entir ly v luntary and parti ipant w r a ar the c uld withdr w at an tim fr m th re arch . p nr mg appr recruitment thr ugh purp ba i with h mele i thic Re i w al fr m the ard, I began participant ampling ia c mmunity rgani za ti n that work n a re gular indi idual and had bee m e familiar with thi r earch during the initial coping pha e ( ee Table 1). While the rganizati n wer upp rtive of the re earch and posted recruitment poster , no participant were ugge ted . I plac d recruitment p ter throughout the downtown area in public pace , at pecific organizati n and al o more broadly in urrounding neighbourhoods. everal participant were recruited through the posters and each of tho se individuals recruited others to participate a well. Snowball sampling became the primary method of recruitment. Snowball sampling wa ideal because it relies on ocial network as opposed to technology. This is suitable to the context of street life, because people who are homeless tend to have limited access to technology but they often have well developed social networks (Bar-on, 1997; Makiwane, Tamasane, & Schneider, 20 l 0) . There was a lot of interest from people within the 48 hours before the conununity mapping event, and unfortunately several people were tmned away once capacity was met. Upon making initial contact with the potential participants, I ananged a date and time to meet with them to discuss the project. I met participants in parks, office of ervice providers, and at their accomn1odations. As a safety precaution, my partner at the time, wa awar of when 64 I anticipat d r turning fr m a h m a c 1nn1odate m bility i u ting. ibilit in me ting l cati n wa un k appr pl th ne h ur ( rtant t pl ' daily r utin s. and to b minimall di ruptiv t p pot ntial pat1icipant br ught ther p 1n eting hi f1 had re ruit d t th m m ting. Th e initial Tabl 1, Pha e 2). Pot ntial participant were provided with pr j ct in~ nnati n he t and a c n ent [! rm ~ r the community mapping and :B cu gr up , 1ni- tructured int rview , and feedback e ion ( I read the pr j ect in£ nnati n h they a ked t read it n their wn ee e ppendi ce and ). t and the c n ent £ rm ut loud t participants unles and pp ndi ppendi ). The ethi cal implications of thi re ear h were e plained and th e p tenti a1 pa11ic ipant had the opportunity to ask qu estions and provide ugge tion . Thi enabled me to gauge their intere tin participati n, which wa helpful to gain a en e of who w uld be pr ent for the mapping. I ex plained the community mapping procedure, emi- tructured interview feedback e ion and plan for the developm ent of a final product. Many participants tated they had participated in research proj ects before so they were fatniliar with the procedures we were going throu gh . If the individual decid ed to participate in the project, and they met the eligibility criteria, I provided the patii cipant with the date, time and location of the community mapping event. Honoraria were provided to community mapping patiicipants in the form of 20 wotih of gift cards to a nearby grocery store. Another $10 gift card to the same grocery store was provided for the interview, and again if they reviewed their transcript. Gift cards, including for food, have been used before as a fo rm of compensation in research with homeless populations (Benzies et al. , 2008; Breuner, Barry, & Kemper, 1998). Keeping with the them e of the research, foo d was provided at the co1nn1unity mapping and also during the emi-structured intervi ews fo r those who wanted it. Eff011 were made to 65 n ure th rewa nt. Thi th with all rgi ari ty in th £ d pr id d t th map ing and £ u gr up £ r the durati n f pl c uld at wh nth that t:rateg r p cial di tar n ed uld b abl t j ackn wl dge that pe pl ha e th ir o n ta te 4.7 Data 1 th e gr up in the m al , and t nd pr [! renee r gardin g £ d. oil ction ata fr m th b 111 th w r hungry, and ation, r c rd d in fi ld n te , a £ cu group. heR c ll ected through participant rrununity mapping ell a udi rec rdin g f gr up di cu sion , and the ar h day, et-up forth lun htim m al and partic ipated in th mapping activity ( ee and Appendi H) . The data collect d fr m th a recorded by the digital recorder ( ee ppendi x emi- tructured intervi w wa primarily verbal, ppendix F). I uppl em ented thi with fi eld note f non-verbal data including body language. Participant observation occuned imm ediately before the community mapping, during the set-up time, semi- tructured interviews, and initial meeting to screen participants. The actions and di cussion that occuned both before and after the primary data collection events were a rich source of data . During the data collection period I collected local news stories and publications which were related to the themes of homelessness, food systems and health, this helped to provide a better sense of context for the other forms of data (See Chapter 3 ). 4. 7.1 Participant Observation Pmiicipant observation is an im portant component of ethnography because it involve research in the field (Denscombe, 2007). In this study, data gathered throu gh patiicipant observation are supplementary to the primary data that were collected through the community m apping/focus groups and semi-structured interviews . Complementary data i additional 66 d cripti e data c 11 additi n t t d ut id th pn m ar data c 11 b rvati n that c urTed durin g engagem nt with parti ipant , I al unc ntr 11 d b ervati n in publi pl ac year I li lunt 1 c ti n m chani m (K a111 , 2005) . In . thn gra hi in ight d in m y apartm nt near a ti gm atiz d area f d ring in Prin nt wn u d r gan1 red fr m the two and my tim rg . Thi m th d i fav urabl in thn graphic r pent arch b cau e if it rt, it i n t di ruptive t th natural etting and h uld n t alter behavi ur f p e pl e und r ob ervati n (D n c mb , 2 07 . h which would ccur naturall r gardl e When a ti r ti call th ituati n und er b erva ti n h uld be one f the re earch er' pre nee ( ensc mbe, 200 7). eeking t c ll ect data, I a ted a both a c mpl ete observer and an ob erver-a -participant at time (Kearn , 2005) . a c mplete ob erver I phy icall y pl aced my elf in a public location where I felt I wa likely t w itne a phenomenon of interest, and I placed m yself in a location where my pre ence was minimally disruptive to others around m e (Denscombe, 2007). This occuned during walks throu gh the downtown core and whil e attending community events. While I was volunteerin g with aid organizations, my positi on as observer-asparticipant was overt by di cussing m y re earch plans w ith others (D enscombe, 2007). The data from participant observation was reco rded in fi eld notes, which are detai led an d descriptive (Patton, 2002). I took fi eld notes aft er events or interactions I witnessed that were significant to the research themes during m y tim e as a complete observer and al o an observeras-participant. Recording notes during observation is recognized as potenti al downside of observer-as-participant work as the researcher may be unable to record sufficient notes because it may interfere with their role as a participant (Yin, 1994 ). Both Yin (1994) and Denscombe (2007) describe how participant observation is a way in which the researcher's bias can be introduced into the research, because when the researcher 67 , th int rpr t th ph n m na th cti what th y ar witn ord r t help £ u th th th m e 1 r m mb er ph n m na th y d nal p n n t e plain m to be ignifi ant. In n, I p aid p arti ul r attenti n t ph n m na that w r linked to b utlin d in the lit rature re i f th re arch a aro during th c mmunit mapping and bia b d ribing m p ma draw fr m their p r , a well a em rg nt them m1 - tru ctur d int iti nali ty (R :G r t that iew . I hav b en vert ab ut m y hapt r 1). 4.7.2 Focus Groups with Community Mapping Participants cc rding to Patt n, D cu gr up generally invo lv "bringing togeth r p e pl e f simil ar background and e peri enc t parti c ip at in a gr up interview ab ut m aj or i sue that affect them " (2 002 , p . 23 6). F cu group ar e a di tinct D nn f interview, where p arti cipants are able to li ten and react to the comment f oth r gr up member . Individual are encouraged t refl ect upon their own idea , and although each p arti ci pant' id eas m ay be influ enced by ther participating in the fo cus group , convergence of id ea and op ini on s i not a goal of th e foc us group (Patton, 2002). As the facilitator I ensured that all parti cipants had a fair opportunity to speak during the fo cu s group that follow ed directl y af1er the c01nmunity m apping proces (Patton, 2002) . The focus group discussion w as centred upon what had been mapped and wh y (See Tabl e 1; Appendices D , E, and H) 13 . Thi s is cons i tent with Cam eron's obse rva ti o n th at foc us groups are a useful tool for data collection because "the multipl e m eanings th at p eopl e attri bute to places, relationships, processes, and events are expres ed and negoti ated, thereby provid ing important insights into the practice of knowl edge production " (2 005, p . 11 7) . Indeed, th e 13 Within the Informati on Sheet and Co nsent Form the fo cus groups are refen·ed to as 'group shari ng' fo r partic ipant ease of understandin g. 68 infl 1111ation a1ii ipant har d metime c ntradi t ry and it an d great! betw a n indi idua l . fl cu gr up fl 11 to reflect n th th m c mmunity map ing th mappmg id d parti cipant with an pp riunity th y and th r participant ch and t pr id input n there ear h pr ce , the R am r 1 a th pa1iicipant ( part in thi c n er ati n and had th Appendix H) . Th map that parti ipant the pariicipant ' per pecti proc rc1 e pr . Th combin d t al earch ppendi t k and d were u d t guid e the interview to ensure that d pict d in their arti tic reati n r main d central to th e inquiry hniqu f fl cu gr up (directly aft er the c mmunity mapping) and emi- tructured int rview (in th week and m nth that fl 11 wed) provid ed greater insight than a ingle form of data collection due to the dynami c in each cenario (larger group v . indi vidual or paired interview ). 4. 7.3 Semi-structured Intervi ews The use of interviews is con istent with both ca e stud y and ethnographic re earch methods. Interviews can be a good method to demonstrate value andre pect for the participant's experiences and opinions because they allow for greater depth and nuance than other form of data collection, due to the open-ended questions and fl exible design (Dunn, 2005) (See Appendix F). There were a total of 11 interview particip ants, of whom 9 participated in the community mapping while the rem aining 2 onl y participated in interviews (See Table l ). The tenth mapping participant consistently expressed interest in participating in an interview, and we scheduled several times to meet. However they cancelled due to unanticipated life events, and the interview was not conducted (See Appendix H). 69 The ne- n - n , participant' mi- tructur d int rvi w h i e. My riginal g al attri ti n ( amer n, 200 7 . H w w r c nducted within that tim fram e, itt all participant . m within on w eek after th a t c ndu t th nt in rd r t r du c mmunity mapping re c ndu t d in a 1 cati n f each k r, whil e m m nth t c mpl ete intervi w with t participant had r at d m ap , th y had ngaged with the is ue in ad ance of th int rview h and I took handwri tt n n mi - tructur d intei 1e nk p int and n n- erb al data ( unn, 200 5) . I cho e to use th e emi- tru tured interview t clmique t all dep ending nth an wer pr were r c rd d w ith a digital rec rd er fi r fl e i ility in the interv iew progre i n id d by th e intei iewee (Dunn, 2 05) . I had an interview guid e but, if participant had created a m ap then the m ap wa u ed a a di cu ion tartin g point. The interviewee knew they w ere abl to rai e topics out id e of the p ecific lin e of qu e ti oning (Dunn, 2005 ). 4 .8 Data T ranscription and Analys is Thematic analysis i de cribed as a "method fo r id entifying, analy ing, and reporting patterns (themes) within data . It minimally organizes and describes your data set in (ri ch) detail" (Braun & Clark, 2006, p . 80) . I elected this method of anal ysis because it is a fl exibl e, iterative process that is commonly used in qualitative studi es (Braun & Clarke, 2006 ). U ing th ematic analysis would allow me to begin analysis of the data set from the interview s and community mapping while the research wa ongoing, and to cross reference the em erging codes and them e with my field-notes and pa1iicipant observation to check for consistency (Braun & Clarke, 2006; Patton, 2002). I transcribed the focus group and interviews data sets verbatim . Personally transcribing the recordings allowed me to become familiar with the data (Dwm, 2005) . Transcript were 70 numb r d with a k interview that pat1icipant nam er n t in lud d n th tran cript. ,Id r gr up r parin r d int rvi id d t pr me id ea h indiv idual a tran cript with nly th part that th y h d p k n . If it tatem nt of ther peak r( ) wer paraphra d r left in if they were id ntifying. ft er tran cript che king, I r ad th tr n in th data (Patton, 2002) . I read fir t at th b thin tan e making n t a Im note of detail that b ga n to re urfac le d along. I al ry h rt and n n- ript multiple time t bee ming immer ed 1 and then r read D r de per m eanin g , in r ad and reread my fi eld-n te and mad nat with th em rging th eme fr m the initial stage f the tran cript anal y i . A I read throu gh th tran cript , I coded the data by hand , hi ghlighting phra es and marking code in the m argin complexity (Braun & f the text. Many phra e received multipl e codes because of their larke, 2002) . Once I had fini hed coding the tran cript , I u ed a word processor to group all imilarly coded pa ages together. I reread all of the passages und er each code and refined the codes for consistency and integrity of the code. Once I was satisfi ed with the codes, I could see cl early em erging patterns and I began to group them together as possibl e themes. The validity of these them es were strengthened when I compared them to the existing literature of homelessne s and food access. I then selected quotes that I felt were the most demonstrative of the theme. I once again refeiTed to my fi eld-notes to assess whether th e them es I had identified within the transcripts of the community mapping and interviews, aligned w ith the observations I had recorded. This process is consi stent with the phase of thematic analysis outlined by Braun and Clarke (2002). There were two kinds of codes that em erged within the data: descriptive and analytic . Descriptive cod es are understood at the surface level, whereas analytic codes are und erlying and 71 r quire int rpr tati n, whi h ha m rg d thr ugh d ta anal imp rtant n t only :D r th me id ntificati n but b mu t w rk produ ith and t b gin t rganize th data ( db children ab ut n ir nm ntal hange, a them had a d a11h f data it Thi wa theca interview au i ( it r due 2005). ding i th am unt f raw data ne p , 2 0 ). In th ir tu ly D cu ed n map lanch t- a p t ntiall r pre ntati hen et al. (2003) [! und that wh n f th D ling with th c d of c n-upti n after th c mmunity mapping. f th participant . uring the it merged tr ng1 a a maJ r c nc rn f th participant , but initially nly 1 per poke about it in th c mmunit mapping. four different kind trau nd n rbin, ( 1990) rec mmend searchin g for f th me in th data: c nditi n , int racti n am ng actors, trategie and tactic , and outcome . The theoretical ori ntation of critica l ocial the ry al haped my interpretation of th e data by looking at experience of power. I also earched for potenti al them es related to key areas of the literature, while remaining flexible to allow participant generated them e to emerge. My experiences of participant observation and field note influenced my analysi and interpretation. Although this research has been primmily inductive, there were dedu ctive elem ent parti cularl y as related to the gap in the literature on homelessness, food systems and health as discus ed in the literature review . Finally, I took note of any outliers, which are themes that stand out as different from the rest, and attempted to detennine how they relate to the larger body of data , if possible. Once the coding and theme identification were complete, I examined the con istency of the results compared to the existing literature and then looked for ways in which there ults were able to add to the literature to help reduce the gap in knowledge (Patton, 2002). I noted that there was resonance with patte1ns and themes that arose from the participant observation and field- 72 n a pra ti al 1 1, b li y mak r and aid n t . I c n id red th u fuln organizati n (Patt n, 2 2 . The map w r n t u d fi r analy i in th th k, in articipant , fi r r ult di eminati n . th d 1 pm nt fa b f th r ul t rdinati n ith th but w r u ed in 4.9 Re earch Ri gour n e th tran 1ipti n r 1 w and a c mpl t , participant ( id d the pp rtunity t parti ipat d in a well a the emi- erify tran ript fr m th gr up tructur d int rvi er pr abl 1 . Infi rmed by the fi ld-n te and participant b ervation, the merging r ult fr m the c mmunity mapping/fi cu gr up and emi- tru ctured interview were ummariz d a a et f th m . Th parti cipant w rea ked to hare their idea fi r refinement of there earch th me ( ud a wad, 20 12). mment eli cited thr ugh re pond ent validation were cla1ifying and influenc d the data analy i (May & Pope, 2000). The five participant who provided feedback on the tran cripts also provided feedback on the development of a book to be used as a form of results development and a keepsake for the participant . They were plea ed to ee their quotes and images from the map in the book draft, and were happy with the acknowledgement page where participants were listed- with their cho en name as contributors. This is also justified based on conversation with the participants throughout the research process and what was agreed upon in the consent fotm. A draft of the book with photos, maps, quotes and explanations was shown to the participants. The book will be printed and distributed to participants in fall 2015 (Refer to Table 1). The book ha been designed to be interesting, relevant and accessible to other homeless person and to organizations. The patiicipants generally agreed with the primary theme proposed for the book but also wanted a more positive pmirayal of everyday life. Patiicipants contributed suggestion about aesthetic presentation, plam1ed to create more drawings and discus ed where th book 73 h uld be di tributed one it i rint d. multipl tim with id a il r d 4.10 E thical on id eration Ir 1 ping a t ry ( iv d ethic appr al fr m th ppendi B) and it wa ren w d in th from B , I b gan th pr n parti ularl e nthu ia tic parti ipant c nta t e pp ndi I) . R arch thic ard in m ril f 2014 ( e pnng f 201 5. h rtl after r c i ing thi c appr val f r cruiting pa11icipant il r there ear h. Parti ipant dire t n fit fr m p articip ati n in re earch. The particip ant rep rted having 'a 1 t of fun' nJ ying th i1 d, and il el ing plea d they were abl e to contribute to the proj ect they aw a a wor1hwhil e au . he mapping and bo k development were an opp011unity for p pl e to creati el expre di emination of th re ult their xp ri ence . The re earch proce s and fin al hould erve a a plat£ rm fo r the pm1icip ant to have their voices heard by audiences that they are not usually abl e to co mmunicate with as equ als because of power imbalances within society (Paradi , 2000). Participants will al o receive their own copi es of the book, and people spoke with excitement of being abl e to show their fri ends or famili es. These documents, especially the book, which i highl y visual with photos and quotes displ ayed prominently, may help to dispel negative stereotyp es that influence how other indi viduals interact with people who are homeless because of the personal and compelling nature of the information provided. Written informed consent was obtained and none of the participants expressed a preference for verbal consent. At the conununity mapping workshops the importance of respecting the privacy of other pat1icipants by not sharing per onal info rmation from the workshop and fo cu group was discussed. However, all pm1icipants were infom1ed that 74 an n)'lnit during th c mmunit mappmg c uld n t b guarant d, du e t the group nature f the etting. ithdra If th participant had wi hed t contacting th community rganiza ti n conta t me n their behalf, in rd er t al w lc me t c nta t m dir fr m the re earch , th y had the pti n f h kn w f th r ~ n11all ithdra earch and a king the rganization t fr m there arch. Participant wer tl . Th re earch data will r main in a 1 eked draw r in the lab ratory of m y up erv1 r, Parke , at the ni er ity f rth m Briti h lumbi a. between the principal in e tiga t rand the upervi r ( ee r. rigina1 data will nly be shared pp endi x D and App endix ). In the umm r of2014, I pre nted the initial finding ofth re earch t my the i committee based n preliminary data anal y i . A di cussed in ection 4 .2. 1, I have taken steps to build relation hips in thi s re earch based on reciprocity and respect, and drawn from deco lonizing m ethodo logies to guid e m e. Participants retain ownership over their id eas, knowledge and the artwork they created . The maps will remain in the locked cabinet until 5 years after the date of the community mapping, at which point any maps that have not been requested by their creators will be destroyed . Thus far two participants requested their maps be returned to them and they were. Out of respect for the participants, the participants have been identified in thi s thesis by a nam e of their choi ce, rather than my creating pseudonyms (For further details See 4 .2 .1). 75 HAPTER 5: FI DI DDI 10 h participant tran ript fr m th and c mpar d t th th m b rvati n ( hapt r 4 . uniqu l n thr u gh whi h ~ tru ctured t pr ent th r literature at th nd f ach that em rg d ithin th fi ld n t and thr ugh articipant h aggr ga t d finding indi ated that h m el d tern an b e peri need and und er t arch finding and di cu ti n. Th the pr vide a d. hi hapt r IS m r lati n t relevant area f th hapter b gm w ith an verv1ew f th e p arti c ipant demo graphic , including the natur and l ngth f h m el ne ach p arti c ipant xp eri enced . The e dem graphic had an imp rtant influ nee n the int rpretati n of th e findin g . Th finding are th en pr nted in r lati on to th e main re earch th em e health and w ellbeing ( ection 5 .2); food , relati on hip and h m ele sne o f~ d ecurity, ( ection 5.3 ); and food , physical environment and relationship ( ection 5.4) . Within each of the e them es, ea onali ty and Indigenous food system s em erged a important ubthem e . The th em e are co mpl ex and interconnected because they exi t as component of a food system . 5. 1 Participant Demographics There w ere 12 re earch patiicipants. There we re 9 people w ho patiic ipated in both the community mapping and interview, there was 1 person who onl y p articipated in th e community 1napping and 2 p eople who only participated in the interview (T able 2) . T w ice as m an y wom en as m en patiicipated overall (8:4) . In particular, partic ipant age, gender and culture were impmiant influences on the interpretation of the findings. 76 Tabl 2: P arti ipant d mo raphi fort h diffi r nt primwy data c II tion m th od und Rang * ommuni ty Mapping 11 identifi 10 men 2 m en Interview 11 7 w men 4men ar + 20- 0 y ar ld h maj ri ty f p rt1 1pant wer ir t ati n ( tatu and n- tatu Indian ), 1 particip ant id entifi d them elf a Meti , nd 1 participant had mi d uropean and Indi g no us heritage *There wa at tal f l_ participant There were 9 people who participated m the c mmun1ty mappmg and interview There wa 1 per on who only participated In the community mappmg There were 2 eo le who only artic1 ated m the mtervJew. The majority f participant we re middl e aged pe pl between 40-65 years f age, w ith adult children, whil e orn e had grandchildren and great-grandchildren . Parti cipants were primarily from nearb y Fir t ation re erva tion or sm all town , although several had lived a far away as Vancouver, the prairies, and the nited tate of America. Som e participants had moved to Prince George for work, or to acces servi ce , while others anived by chance. The majority of participants have experienced long-term cycli c hom elessnes , commonl y panning decades as shown in Table 3. Among the participants who were hom eless fo r the fi rst time, their experiences have been long-tenn (2 years). 77 Nature of Homelessness nkn n Pa11icioant Years Homeless 1 nkn 2 "Coupl e yea rs" "Six months the first time" 3 4 5 n 2 2 6 2 7 8 9 10 4 4 14 "My entir li~ 5 ut of th la t ' 10 years "Entire life", las t 27 years in PG "Entire life", last 14 years in PG 11 12 II According to definition of hom 1 were in ituations of abso lute homele sne ne ParticiQated In omrnunity mapping (CM) CM and Interview CM and Interview CM and Interview CM and Interview Cyclic Cyclic Cyclic Fir t time, long term Fir t time, 1 ng tenn Cyclic Cyclic Cyclic yclic CM and Interview CM and Interview CM and Interview Interview Chronic Chronic CM and Interview Interview de cribed in CM and Interv i w hapter 2, 64% of the parti cipant during this stud y. Pm1i cip ant were livi ng, or had lived in, shelters , single rented rooms, hostel , motel , apartment , wi th fa mil y or camp ed outdoors. Pm1icipants had also experienced extend ed periods of time when they were hospitalized or incarcerated . All pm1icipants id entified limited financial resources as a serious issue in their lives. Four pm1icipants reported they received social assistance, four disclo ed they were on disability and four stated that they made money through binning. Other rep011ed sources of income include volunteer work (n= 1), working odd jobs and seasonal work (n= 3 ). Some pm1icipants rep011ed multiple sources of income. Pa11icipants' previou occupations have included various positions in the food industry and retail , as heavy equipment operators, a medic, general labourers, and a hunting guide. One pm1ic ipant was retired. Participants described their daily lives as busy, with work, volunteering, classe or appointment . 78 u 1011 anadian cen u indi at d that th re wa a high lev I f h u mg Data from the 2006 in tability am ng the Indi gen u p pul ati n f Prine that wer ignificantly 1 e rge, and thi p pulati n ha me me er than [! r n n-In di g n u citiz n (B tat , 201 0) . The participant dem graphic refle t th e tr nd . The ur e repor1ed ar m rep rted durin g the 2010 Prince imil ar t the urce f in Count ( P H, 20 10) . H we er, the har cla ified a ab olute h m le f inc m that the participant in thi re earch f parti cipant in th h mele wa much 1 wer, at 27% P H, 201 0) . Chapter 2 Indi gen u pe pi e are gen rall y o err pre ented in h mele participant demographic ugge t the am i tru e in Prince eorge H m ele c unt wh were menti ned in population and the eorge, where onl y 11 % of th e overall population i Indi genou (Milligan, 2006). 5.2 Northern E xposure: Food Security, H ealth and W ell-bein g while Hom eless This section presents the uniqu e trategies and barri ers related to food avail abili ty and acce s that are fa ced by people during tim es of homelessness . Thi s i not an exhausti ve li st of food services offered in Prince George, but is refl ective of the experi ences of those who participated in the study. Despite the availability of food access pathways, the parti cipants in thi research were found to be highly food insecure. Food quantity, quality and cultural appropriateness were central concerns held by the participants. Furthennore the parti cipant are living with health conditions that are ex acerbated by poor diet, and in tu111 face increased barri er to food security because of these health chall enges. 5.2. 1 Food A vailability and Access- "We get food every day, e very which way!" Initia l descriptions of the availability of food for people experiencing hom elessness in PG were vari ed. While volunteering and when I chatted with peopl e about my research, a common 79 r frain I h ard wa that 'Y u can't tarv in Prin ciated ith [! they had n diffi culty obtaining[! d in P the hall enge that ar a ub equentl y re al d i u their [! od ace and [! wi th b th Ii rg !'. many of d quantity and qu ality, and participant d cribed that participant repo11ed fr qu nt hunger, n t ha ing Ii rt t r, thi quip b li n am ong parti ip ant wh initially tated d ace d uppl wer um li ab l . appropri at , and ha ing t r w m th d pit the initial illu i n of Ii d availability, d that wa cultu ra lly r nutriti nally f acquiring fo d that are ti gmatized and un afe. Some participant conn ct d umeliability in a[! d uppl y t a c n tant need n their pm1 ' cramble' for re ource , thu inhibiting them from impr ving their situation. ne participant expl ained, "W e get food ev ry day e ery which way ' " (Kathl een, Interview) whi ch, hint at the reality, that participant employ a wide variety of trategie in ord er to acqu ire foo d. Whil e volunteering with a food provider I came to learn that people would attempt to circumvent hunger by attending multipl e lunches that were staggered at different times throughout th e afternoon. Others engaged in daily binning to emn money, and a single day with out binning resulted in hunger. Inconsistent food access and frequent hunger m eant that severe foo d insecurity was normalized for the particip ants and a great dea l of time and effort were devoted to accessing any foo d that was available. Participants identified a vari ety of issues that m ake access to foo d challenging, including phys ical baniers such as transpm1ation, the hours of operation of service providers, shelter, and lack of financial resources. Other pmiicipants described how they went to food providers because they were hungry even though they were concerned about physical violence from other patrons that could befall them while there. All of the e other challenges impact acce s and u e of food and affect health and well -being in a negative manner. It is important to be aware of the reality 80 that£ d in urity i n t th nl hall ng that p ple p ri ncing h m 1 contend with n a daily ba i , but that it i int rc nnected with all th r a pe £ d in curity mak ith th r hall ng fth d cripti n Anal mechani m d aling f £ d acqui iti n. introduced in thi f£ f li£ . H wever, m re diffi ult. unc dace haract ri tic mu t n f .D ered era! charact ri tic of the d a ailability and acce pathway ar ction, in relati n t the .D 11 wmg haracteri tic : formal and informal; int ntional and non -int ntional; food focus d and non -food focu Furth r detail ab ut the d; desirable and undesirable . theme ar then pr ent d in relati n to a depicti n f how these theme relate to each oth rand th pathway between them, £ 11 wed by a di cussion of the e fmding . The fir t characteri tic i formal food acce , which I have defined a acce through ervice provider regardle to food of their programming mandate. This is consid ered formal acces because the number of meals served would be tracked to report to funders or to estimate budgetary needs. The food that is provided formally hould al o be prepared in a manner that conforms to FOODSAFE regulations and would be required to meet other provincial and federal regulations regarding processing, storage and distribution. This is in contrast to informal food access which is unregulated such as eating discarded food out of garbage bins. Formal food provision services that were accessed by participants include: a food bank, soup kitchens and bread lines, drop in meal centres, community centres, homeless shelters and cultural centres. Formal food charity options may require that the person seeking food is registered with the providing organization, or food provision may be ba ed on the recipient's gender, health, income, age or number of dependent children in the recipient' care. Patiicipants also procure food through i11fo rmal and independ ent mean . Some people 81 gr w fo d in mmuni ty gard n ther fi h d. P hil pl purcha d [! abl t . th r m thod f il!{ormal t da c includ gift trang r binning, t aling b ing gi n left r [! wild or ultivated [! d through friend , fa1nily, and d fr m r tam·ant , pan handling and eating d that ar a ailable in publici acce ible 1 cati n th.r ugh ut th city, uch a gard n and b rry bu he . ne particip ant' e peri nee d m n trat d informal m chani m c nn ct d t tradi ti nal [! he had lo t r gular ace However dming an f [! d wh n they w r m at t nd d tay in the h da c m v ral f the e t fir t the participant e plained h w her br ther, a hunter, had pa ed away. pita!, an th r relati ve had br ught her m e meat and salmon which 'kept meg ing for a m nth'. Later, although he wa li vin g on a very limited income he put 200 into the butchering of a m e with th e under tanding that orne of the meat would be shared with her. Th.i wa a igni-ti cant fman cial train, demonstrating the importance of moo e a a food ource for thi participant, and for her family. One pair of pmiicipants explained that peopl e will save and share foo d with their fri end s and partners, but that trade in food was limited. However, the informa l foo d econom y has risk as participants knew of situations where people would engage in exual intercourse in order to obtain food , or where stolen meat was being sold on the underground market. Infonnal foo d access pathways appear to be more seasonally dependant because of the variability in wild foo d availability. Informal work, such a binning, is also quite different depending on the eason as Dean-"0" explains; "People think that it's the smnmertime and I don't have to won y about the bottles being fro zen or anything like that, eh. But in the sunm1ertime's a different cup of tea, you've got to worry about the th.ings going rotten, and you've got to won y about the bee , everything after the sugar, eh" (C01nmunity Mapping). 82 I ha e u d th t 1m food fa u d t d crib an rganiza ti n r d' "tre i pr iding ~ fa u din lude dt p nt pl inn d uch a a ~ id fl ample attending la e but leaving nc the br ak tim meal i mean that the indi idual acti ely include coming acr wild fo d , r gift D e irabl food acce 1 a ce the per on eeking food nor will it cau d, but wh re the primary rationale in tanc , food may be pr vid d a an d pr incenti e ~ r attendance, r a part fa c 1 brati n. ace n d banl<. Wh r a the at g ry f non-food r pr gram that happen t pr behind th programming i n t ~ nt where the rai f thi fl 1m f acce s include rv d. The term intentional food ught ut fl od, wh rea non -intentional access could f~ d fr m tranger while panhandling or binning. to fl od in a manner that is n t an affront to the dignity of them hann . Undesirahle fl od acce s i food procurement through mean which a per on would not choo e if they had other option . This includes theft of food . D e irable method of food acces are more likely to contribute to food secmity compared to unde irable food access 14 . D e irable means of food access include gardening, hunting, fishing and gathering foods. These were things that enabled the participants to be actively involved in food production or preparation. Parti cipant reported ab ent but desirable ways of infmmally accessing food from their home communities at potlatches, or after a hunt, as they had accessed food in the past. Participants also mentioned desiring access to and use of non-food related traditional plants. While several people were seasonally gardening, harvesting berries when available, or occasionally fishing, the rest of the desirable activitie were noticeably absent from the cuiTent food system described by the participants. This was partly due to limitations of the urban environment in which participants live. 14 It hould be noted that th e term desirable is relative. Theoretically any food charity would be undesirable because a food secure (and soverei gn) population would not require food charity. 83 Th limitati n on fl the exp rienc had da c wh n li ing in th urban nv1r 11111 nt are fa couple wh camp d ut id f th city limit during the mnmer. While they p ri nee hunting trapping netting fi h c urban ar a, n municipal land , th Thu , in ord er to ace fl od e1 1c pr king and gard ning, within the c nfin of the wer largely pre ented fr m engaging in th e ac tivitie . ithin th forb ttl e and can t retu111 fl r th d p they w nt t mplifi d by id r D r a meal. it , th y chang d their b havi ur. hi c uple binned it and th n purcha d pr pared [i d [i r th e day, or lth ugh they id enti fied abund ant fl d ource and fl od tora ge pti n in th natural en ir nrnent ut id e f th city, they were unabl e to make use of them, e en thou gh th y were I ping 'rough '. the m aj ority of the participant had grown up growing, hunting or fi hing fl od, circum tance imilar to the e, were not uniqu e. The finding pre en ted above dem n trate and exempli fy characteristics of food acces used by participant . These characteri stic can be organi zed into contrasting pairs of formal or informa l,food foc u ed or not foo d foc u ed, in tentional or non-in tentiona l, and fin ally desirable or non-de ira ble. This provides the ba i to consider how pathways of foo d access ari e fro m the relationships among these features. A schematic was develop ed to represent the pathways through which particip ant were abl e to access foo d (Figure 3). This schematic extends conceptu alizati ons of how peop le acce foo d during times of homelessness to a more nuanced representation that takes into account multipl e aspects of food access. Each pathway was mapped to an example of a food access . 84 ili ty and acce 1 in Prince 3 t Informal 2 '' 5 "" IUndesirable ,*"' ,, Desir ble 2 --, .-------... Food focused ~, ,' 6 I . Non -food focused method umber 3 4 5 6 on- food related skills training session Sea onality i a di tinct and important feature of this study that is woven throughout the findings and importantly moderates the food access pathways. The desire for, and use, of country foods which have specific windows of availability tlu·oughout the year is an example of the importance of seasonality to food security. Ho wever, in regards to food access, the participants unanimou ly agreed that summer was the easiest time of the year to be able to obtain food . In the summer, participants described being able to support themselves more easily though sea onal work or camping. Participants described a range of factor that made them more vulnerabl in the winter and impact food access, including transpotiation, safety, finding indoor housing and heavier loads while binning. Food provision was found to be more crucial in the winter and 85 e eral fo d e1 ic pr vider f[! r additi nal m al e1 ic r t nd ed h ur , alth ugh thi wa n t m ntion d by th participant during th c nununit m apping or interview whi h took plac in th pring and umm r. Mami e explain d h w different time relat d acti itie "Back h me f th ar are appr priat [! r diffe rent £ d u c uld g hunting and tuff[ ... ] In the ummer, lik thi , we make dry m at"(M ami , Intervi w) . Three participan t menti ned moo e m at, carib u, d r au ag w a not a regular or reli abl Cultural practi c urc or pepper ni thr ugh another 1 cal service pr vid er, but it f D d, w hi h wa di tre ing .G r parti cipant . may crea te' ea nal' dynami c , D r examp1 holiday in the calendar are recognized and c I brated by many chariti es. influence fo od acce a onall y acce ing either hri sti an one particip ant expl ains thi s becau e " lm o t every ne of the e gener u pl aces present us w ith beautiful Ea ter Thank giving, Christma and Halloween dinners and gift . I love them all for all the ir help .' ( haron, Co mmunity Mappin g). Howeve r, many of the e erv ices are also c losed on holidays and hold the large m eals in advance of the holiday, limiting access and unintentionally promoting unhea lthy food eating patterns of binging then potentiall y fas ting. There may be changes in donations fro m corporations after holidays, or increased donatio ns fro m the public around Christmas. Lisa noticed shifts in produce avail ability, and increased use of canned and frozen food in the w inter around holidays; Y eah, definitely a lot less salads. Yeah, we're abl e to get a lot of lettuce in the summer time. Um, but I think with the, the amount of donations they have, they also do the Clu·istmas hampers. I think that mi ght take a lot of produ ct away fro m the meal production, to go into th e boxes, so it is definit ely som ething, w hether it actu ally affects it or not, I'm not sure. But it definit ely gets spread thin. And then after Christmas, people that were donating so mu ch with their rosy feeling before Chri tmas are like, 'oh, I did my part' and then the cupboards are bare. (Lisa, Interv iew) 86 R ntl a farm r' market up n r gram ha run in th menti n d ha ing parti ipated in and b ing pl ea parti ipant wer na il . u nthu ia ti ab ut ea ting d harit pr 2.2.0). The mean forD alway d ith the p ri nee. h P 1011 The findin g r garding ~ [! d umm r whi h ne parti ipant id e n f ac e da e and nav iga ting th c iall y crea ted en ir run nt f in ight r gardi ng e era l key theme m t [! urit a d fined in dd hapter 2 (e pecially 2 .1.2, ribed b the pa tiicipant d n t m eet the requirement h pter 2 be au e a c meth d and th D d available i n t aD , acceptable, and nutriti u , n r i th e quality and quantity uffi cient ( ee 5.2.2). The e r ult add t th r bu t b dy f literature that ha D und th at people wh are h m eles are food in ecure li tal. , 2004; nt niadi & Tara uk, 199 ; achn er & Tara uk, 2002; armon, 2009 ; Hamlin, Mercier, & B edard ; 2006; Miewald & Me ann 20 14; Tara uk, Dachner, Poland , & Gaetz, 2009). The finding al reinforce them e r p rted by Kirkp artrick an d Tara uk (2009), who e re earch with hou ed, low-income parti cipant found that people lived in a "'hand to m outh ' existence, characterized by the u e of a wide diver ity of strategic to obtain mall amount of food for immediate con umption" (2009, p . 1440) . Miewald and Me ann (20 14) and Tara uk et al. (2009) found that, although food charity wa heavily relied on by their participant , acce s was limited by lack of proper identification or failure to meet eli gibility requirement , . o patiicipants made u e of alternative strategic of food provi ioning including pur ha ing food and binning. Miewald and M e aru1, who e w rk was ba ed in Vancouver, had a pat1icipant rep rt that th ey "can't tarv e", word that wer ech ed by a Prin e rgc pa1iicipant, de pite food acces di ffi culti e in both location . While thi re earch uppOii the c arlier findings, it doe not n ce arily m ea n that th e loca ti o n ar th e arne or that the skill rcquir -d to sun ive 111 87 ach place are tran t rabl . Ind e d differ nt e peri nc Fre Pre with [! n da c m an h had been h m 1 in b th iti in each 1 ca ti n, a rep 11:ed by T r had va tly a Mallam in the P (Mallam M ar h 2 , 20 14). A number f tudi pr gramming t a ugge t that 1 cal rga niza ti n intenti nall y pr vide [! d at th ir id parti ipan t dr p u t, r t h lp particip ant manage the hung r that pr vented th ir ability t partic ip ant and learn (Miewald & M Proj ect, 201 0). In thi ann, 20 14 ; The t ne tud y, the p articip an t 1 u e f training p r grmn [i r [! up d w hich fo llow th e pathw ay offormal, non-foodfo us d, und irabl ( ee Figure 3 and Ta bl e 4) ex tend pa t research b y confinning pr gramm er 1 u picion that fo d provi ion wa tied to attendance at non-fo od fo cu ed pr gramming ( ton up, 20 10) . Theft of fo od fo llow th e Figure 3 p athway f informa l, undes irable, food focused acce s. Theft and p anhandling rates were m enti oned les often as m echani m of obtaining foo d in this research than in the study by T arasuk et al. (2 009). This could be a result of the sm all size of Prince George, w here such activity would draw greater negative attention to an indi v idual, and where parti cipants are more at risk if they di sclose this behaviour. R ecent research b y Holland, K enned y and H wang (20 11 ) suggested that, w hen evaluating foo d security of hom eless p eople, references to purchas ing foo d should be rem oved from the m easurem ent tool becau se of the high use of charit abl e fo od ervices. G iven there ults of thi research, it would seem unwise to remove this entirely becau se, although purchasing food was a less common strategy for procuring food , it was still used by participants . Indeed the results of the stud y, resonate with the findings o fD annon (2 009) w here homeles participant were found to purchase up to 15% of their dail y consumed kil oca lori es . 88 lth ugh Darmon (200 ) ugg t that in France la k f m ney 1 the primary rea on that h m le pe ple go hungr , the finding f thi re arch ugg t that ver implifi d with, ameliorating hung r. the r comple ity of force that c ntribut t r ar m participant in thi r earch e with th financial capacity t pur ha e food , factor such n tho a the ability to pr pare, t re or tran p rt D d were imp rtant, trength ning earli er findin gs from P (The t ne Pr up Pr je t, 20 10). iou r earch by W bb r and ollahite (2 08) [! und that infi rmal economi es among the poor existed in th e D rm of bartering. Participant in thi research mentioned network for baring food and traditi nal Fir t formal capitali t y tem . The ation barin g y tem , which both operate ut ide of the n twork , and the trading of food, were desirable but infrequently used. The r ult in regard to informal wi ld fi d procurement are imilar to studi es that examined how low-income, rural people were m aking u e of the informal food economy, including engaging in gardening, foraging, and hunting (Buck-Mcfaden, 2015; Webber & Dollahite, 2008) . Story et al. (2008) suggest that the food and eating environments of a person likely have greater influence on what they eat than individual factors such as knowledge, skill s and motivation. These fmdin gs are supported by what participants in thi research described. Story et al. (2008) explain that, "Individual behaviour to make healthy choices can occur only in a supportive environment with accessib le and affordable hea lthy food choices" (p . 245). Income is sufficiently low for participants that it greatly restricts what they are able to purcha e, and the environment of food providers is not supportive to the extent that is needed . Thus participant invest a lot of time and energy accessing food in way that are expected of hom le s people in urban settings, even if they are less desirable (i .e. hunting is yielded to binning or panhandling) . 89 Th n re er han tal. ' (20 11) tud in B b ri ginal p pl n uming traditi nal D d but wanted t be c n uming m re. w er Participant in thi r f traditi nal D d c n Uinpti n D und arch e pr b ri ginal people ft n lack ace ed a tr ng unm t d ir t acce traditional D d . Urban t traditi nal D d in g n raJ becau e f the co t, di tance and pot ntial di c nne ti n fr m famil and c mmunity ( han t al. , 2011 ; lli tt et al. , 20 12). The fmdin g xt nd han et al. ' not abat when pe pl m 200 ) w rk b ugge ting that the de ire D r wild food doe rve t the city, but that acce precipitou ly d creas while h mele . Th finding al o upp rt thew rk f t ry et al. (2 008) that point to incom e, race and ethnicity a important influence in foo d ch ice. That man y de irable m ean of btaining D d were mentioned but rarely practiced uggest not only a lo of culture in dail y life, but al o a dram atic di fference between participant ' current and ideal diets. When an y peopl e are engaging, even info rm all y, in the monetary economy in order to upport them elves, the am ount of tim e available for maintenance of other skills decrea es. So although the coupl e who was binning were al o avid hunters and fishers, they ma y lose these cultural skills through lack of use. In this stud y eating seasonally wa fram ed diffe rentl y than it would be fo r an average urban consumer and was more connected to fi sh and animal migration and the associated tasks and traditions that foll ow. This research suggests that the ways in which peopl e obtain foo d may be connected to geographical location, whereas culture m ay influence whi ch foo ds are de irable. Seasonality is generally overlooked in other studies relating to homeles ness and foo d access but, as the findings suggest, it is a strong influence on participant lives . For example pmiicipant in this study engage in fi shing or berry picking although thi s was not fo und in Vancouver, another city with a hi gh percentage of Aboriginal people within the hom ele 90 popul ation (Mi ewald & anc u th M ann 2014) . r1 rp pl li ing in that r gi n may ha pri r t bee ming h m 1 und and th t m had 1 e acti iti [! a ibl , wa y f btaining food differ nt a onal traditi n . peri nee with th rate limate w uld ha may be 1 Th utility f Figure i that it d m n trat h w n t all [! irabl e, that charitable [! d i n t nl fr m up kitch n and that there are different dimen i n f ac e d aid may nece arily be to fo d that r i t impl cla ificati n. The community m apping, int rvi w and participant ob rva ti n r eal d a c mplex [! d y tern th at i influ enced by both ocial and phy ical environment which are elab rated n in th e ecti n that follow . The availability of health y and appr priate [! d is di cu ed in the nex t ecti n . 5.2.2 Food Quantity, Food Quality and H ealth- "It's le The previou nutritiou , but it' more .filling" ection di cu ed h w parti cipant de crib ed acce sing food , whil e bri efl y touching on issue related to quality and quantity of foo d a well . In this ection, th e findings and discussion are oriented to is ues of food qu antity, fo od quality and health . A discussed in Chapter 2, food security is a determinant of health. The participants primarily felt that the food they were provided through foo d aid worsened their health outcomes and their health influenced what they were able to access and eat. Participants identified a variety of health conditions including: mis ing teeth, back injury, chronic pain, pre-di abetes, lactose intolerance, gluten all ergy, heart disease, and rheumatoid arthritis, as impacting their lives. Alcohol use was conunon and several people highlighted it a a serious personal issue. Substance use was also common, however people more frequently spoke about the substance use of others as opposed their own. Health conditions, ce1iain medications and missing teeth made it very chall nging to ea t, and this was a source of anxiety while eating in the common lunchroom . The e factor deten ed 91 pm1icipant fr m ace to the rul ing fl d aid f eating in place may r quir that p Participant d cribed being pr rec iving tr atm nt at r habilitati n r garded a hen it had t b eat n where ntre . gain an excepti n nal medical hi t ry. id d fl od whil incarc rated, h up ri r in qualit c mpar d t fl in uffici nt, alth ugh uppl m ntal fl pl e reveal their per rv d. pitalized, or while en rally, th fo d provid d at in tituti n wa d erved by chari ti d c uld be purcha d by th . H wever quantity wa wi th financial re urce . Thu participant prefl rred to eat th m re filling meal avai labl e a chari tabl e fl od alth ugh participant con idered the e m eal le hea lthy. However, even when attending charitabl e m eal program , quantity of food wa a c ncem of participant who had to empl y strategies in order to eat enough. For example, "They fl ed yo u there, but yo u can't get econd and y u 're till hungry. o you still have to go out omewhere el e and get orne food" (Mamie, Interview) . One participant explained how "The food, that, that they feed you in th e helters that get, gets a person sick. And , I mean for life, you know , like ah, .. . Yeah, like it stays in your bod y for life, after they feed you that, kinda poi on stuff' (Jam es, Interview). The foods mo t often provided at charitable food programs are foods made of simple carbohydrates, including bread, muffms, doughnuts and cookies. Monotony was of great concern to the participants and participants were concerned with the effects on their physical hea lth. Lisa explained how : "There's always bread around, but you can only eat so much bread before your pancrea gives out!" (Lisa, Conununity Mapping) . Anne noted that at one of the places she attends there are frequently celebrations that include, "cake, stuff like that. And they had an open house, it' hot dogs and cake again" (Anne, Interview) . While the organizers may be able to go home to cook a balanced meal, many of the participant rely on events of thi nature for complete meal . 92 m participant try t a ti t r i t. n the ther hand Za k 1 a id eating 1 nutriti u [! plain d, "I d n't g t en u gh g d but al d [! d found it hard I'm n t going to r plac it with bad £ od ju t t [! el full ri ght. " (Za k, Int r i w ). w parti ipant di cu ed c n id r acce h w thi ha chang d th ir p ercepti n and they n The participant wh r p rt d mor bank r hamper , " tho e who had pace t ari t in di et were th y u'r n t m aking the am t re and pr p are their [! The fo d that i pr to h althy [! wh were abl t ace d a "treat" . £ d ld thing all the time" ( nne, Intervi ew ) and d. id d thr ugh £ d aid c ntain m any c mmon allergen and/or ingredient that ma y tri gger£ d en itiviti e phy ician recommend ed to one parti cipant that he eliminate gluten and dairy from her di et. In fo llowing thi advice, she can no longer eat m ost of the m eals served at chariti e . Another parti cip ant explained th at although she wa lactose intolerant, she would eat the food provided even though it would m ak e her ill , temporaril y decreasing health and mobility, becau e it redu ced hunger and tas ted good. Consumpti on of foo d was impacted for everal participants who reported not eating during time of increased substance use. Although they m ay not have felt hunger they still exp erience consequences including m alnutrition, which makes the food they do consume particul arly significant, and emphasizes the necessity of healthy food being served in em ergency food aid . When Anne was ask ed about sources of protein in fo od charity she explained, "Oh, the food bank does that, chickpeas, stuff like that.[ ... ] Ah, except nobody likes chickpeas" (Arme, Interview). In terms of access there is "N o m eat. Not even m ystery meat, you know those canned stuff. I'm so desp erate sometimes I'd eat that. .. The onl y one, that ah , provides a pound of hamburger is the centre" (Arme, Interview ). The centrali ty of quality meat to a good m eal was 93 r peat db many of th participant and Ann [I lt her m di al c ncen1 were acerbated by lack of meat in h r di et. The participant h wed a tr ng pr [I r nc [I r m ore culturally appr priate food and £ d r lated acti itie t be a ailabl t them . har n " i h[ d] there wa wild m eat and utd or acti iti e and barb equ " ( bar n, mmunity M apping) . Wh n a ked ab ut the avail ability f traditional food tlu· ugh £ d harity, p articip ant plain d h w flour n a regular ba i t m ake bann ck 15. H w r, [I r the m m e pl aces pr vid ed en ugh t part traditional food acce s wa infrequ ent and ft en by chanc . Parti ip ant ackn wledge that traditional food is le readil y availabl e c mpared to £ od pr duced a pa11 of th e indu trial agri culture system . The times that traditional food were availabl e w rea prominent hi ghli ght. At other times, the food peopl e found de irabl e were avail abl e through aid organi zations but regulation around serving the food prevented acce s. For exampl e, when there were lefto vers at one location, the oldest leftovers were served first, even if someone requ e ted a different lefto ver di h. Participants saw thi as probl ematic, and many peopl e identi fied taste preferences and health concerns as reasons why a lot of food was wa ted. Several participants acknowl edged that the foo d provided was often corp orate donati ons, which explained why some food s were avail abl e and not others. Pm1icipants were wary of the motivations behind corporate donations to charity expl aining, "they donate for a tax wri te-off and they get it all back. And it's like .. they're the only ones winning, m an" (Melody, Con1munity Mapping). 15 Bannock : "is a traditi onal pan-fried bread ado pted into the Native North Am erican cuis in e in the eighteenth century fr om th e Sco tti sh fur traders' "griddle scon es. "" (Watts & Watts, 20 11 , p. 130) 94 one rn ab ut fo d aD ty furth r influ nc d p rc pti n orne participant whil nc rn ther were m re re mm r n u . Wh n uch a co f ri k t phy ical h alth. ring D d r pr viding erving uten il m et [! r h r inter i w M ami plained; W went there [! r br akfa t they had mu h, th y had t a t, but th toast had m uld. But th y till gi e it ut. H e D und m uld n hi t a t. m uld n min , lucky (!au h.s'). But w hy feed ld bread, ld m uld br ad t tr t pe 1 le? d kn w h w th y c k, what they c ok it, r if th y e en wa h th ir h and . tu ff like th at, y u d n 't know (M amie, Intet iew ). Food poi ning wa a dang r that participant ei ther ri ked r w nt hun gry. A K athl een expl ained : Yeah, cau e it ah, th y erve back the bad meat wi th, and uh, w hen it's green. And you know, th n wh n p opl ar drunk th ey d n 't care what they eat, th ey eat it anyway. [ .. .]I'm lik 'that' gro don't eat that!' but they are hungry, right " (K athl een, Interview) . Other p311icipant aved and wiche throu ghout the week, to ea t ver th e weekend when food access wa dimini bed. These fmding are synthe ized in Table 4, w hich shows the hea lth conditions that were mentioned by pm1icipants as influencing their ability to acce or eat cer1ain food , as well as the conditions participants perceive to be caused by the foo d they are eating. No t having enough foo d, being allergic or intolerant of the foo d tha t is avail abl e, or the mem ories assoc iated with certain foo ds (e.g. , residential school di ets) can all exacerb ate the strain on menta l hea lth. 95 Tab] 4 : Participant xp rz 11 d h alth condition and the 0 1111 id ntifi d by parti ipant mg n umpti n n umpti n tion to m r Influencing t 11 y fo od aid a Influenced by to F W eight p ndenc Hyp rten i n Pr matur d ath M alnutriti n Fo d P i ning & Mental Health che ing/ wa ll w m g afety egati Anxi ty Monoton y - b red m , lack of appetite Conn ction/Di c nnecti n to community Extreme w eight flu ctuations Anorexia F fallin g T heavy d on em -depr ion led t overeatin g j unk food piritu ality/Reli gi n -influ ence w here peopl will go/eat tigm a and EmbaiTassm ent Poor percepti on of di et P ercepti on that all hea lth chall enges are related to lack of access As Table 4 shows, for th e participants there is a direct link between foo d and physica l and m ental health. The vast majority of p articipants were co ncerned w ith th e impact of the foo d they were provided on their long tenn health and well-being. In one parti cip ant's view, the hom eless were only fed enough to survive, nothing more. D iscussion T he findings revealed fo od quantity, food quality and food ju sti ce issues, including that p eople did not al w ays have the capacity to m ak e info1n1ed choices about what they were consumin g, or to consume healthy food . Thi s inj ustice is cotrunon throu ghout the North Ameri can food system where th ere are m arked di fferences in healthfu lnes of foods that are marketed and consumed by upper clas consumer compared to food s that are market d towards 96 and ften n urn d b 1 r Ia c n um er ( hri- acha pati et al., 2 14 ). me parti ipant th t the pla en ugh quantit d harit , [i upp 11 Dan11 n' en ifth [i mith (2005) [! und that di d pr r pan 1 m t be upp rt d b th e d while incarcerated, h th r hand , th at fed the be t quality m al did n t pr vid 200 ) a umpti n that a! ri n id d i n th d m y n t be m et thr ugh i e nutriti nally uffi ient. in qu lit b twe n [! d pr ikenb rry and ider can be e ere, and thi crip ti n pat1icipant in thi r earch gave f m ea l pr vid ed pitali zcd r ac , ing chari ty. nti nade and ara uk ( 19 ) [! und th e nly avai lab le in relati ely m all am unt , s the food pr vided may n t b uffi c ient t qu ell feeling Tara uk et al., 2009b ). Thi i thi f hun ger ( ntoni adi & Tara uk, 199 uppo11 d b th wide pread r p rt f hun ger by participant tudy. Thi c uld inad v rt ntl y re in[! rce th e legi tim acy f ervm g p people experi encing home! tn rer quality[! od to ne , becau e p artici pan t equ ate feeling full wi th ea tin g "better" meal . While in tituti nalized, being pro id ed nutriti ou food i an a pect of the government respon ibility for the ri ght to food , but it i not adequate if th e portion are in ufficie nt. iven the prop011ion of incarcerated people who are Aboriginal i mu ch hi gher than among th e general population and Aboriginal people al o tend to have fewer financial re ources to purcha e supplementary food , this is a food justice iss ue. Thi ituati on i worth noting b cau e of th hi tori cal abuse of the human ri ght of Aboriginal people, for example through the withholding foo d from First Nations peoples during famine which wa u ed a a tactic for "clearing the p lain " and coloniza tion (D a chuk, 20 13 ). Patychu k et a!. (20 11) argue anti-raci t fo od 1 rovi ion i a health equity i sue, and aL o that A boriginal p eo pl e in anada fa ce y temi c raci m . Diabete and obesity occur at hi gh rates 97 m b riginal populati n and ar c nnected t th nutriti n tran iti n fr m traditi nal di t and life tyle t We ten1 di t and m r participant c n ern ar und an d ntary li£ t le rabundanc p r p cti of th W pro ide£ d that ar culturally appr priate. arle, 201 ). It i imp rtant t con ider f refin d i1npl carb hydrate from th terniza ti n f lndi gen u di t , and th nee ity [! r £ od pr vid r to f pa11icul ar c nc 111 are the "five white in : f1 ur, alt, ugar, ale h 1 and lard " ( lli tt t al. , 20 12, p. 5). The e £ d were tapl e colonizer ' and today' tandard American iet ( ). f the early th parti cipant rep rt, man y of the e food are th mo t r adily available t pe ple n the tr et. Miewald et al. (20 10) worked with a homeles populati n that wa imilarly c mp ed of prim aril y Ab riginal hom eless people and thi research extend their work by ugge ting that n t onl y nutriti n hould be con id ered but nutrition within a framework of cultural appropri atene of food aid . Anxiety around food and healthy eating i describ ed a "ontological insecurity among post industrial eaters" (Dixon et al., 2007, p. il24) due to "decline of traditional culinary culture based on seasonality, locality and self ufficiency" (2 007 , p . i 124) and competing health infonnation. Pm1i cipants in this research were concerned about gaining access to specific foods which were primarily seasonal, traditional foods , and decreased access to flour ba ed food products. Pm1icipant dietary preferences may have been influenced by dietary trends including gluten free eating. Several pm1icipants were particularly concerned about consuming bread . An emphasis on whole food s, such as traditional foods can provid e the consistent dietary infonnation and connection to culture that can help alleviate these concen1s. The findings hi ghlight the dilemma that, even if charitable food programming wa nutritionally compl ete according to W estern nutrition recommendations, it may not be appropriate from the context of healthy traditi onal Aboriginal diet b cau e of th empha 98 m W t rn nutriti n n 1 w animal fa t, fruit and g tabl are thou ght t pr ide a pr tecti h alth ffj ct D r (Dam1nan , id Kuhn! in, 200 ). Pariicip ant h alth . Th c ncern ab ut aut n m y and h alth ar am ng th rati onal D r Indigen u D d c n um th m b ri gin al p n [! od w uld upp01i th ir that th YITII t ma tic of D d inju ti ce and are also reignty ( rey F od pre£ r n e are imp rtant 1 ment willing t compromi eon qualit in di et ( arl , 2 0 13). Traditi nal di et fD d P atel, 220 14 ). curity. r n11e thi m eant he is f m ea t rather than at egetarian m eal . Whil e, a a vegan , 1 view d th pro v i i n of chickp a a a p i ti e thing, it i c learly depend ant on c ulture and experience and accord ing to Ann ' c mmen t, apprecia ti n f beans and legu m e is not common am ong the p eopl e he kl1ow . Fr m aD od ecurity per pective, th e foo ds availabl e need to b e culturall y appropriate and oth r research ha fo und having an elem ent of choice was very important to peopl e receiving foo d aid (Eikenb erry & m ith, 2005) . As Di xon et al. expl ain, "unequal access to the ava il abl e di etary diversity, calori es and gastronomically ati sfying eating exp erience leads to nutrition inequalities and di et related health inequity" (2007 p .i 118). T he desire fo r culturall y appropri ate food and the relative lack of availability, combined w ith the availability of onl y a single food option at charitable foo d prograrruning, is what Patyc huk et al. (20 11 ) describ e as universalism and colour blindness . The participants saw the food they w ere provid ed in the fo nn of foo d ai d as negatively impacting their long-term health. Ind eed the least costl y foo d ava ilable through the industrial food system is often poor quality, hi gh in saturated fa ts and refin ed carbohydrates, and contain few er vitamins and minerals (Datnman, 200 8). It is often thi s poor quality food that is s rved throu gh food charity (Lindberg, Whelan, Lawrence, Gold , & Friel, 20 15) and thi s lead s to poor health outcomes. Like participants in the tud y by Miewald et al. (20 10) , PG parti c ip ants also 99 r p rt being rv d p iled :D d. Participant c n id r thi eli r pectful and i danger u for immun c mpromi eel indi idual p ople wh are hi ghl y :D uch a th w ith HIV r d in cure may at D d that m ak The finding in thi Prin e I (Mi wa le! et al. , 201 0) . Y t, th m unw 11 to avoid hunger. rge tudy r inD rce e tabli heel id ea that :D od in ecurity exp n nc d n t nl y in relati n to :D d quanti ty but al uncil f B , 2004 ). The imp rtance f :D qu ality ( ommunity utritionist d qu ality wa evid ent in many f the ways in whi ch food consumption influ enced phy i al and m ental hea lth (Ta ble 4 ). The ten i n that arose in thi tudy b tw een fo d qu anti ty and qu ality ech Mi ewald and Me ann ' (20 14) finding that complaint about quality of :D d ar e oft en al accompani ed by expressi n of gratefuln ess. The participant are provid d mergency fo d which temp orarily deals w ith one aspect of food in ecurity - hunger - but doe not addre the other aspects of foo d ecurity and is thu not taking a holistic approach to health as eli cu eel in ection 2.1.1. Lack of foo d security adds to the other compounding determinants of health faced by participants - homeles nes , gender, and Aboriginal status. These fmdin g support the findin g that inequ ality may have a greater ro le in unhealthy diets than personal choice (Ontario Healthy Communiti es Coalition, 2004) which is important for understanding the dynamics at play within the entire foo d system . The desires expressed by pmiicipants have been long- tanding issues among people experiencing homelessness in PG (CPAH, 2003). Dowler and O'Connor (2 01 2) explain that emphasis on individual food choices in neoliberal societi es ob cures societal probl ems with food and the necessity of states to address violations of the right to food . An attitude that a person should choose not to eat a food if it is unhealthy fo r them, but not providing different food to facilitate a more appropriate choice, i a way that dominant society places blame on the les pow erful to legitimize negative hea lth co nsequences (Dickin on, 1999) . 100 parti ipant d nati n includ u p ct and ther auth r ha building a p iti e c rp rat nnag (Me nte 2001 ).Th maJ rity of participant ' in P ' d r nat with pr p n n ithin the c nt power tructur ing t with ace i u re earch that has t und t (Ha an em Ha anein (2003) d crib c n luded th rati nal b hind making t d ara uk, d thr u gh charitable assistance d charity t b di mp wenng f th cunent c rporate agri-fo d yst m , which a b mg ympt mati . The d nated t aum va, 20 12; f rall i ue f cietal organizati nand ft n c n um d by the parti cipant are frequently grown as monoculture to maximize pr du cti n and ec n mic benefi t[! r larg co rp rations. It has been commonly found that t d aid t nd t la ck fre h pr du ce ( arm n, 20 09; Miewald & entre for u tainable ommunity De elopment, 2009). Parti cipant are concerned that, beca u e homele people are le re pected within ociety, they may b provided with food that i lower quality than would be erved to people with hi gher tatu within ociety. The e entiments support the ob ervations that low income and racialized people tend to have poorer access to healthy food than White and wealthier individuals (Patychuk, 2011 ). McEntee and Naumova (2012) theorize that what one becomes accustomed to eating as food aid is also what they will continue to eat afterwards because of familiarity . Several people chose Tim Horton' as the location for their interview . However, contradicto1ily many people expressed disdain with the abundance of Tim Horton's leftovers at food charity, citing health concerns. This contradiction between desires and actions reinforce the importance of changing what foods are available as food aid. Many participants describe how they eat based on availability; that is, when unhealthy food choices are readily available they can be difficult to avoid. This lends support for Story et al.'s (2008) explanation that presenting healthy food 101 prepar d in an a c ibl mann r ha b the pre enc of unhealthy fl n h wn t influ n em rgency fl d aid in th fl rm f fl Tara uk and akin (2 00 ) dii r m vmg d. The finding of thi r earch upp ri 11 c n umpti n a d ara uk and d bank i "di a akin' 20 ) c ncern that private ciat d fro m cli ent ' need 11 (p . 15 11 ). pl ain that th am unt and kind fa i tance the h mele n n t by their need fl r fl d much a by fl receive 1 d polic ie and practice de igned to maintain operati n in the face fa limited, hi ghl y ari abl e, and largely unc ntr li able supply f food donati n 11 (p . 1511 ). n umer wh d nat fl regulation around donati n ften nece itate that consumer donate food that ha been d may fl el emp wered t help , but produced and purcha ed within a framework of indu tri al agriculture and corp orate control. 5.3 Food F ight: Homelessne and Relation hip aero s ocial trata Analy i of the tran cript and fi eld -notes ( ee Chapter 4) indi cated parti cipant experienced distinct patterns in relation hips both with the non-homele s, including the general public and staff at servi ce provid ers, and with other peopl e ex periencing hom elessness. These relationships were significant in connection to food acce s for the parti cipants. Accordin g to participants, personality conflicts and abuse of power were factors that prevented or impeded access to food including chmitabl e food programs. On the other hand , access to foo d wa enhanced by caring relationships, generosity, and a sense of being respected. The next sections present find ings and discussion on the social relationships of pmiicipants with experience of homelessness and how they are able to infl uence foo d access. 5.3.1 Relationships with Non-homeless People- "It's kinda the wh ole continuum of th e homeless and poor stature in l~fe" Relationships with non-homeless people frequently facto red into discussions of fo od access with the pa1i icipants. People who work at ervice provi der , as well as the general publi c 102 t a1 er t nt, often D lt acut ly awar rv a gat k . The riminati n, including ding to b ha e and appear in certain way , in ord r t fill a rol in ithin b th g ce. Parti ipant are further di tre nun nt and harita ble ervic . H w negative experience , many pa11i cipant homele and th m elv peri n ing thi p wer differential a di bed emed 'w rthy' f charitabl a i t a c rrupti n D r th parti cipant . Th participant fa p w r differ nti al b tw en the n n-h m 1 parti ipant d crib n gati el c ntradi t ril n er t D d ace oci ty and d by what they vi w er, le pite the primarily har d t rie of unex pec t d kindn e s from non- people who hav att mpted t augm nt the parti cipants' ~ d acce . Pm1icipant primarily beli eved they were di criminated again t beca u e th ey were visibly homele , although is ue un unding raci m were rai ed by a few of the pm1i cipants. One participant felt that lndi genou people' live are 1 va lued, and that it i ex pected that Indigenou people will experience negative outcomes . As Kathleen explained, "They don't give a shit, they just laugh 'Oh, another brown down' " (Kathleen, Interv iew). Pm1i cipants frequentl y felt they were negatively judged by non-homeless people when they were attempting to access food, through panhandling, binning or at charities. The power of the non-homeless is used to modify the behaviours of the homeles and restrict or enable access to food. Society exerts pow er to limit behaviours that they find unappealing. To the general public, binning may be perceived as a nuisance behaviour, whi le to binners it is a survival tactic. Mamie and Dean-"0" recognize that locking dumpsters is an active attempt to restrict access to resources, and it forces them out of the downtown area. Locking dumpsters was pm1icularl y distressing for the pm1i cipants because they felt they were doin g enviromnentally friendly work of community benefit, and it makes it difficult for binner to suppot1 themselves. People experiencing homeles ness are al o e eluded by the non-homele 103 when they ar n a an unde irabl pr enc . Ma1nie plain thi ccur wh n home! p opl ar gath red t g th r: they a k y u t m ve Y u tand ut ide th ir t re th y think y u're d ing m thing along. nd that mak me reall ang1 [ ... ]That' why I ay w 'r lik cattl . treet p ple ar like that. Y ah, u it n p t, y u it anywhere e en n the gra and you get hara ed y u g t t m along t the ne t p t. op will t p by you and tell you to m e t an th r p t (Mamie, Int 1 i Thi peciall y diffi ult :G r the parti cip ant b cau e they ha e ery limited tran p rtation opti n and they n ed t remain cl A a general rul , Zack beli e o long a peopl e who were h m le e t the erv1 they acce ( ee 5.4 .2) . d the public w uld treat pe pl e wh were homeless well , e hibit d the trait or behav i ur that th publi c fl und acceptable. Wh n he i panhandling on the treet co m er , Zack is m eti cul ou in what he wears becau e, a he explain , when h i dre d nicely, it look like he i 'go ing som ew here in li fe' , but when he is not dre ed neatl y people think their money cannot, or should not, help him anyway. Anne found there were limitations to this and th at peopl e can also discriminate if they think people who are homeless are dressed too well. If a homeless person acts the part, they are deem ed 'worthy' and they are given food . At the same tim e, participants described thinking that when the general public helps the homeless, they do o in order to fee l better about them elves . For Lisa, help from the general public was something she thought was depend ent on cultural fa ctors that influence giving around holidays. She explained that peopl e fe lt good w hen they donated food around Christmas and they think that is suffi cient to address the probl em of hun ger. However, after Christmas, Lisa reported the food avail ability decreases. Overall , the participants found that it was di ffi cult to predi ct the outcom e of interaction with members of the general publi c, so most parti cipants acted cautiou ly, ena bling the nonhomeless to retain more power in the relationship . Zack explained how he would sometimes panhandle on the street corners and would be given food by member of the public. He would 104 in i t the cho what to buy b cau e it i their m n ating 11 Lik a bagel r cof:D e, r ju t deci i n making becau h had an gati but thi u ually meant h w uld end up m thing r gular 11 (!au h ). Za k learn d t e p ri nc wh n he h ne tly e pr unender his ed hi d sire for cigar tte and wa t ld : 'Well I wa g ing t gi e u thi 50 d ll ar card but I am n t g ing to supp rt y ur cigarette habit'. Yeah ... W 11 h h uld ha ju t aid it [n J in t ad f ju t aying 'Well, 1 wa g ing t d thi ' (Zack, Intervie ). Peopl wh are panhandling may b mad t think they ha e aut nomy and power when they are a ked what they w uld like, but that facade nly la t a 1 ng a they ch The public i not n ce arily willing t help unl The gen ral public b th tak homele ne e the right an wer. th y perceive it a being an acceptable need. pity and di criminate again t individual experiencing and are able to u e their power to either as i t or impede homeless individuals. Some participant de cribe being given food by m ember of the publi c or re taurateurs . ften these interactions came as plea ant surprises. Yet, even peopl e who are well intentioned are not able to help unless they understand the circumstances in which peopl e live: Like this little girl , oh she was o cute, that time we were in the dumpster up by Uplands and she came out of an apartment with a bunch of food to cook, and she asked u if we wanted it. We didn't have no place to cook that (laugh ) but we just accepted it anyway to make her think that we had a place .. .(laughs) Oh, we gave it to a fri end (Mamie, Interview). Mamie was not able to benefit from the gift because it was inappropriate to the circumstance m which she lived , but she was able to share it with someone else in need ( ee Section 5.3 .2) . The majority of the participants also described feelings or instances of perceived discrimination and challenges with pow er imbalances when they were accessing re ources. M elody felt that the voices of the homeless are unheard and ra ti onalizes it using social hi erarchies explaining, 11 Becau e they're people on the streets, junkie , crack head , who' gomg to li ten to us? 11 (Melody, Community Mapping) . 105 Th participant xplain d man wa in whi h they felt pe pl in po iti n f authority abu ed th ir p wer. Two participant de cribed th ir p rcepti n that erv1c pr vid r try to control homele mu t 'play the game' and fit pre crib d r I th ught thi wa an intenti nal ta ti acce mg m peopl e feel th y pe ple' acti n rath r than a i t th m with th ir n ed 111 rder t acce erv1ce . n the part f erv ice pr t lea t two participants id er to di uad e pe ple from rv1ce . When one participant v lunteered at a charitabl [! d pr vid er he [! und it was a very di re pectful pla e t w rk and o n di continu d v lunteerin g. he parti cip ant reported volunteer and patr n alike were treat d p rl y, and patro n ' live were crutinized to determin e if they 'de erved' they food they cam e for. The parti cip ant a primary concern that led to confli ct with peopl e in p tre ed how feeling di re pected was ition of auth ority or the publi c. The e expetience were often contrary to the re pect peopl e may have on the street. avigating the e relationships was challenging for participants who de crib ed trying to constructi vely work through issues they were experi encing without uccess. Participants describ ed how negati ve experiences, and instances of discriminati on, contributed to a deteriorati on of their health and well-being. Several participants found that there was a general fear of speakin g out about this treatment although there was an appetite for change. Other pariicipants felt uncomfOiia ble, due to fear of being judged when their hunger led them to access foo d at reli gious foo d provider though they w ere not members of the faith. Many pmiicipants al so thought personal confli ct w ith staff members led tore triction on service access that would j eopardi ze their health and well-being. Pati ic ipants explained how thi was an abuse of power becau se it would leave p opl e, including wom en and people with 106 di abilitie vuln rabl e t th w ather vi 1 n participant xpr ed how thi led th em t beli e e that s m mpl yee at erv1c provid r did pl ace reinfi rc d for the particip ant thr ugh the pr i ion of unh alth y and p iled fi t rai d. id r were ft n train d b cau e ev ral participant were deeply cone rned that th empl y The participant fi lt p w rl mg e , which i an idea that i not car ab ut th health and w 11-b ing f p R lati n hip with taff at ervi e pr fo d . he ual a ault and unab l t ace contravened th e rul e of their empl yers. th ir concem with the taff, a one pmiic ipant explained; "Ye , cau e what are th ey g in g to d ? If pe ple argu e with her th ey are g ing t get ki cked out and banned . o if it' kinda th e w h le continuum of the hom ele s and poor stature in life, you ju t have to take a lot of tra h to get an ything" (Li a, Interview) . Participant al o acknowl edged th at, at times, th ey contraven ed th e rul es of organi zation they w ere attending but thou ght the con equences were exce ively h ar h . Parti cipant lives were constantly under surv eillance and they li ved in an atmo ph ere of regul ati o n. Persi tent issu es regarding behaviour at service providers w as seen as contributing to apathy on the part of the organizations' staff. Although one particip ant explained she respected th e service provid ers w ho "don't put up with nonsense" , there was a sense that leni ency was needed. Striking a balance b etw een power and respect is the issue that rem ains: It's simpl y th e control issu e. Um ..and of course stress as well, it tress to give it [food], and the hampers and to serv e in time and hope th ey have enough protein in it fo r p eopl e to live, and that kind of thing. And of course every pla ce do es h ave to have gu id eline , can't just have a free for all , and run in the kitchen and grab whatever you want (laughs). But it's just, I don't know , the overall attitude. I thou ght it would be m ore caring and nmiuring but not so much (laughs). (Li sa, Interview) Pmii cipant concerns are not directed solely towards the foo d providers but th e entire societal system they are trying to naviga te. However, th e p arti cipants do have frequent contact with food provider , w ho form a pa1i of th e larger ystem . For examp le, several people were 107 unabl t a e fi d at c rtain 1 ati n becau e the ha n id entificati n, r becau regulati n hange (whi h participant Furth nn re participant d pr n that nega ti ely impa t th m. iewed a di criminal r . fru trati n h n th ral parti cipant ntribute t are n t gi n legitimate an w r . hi th h , abu e f p w r, and it fi ter th fg f rnment and d n t kn w th rati nale b hind ~ It wh n they d a k qu e ti n , th ey id pread on m ab ut di re pect fi r en. th at c rrupt indi idu al are w rking in n th r parti cipant pl ained h w he aw c rrupti on in the y tern : Ah , everything' meeting , th y ha hundred f meeting get n thing d n , but meanwhil e th y get h n rarium and all thi tu ff fo r getting nothin g d ne, j u t fl r m eting. et to fl y to anc u r, get t fl y t ict ri a, all n, what'd y u guy d ? h, got drunk (/au hs). Yea h. nl e y u're the ne that' getting the hon rarium and get t go t the meeting and g t paid , it d e n't help anyb dy. 1 gue th at' the way th e game i pl ayed and you have t pl ay al ng t get th crap . Wh atever. .. I'm happy to get any kind of crap ( nne, Interview). ne participant acknow ledged that a lot of po itive work i being done, but expl ained that, among the taff, "o ne bad apple ruin the whole bunch"' and it cau ed them t lo e respect fo r the agency at which the taff worked. The pa11icipant expl ain ed how th y were caught fo r the crime they had conunitted, they went to jail and they 'did their time' whil e they fe lt that peopl e who were not homele were above the law. Despite the challenges, and in addition to frustrati on, participant in thi tud y al o experienced gratitude for emergency food aid . The e are emotion that appear to be at odd , but which were often felt imultaneou ly by the participants. ome pm1icipant hav built po itive relation hips they value at different food provider . De pite the chall enge , pa11icipant ackn wledged that aid organiza tion have very difficult role to pl ay and th emp loyee , experience hi gh level of tre s on the job. hristine ex pl ained how he fe lt he should, "ju t be thankful that the e peopl e ar there. Like he aid , I'm very thankful too but, I wi h there wa JUSt 108 mor . M r . Th y' r ju t d ing th be t th po iti and negativ a p ct th partic ipant in thi r can" ( hri tin , f r lati n hip with n n-h mel arch ar dir tl link d t ~ da 1nmunity M apping). Th p pl that are e perienc d by and wer a pri1nary t pi c of c ncen1 in th parti ip ant ' li Thi ecti n ha e pl r d ho incl udin g~ place and t dift rent re urce unaware of the r ali ti e f h m el mi perception . P pl th n u p wer dynami n influ ence r inhibit acce t different d. Thi i in part du e t the fact that peopl e are and interacti n with h m ele people are haped by their p wer t try and c ntr I and r~.- trict homele indiv idu als and the e action are i w d a mi guid ed and unfa ir by the m aj ority of participant . The patiicip ant ' en e that they have a r le to play i akin to recognition of oppression within ociety, where oppression i defin ed a "one gr up pre cribing the behavior [ ic] of another" (Dickin on, 1999, p . 143 ). Dickin on (1999) argue that w hen th e domin ant culture labels coping mechanism as 'bad', it leads to los of motiva ti on among t people w ho are marginalized. Furthern1ore, being denied access to place that non-hom eless people are readi ly allowed to be is a dehumanizing and tressful experience that contributes to fee ling of ill will and negative self- image. Eikenberry and Smith (2 005) found that, at times, homeless people m ay choose not to follow rules that they believe are problematic. The patiicipants in this re earch actively made choices to reclaim some of their personal autonomy and they were aware of the repercu sion thi s would have in tenns of restricted access to services or troubl e with the law . When patiicipants de cribed mental health and well -being challeng s, they often connected negative feelings to experi ences of discrimination o r ineq uity. imilar to findin gs repotied in Amsden and VanWynsberghe (2 00 5), many parti cipan t expres d feeling of being 109 out id r a lack f atmo pher c m ice and di ati fa ti n with c mmunit fr m r lati n hip and re p ct fVlC lternativ ly, p itive n when the people had little under tanding of ne an ther' li Participant in thi r earch w r m fi r fi influen ed ch ice f The e entiment w re al ba ed in Vane u t one 111 d with being r p cted and thi d, a did a en f afety and ocial atmosphere. har db parti ipant in the tudy by Miewald and Me ann (20 14), r. Thi al upp rt th finding f llan and akam to (2014), where participant de crib th i1np rtance of focu ing n treating individual wh are h mele a equal and explaining how negative beha i ur impact thers. The contradictory exp ri nee and relati n hip with charitable food provider that participants in thi tudy experience were al o rep I1ed in the Miewald and McCann (20 14) research. The homele have le control over their own bodies, which creates a conflict betw een a desire for independence and al o dependence on those in pow er (Dickinson, 1999). Participants' negative experiences with rules, regulations and bureaucracy lead to frustration, which, Dickinson (1999) explains, can contribute to negative behaviours or attitudes that render people less effective at creating the change they want to see, and feelings of poor self-esteem that reinforce the power of the dominant group. That is, the pm1icipants explained how they often felt disempowered to influence the change they wanted. Several people repm1ed having had negative experiences with staff while attending food charity providers. This contributed to decreased desirability of these options but not necessarily decreased use, as suggested by the high rate of acce s to charitable food . As Allan and akamoto (2014) explain "a focus on increased direct and positive communication could go a long way towards uprooting and tran fon11ing unhealthy or harmful power dynamics" (p. 73) . Food ac ess 110 and hung rare p litical and ar r H ldke 19 2) . Min ring th th aling ab ut p wer relati n hip within pen n ci ty ( urtain f participant in Mi wald and M e ann's (20 14) work, articipant in thi re ear h fa c d chall nge du e t b ing bann d fr m food acce , att nding religi u ly ri nted fo d harit rgani zati n , and th chall ng f needing t acce ervtce but not bel nging to th targ t d m ographic. one 111 ab ut changing regulati n regardin g identificati n wer al reporter Tere a Mall am ' in e ti ga ti n int fi upport Mi wald and M e rge (March 28, 2014) and ann' (2 0 14) findin g that the en vir nment of fi con tantly changing. The findin g availability and food acce d aid in Prine d cumented in d chariti es i f thi re earch hed light n th e di fferences between food and the importance of p wer relation hips to thi dynamic and why peopl e m ay be hungry de pite the exi tence of a number of ervice prov id er . Thi s led to di cussion of choice in regard to attending [! od provider . Parti cipant felt th ey did not actuall y have a choice, but gave into playing a role. Particip ants in other research expl ained, they do not speak up about this, when the food is free (E ikenben-y & Smith, 2005) . These findin gs contribute to reducing the gap in knowledge regarding how or why hom eless peopl e choose to access certain food provid ers, identified by Mi ewald et al. (2 0 10) . Having had previous negative and abu ive experience means that the participants are less likely to be trusting of motivations of others in positions of power and less forgiving of mistakes or incidents, as described by Allan and Sakamoto (2014). The participants repo11 that service provid ers think the issues pat1icipants raise are minor whil e they are serious to the pat1icipants - for example giving vague answers to qu estion . These difference in perception could be attributed to different life circum tances shaping interpretati on of event (Dickinson, 1999). Years of experiences have al o resulted in mi strust and fru tration with the sy tem . 111 D pit thi e m an participant id ntifi d p mplary, and h ld re p ct [! r. Pe pl e tii d t att nd the pr gramming at rganizati n wh re th y £ lt r p cted and thi i Mi wald and th a pl and pla e whom th y b li ved to be quite rt that m ore p upp011 d by fi nding entre£ r u tainabl f Mi wald andMc ann (2 014)and 1n munity tw iti e r lati n hip can d power wh n peopl e wh ha le 1 pm nt (2009) . p w r feel th ickin n ( 1999) n pe ple with different am unt of are heard and re p cted by th e with power. 5.3.2 Relationships between Homeless People- "A street p eople w elcome wagon! " During the community mapp ing, interview and partici pant b ervati n, it became apparent that many pe pi e with one another. p ri ncing h mele ne veral participant were re lated t in Prince eorge have clo e social ti es ne an ther, orn e through bl ood, but everal consid ered one another adopted relatives . Am ngs t the parti cipants there were three couple , a pair of si ter , cou ins, fri end , acquaintances and everal peopl e who live and tay in the same shelter . When talking about food m any particip ants spoke of their fam ili es wheth er it was regard ing their sister's garden , rem embering fi shing with siblings or holiday dinners with their parent. Many of the w omen spoke of their own children, grandchildren and families an d the impact that being hom eless had on their relationships with them . Several peop le felt their families' situations were equal to , or not much better off than, their own situation . The women who pm1icipated in this research frequ entl y cited the teachings of their grandmothers as important factors which have shaped th em into the people they are today. By acknow ledging this, they are honouring generati on of wo men before them . Fm1hermore relation hip with other homeless people were very va luabl e, suppot1ive and info nnative and food had an imp011ant rol e in these relationships. 112 R lati n hi are incredibly imp rtant in pe pl ' li exp n ncing hom le n and the u e of£ in Prince d. Th participant al ar often c mpa ionate t ard e rg hap b th h w p d cri b h w p n an th r, e and th c nn ct dn ofpeopl ple int ract with ne an th r pl e e p rien ing home! ne in P n if th y ar not c nnected. Th women m particular pok of and dem n trated, their c mp a i nand caretaking. !though they wer e periencing h m le ne , thew men were willing t make sacrifices to help them el oth r . While inter 1ewmg a gr up f thr e participant , ne parti cipant g t up abruptly and left the table. When he retwned to th interview hortly thereafter, he expl ai ned what had happened: Melody: That little kid ju t come in here with a fu ckin g ti ck. Yeah, Did you see that? Three little boy came in here, and one of th e kids had a tick and walked into the toy room and walked to the till and then, like, I know that kid wanted to do a robbery for a fucking burger (laughs). And I just gave him my, I gave him my fucking burger. Julia: Was it someone you knew? Melody: No. But that wa me probably when I was a kid [ ... ]I sai d, 'hey, hey, hey you with the stick' I told him. He tmns around. Takes it, 'thank you' . Like sweet, eh? Yeah. That's what it's all about, man. You gave it to me, I gave it to him . M aybe he won't be in pri son with me in twenty years (laughs) (Melody, Interview) . This scenario demonstrates the deep conce111 this participant, a wom en, held for the welfare of others and the significance the participant ascribes to food and life ou tcomes. The women in the research demonstrate their concern for others by haring food, both before and since becoming homeless . Prior to becoming homeless, two women had volunteered at charitable food providers and another had arranged for hunters to provide wild meat to Eld ers. Since becoming hom eless, one woman had volunteered at an em ergency food provider, and two were growing food at a comn1unity garden and donating it back to the helter where they stayed . The women explained that, if they were wealthy, they would u e their money to help other people experiencing hom elessne s by creating fo od banks, operating a free shuttle bu , or 113 op rung a helter ~ r b 1iginal pe pl in n ed. at a meal pr ider wh r he lunteered the meal wa a tly impr d h n he did For the participant , p c nnected her wn p r wh n I am helping 1 a plained h w h wmg r p ct ~ r patr n a her main pri rity and h found th ov rall tone of iti e caring relati n hip led t fe ling f emp werment. Mary nal well-being wi th her caring relati n hip [! r oth r , " nd I feel like meb dy I am helping m y elf ' (Mary, Interview) . Mary explained her rationale for participating in thi r better~ r the next generati ar h pr ject, "M y c ncem , if I can, in some way make it n, that I will d my be t t ace mpli h that" (Mary, Interview). In regard t th larg r homele community, there are conventi on in place to enabl e th e more vulnerable to be a is ted, Darrell e pl ain ed h w an example of thi would be letting Eld ers be served food first , or to move up to the front of the line at food provid er . Sharing knowl edge was a very important upport for peopl e, e pecially those who found them elves newly on the street. Mary described how other peopl e who were homel es helped her when he first became homeless, and how this was a positive experience for her durin g a tumultuous time . he describes it jovially as being like "a street people welcome wagon! (laughs)" (Mary, Interview). Sometimes access to food was impeded by people who would break th e convention of behaviour expected of people waiting to be erved a m eal. While relationships can strengthen food access for those involved, they can threaten access to food for others. Often times people cut in line and used relatedness to other people in line as their rationale aying, "'Well, that' my cou sin , come on over here' .'Well that's my auntie', oh well he's got aunties, and holy smokes, you got a couple generations in front of you, before you know it" (Danell, Community Mapping). ther participants were concerned that acce s to food was hampered for the mo t 114 vulnerabl by oth r who w uld pr t nd to b injur d or di abl d to g t t the front f th lin Danell' phil Di u phy wa "Well, if th y'r hungri r than I a1n, g ah ad" (Danell, Int rvi w) . ron Participant w re ft n acti ely c ncerned with improving the welfare of ther pe pie around th m and th need homele ne f ther w r c n tantl y di u d in relati n t food acces and 2009) rep rt that ocial upp01i is an imp Iiant determinant of h alth D r Indigenou pe ple. The patiicipant n t nly ha ve compl ex live and role that they are enacting n a dail y ba i , but they ha ve clear and c n tructive id ea for how ervice could be impro ed if they had the financial r ource t do so t be of grea ter ben efit to other . Participant re pect for one another, and the importance of relati onship , upp rted the findin g that the dynamics betw een people on the treet are an important consid eration when planning programming ( tone oup 201 0) and can be tron g, caring relations (Eikenbeny & Smith, 2005). The importance of relation hips for people who exp erience hom elessness in PG extend Masuda and Crabtree's findings of "paradoxi cal relation hips" w ithin the Downtown Eastside in Vancouver, to this northern city. D espite the negative associations at both location they are also able to find "acceptance, solidarity, and conununity" (Ma uda & Crabtree, 2010, p . 661). Food access, availability and use were not tand-alone issues in the li ves of the pa1iicipants but are connected to pow er, relationships and respect. Past research ha indicated that food is used as a tool for building relationships. For example, de Oliveira ( 1997) found that street youth in Brazil used gifts of food to foster relationships and create a ense of equality. Pmiicipants repmied saving food for others in E ikenberry and Smith' (2005) research. Thi supports the finding of other re earch in Canada which suggest that positive ocial relationships decrease severity of food insecurity ( ook, 2008). 115 Th e p ri nee of w men and akamot (20 14) that ho participat d in thi re arch support the finding by b riginal w men e peri ncing h m le ne with thew !fare f th r and t are deeply con erned k a 1 ader hip r le t a i t and care £1 r ther . tudi e £1 und that worn n were m re likely t including £1 llan and lien f hare re ource , d and w rk t geth r while on the tr et, a c mpar d to men (Tara uk et al , 2009) . plain that a ne e ary comp n nt f dec 1 nization are repre entati n akam to Aboriginal women in re earch which "h nour th (20 14, p . 5 ) and t f trength and agency of Aboriginal women" hatter th " ne-dimen ional " repre entati n of h m eles Ab ri ginal women. De pite facing ever chall enge including vi lence, exual a au lt, discrimination, and health problem the women in thi re arch were concerned about the well -being of others and the larger community. The women how how they valu e the peopl e they are interacting with, embracing roles as helpers. This serves to decolonize and destroy the "cunent discourses on homelessness [that] obscure, erase or ignore the agency of those who are homeless, resulting in services that can inadvertently imply to service users that they are helpl ess and reinforce feelings of grief, isolation and marginalization" (Allan & Sakamoto, 20 14, p. 77) . Many participants are presently active and interested in becoming engaged in the activities that are part of traditiona l food systems, such as sharing of food and cooperation. This is a mean of reclaiming the power and access to traditional food systems that colonization aimed to destroy. As part of this reclamation of pow er it is impo11ant that safe spaces for Two-Spirit and LGBTQ people are actively fostered, and to recognize that Two-Spirit peopl e held significant community positions in many Fir t Nations prior to colonization. So for example, women's groups shou ld be open to lesbian, bi sexual , transgend er women and Two-Spirit peopl e. 116 Indig n u fi but al r ignty i n t limit d t what fi d d are culti at d, cau ght and eaten, include who i perfotming th w rk and h w they d it. The r le of Indi gen us women pri r to c 1 nizati n wa n argu that w men wer di pla r ulti ati n and harv e t, but r y and Patel (20 15) d by c 1 nial agricultural practices that a crib d th e e rol e t m n. Martin (2 0 12) e plain that, "th g al f fi c rmnuniti e i t pro id a mean t e pre d and eating w ithin m any Abori ginal culture, uph ld cultural traditions, and trengthen cultural kn wledge ab ut thew rid '' (p. 2 11 ). The r lati on hip va lu e of caring, c re pect that parti ipant peration and p ke f and d m n trated through their acti on are also important facet of Indigen u fo od o ereignty ( M rri on 20 11 ; orthem Health , 20 12). The findin gs uppmi Eikenberry and mith' , (2 005 ) re arch that peopl e who are h meles may have a tr ng sense of community. The rol e of family wa a factor that shaped a desire fo r hea lthi er foo d that one wa abl e to procure oneself and to share with the community. imil ar to the Miewald and M cCann (2 014) article people sometimes received food from friend s or famil y m emb ers, and they also exchanged information. Participants described ho w personality conflicts, a negative atmosphere and unfair use of power were fa ctors that prevented or impeded acce to charitable foo d programs. On the other hand, access to food was enhanced by caring relatio nships, the genera ity of strangers, and a sense of being respected. Participants live in a 'whole system' perspective. During the interviews, community mapping and other discussions with pa1iicipants, and despite a line of qu estioning that was fo cused on food , the answers participants shared were about all a pects of life, because th e relationsrups are tightly coru1ected. To answer a qu esti on about food , pa1iicipant ometimes began speaking about their childhood, their current relati onship , and the place they live. This 117 ech a rep rt b th H alth went to peak with unci! f anada (20 11) wh re imilarly wh n th re earcher b riginal practiti n r and c mmunity m mb er ab ut matetnal and child health th di cu i n c ntr d n wid er i u ( 1 n, 201 2). In thi way, the participant implicitly d crib int rc nn cti n betwe n h alth in quitie , environment a being int rr lat d d t nninant W in tein, 200 ). Parke (2 11 ) pl ain fr m the natural n ironment. In the [! 11 wing highlight why th cial inequiti f h alth ciety and the natural el on, 20 12; Parke , anelli & cial in quiti are ften examined eparately cti n, findin g ar pre nt d and di cus ed that e p ri enced by parti cip ant need to be c n id ered within the context of the phy ical en ir run nt a w 11. 5.4 Street Food: Phy ical E nvironm ent , ea onality and R elation hips The pathw ay to food that are de crib ed in ection 5.2 are dynami c because they operate within a system that includ e the phy ical and ocial environm ent that con titute th e context in which participants live. The contextual elem ents and ystem dynami c th erefore pl ay a large role in the food security of the participants. To consider foo d ecurity and foo d choice without takin g into account the additiona l factors of social and physical environm ents would result in a limited understanding of the complex circumstances that the participants navigate throughout their live . 5.4.1 Downtown - "What am I doing here ? This is where I don 't belong" Story et al. 's (2008) ecological fram ework emphasises that foo d choice i shaped by the larger food system and the individual, social, physical and m ac ro levels of influence ( ee Figure 1, hapter 2). Story et al. 's (2008) description of the physica l rea lm i oriented toward the urban social environment, but fo r the purpo e of thi s research I ought to expand beyond thi to investigate how the uniqu e contex t of a city, the local clima te, weather, flora and fauna al o contributed to food choice as factors related to th physical environment. Thus th physical 118 n ironment includ th built en ir run nt, th natural en ironn1ent and th influ nee of weath r and climate, while al Th p n n taking int ace unt ocial relation hip . participant had in phy ica l pa t hi t rie and, in parti ular, th ir percepti n influence of the tting w re m ediat d by th participant I f h me. he phy ical nvir runent and cial r alm [! nned tting that mentally and phy ically could be either chaining or enl1an ing t th h mele parti ipant well -being and that c nnected t acce I to £ od and hap d the[! d y tern . For the majority of th particip ant the urban envirorun ent, particul arly downtown Prince George, wa a ociat d with di placem nt, exclu i n, and behav iour that were hannful to health and well-being. Downtown P i where the majority f food pr vider and ocial en tices are located o most participant fe lt they had to pend time downtown. However, at times participant also ought to e cape, avoid and were actively expell ed from the do wntown area. Limited transportation options excluded participant from accessing food and also concentrated people in the downtown core. Downtown was a place that participants associated with substance abuse, interpersonal conflict and violence. The climatic variation throu ghout the year compounded many of these challenges. In contrast, participant viewed the natural enviroru11ent as a source of health and well-being, throu gh healing, the provi sion of wild foods and medicine, periods of independence from social services and cmmections to home. The seasonal changes in the natural enviroru11ent were viewed in relationship to traditional foods and food related activities. For the parti cipants, the ability to prepare food was connected to housing. One participant alluded to the centrality of being able to cook when she described the shelter where she lived sayin g, " We have sa fety. We hav e our own kitchen" (Li a, Community Mapping) . The ability to 119 har £ od wa connect d t h m and ocial relati n hip with family and c mmuniti m participant the haring f £ d wa highly alu din th ir h me c mmunities, such as at a p tlatch. Pa11icipant d cribe h w ft n p or buying£ dt . For at. om pe pl li pl ar D reed t cho d in relati other findin g h It r wa b th a daily and e betw een paying their rent ly tabl alth ugh temp rary helters but£ r a nal tru ggle. m ng the participants with acce to co king facilitie ther w re oft n other barri r , in luding the frequency at which they m ved, th chall ng face mm dating e ery ne in community living, r unpredi ctability of what wa a ailable at the£ od bank that limit d their use f common cooking areas. orne participant went to food provider becau e th y enj oyed the company whil e there. For orne, choo ing not to stay in a helter wa th e prefeiTed housing option. As Mami e de cribed "The helter, it' a littl e depre sing taying there, because there' too much fi ghting, argue for food and tuff like that" (Mamie, interv iew) . Whil e women's only mea l and shelter have benefits they also separate hetero exual coupl es, crea te diffic ulti es for gender nonconforming and transgender people, and inhibit the ritual of eating to gether. For one couple, it became normalized to sleep outside together and get picked up by the police to spend a night in jail for trespassing rather than be separated. Not having one's own home was detlimental to family relationships. As one grandmother exp lained, "Miss my family, spendin g time with my kid s. 1 don' t do that anymore, cau e I've got no home" (Mamie, Community Mapping). Dean-"0", explained that the winter brings dramatic changes to his daily life and hou sing needs, which impacts his family : I usually sleep outside when it's warm enough, and when it's too co ld , it get too cold, I usually then, I start couch surfing with my family . And I don't really like to ask my family for help cause, like ah, ah, they're not much more better off than I am (Dean-"0", onununity Mapping). 120 me p P pl ar n t h u d th e pen n citiz n . The h iter and other e tended p riod of tim downt wn in a uniqu way compared t rest of the are located h re and pe pl who are h meles spend tre tin luding 1 pmg r ugh . n th The downt wn area i a phy ical etting wh re m any general publi c di f~ rent d th r p pl h ar h mele d auth rity fi gure . Thi pending on th circum tance f th per envirorun ent of d wnt wn P cia! interactions cur with the etting i va tl y n wh i pre ent in the et1ing. The physica l wa de crib d nega ti ely by participant . Li a expl ain ed that "downtown with 1 t of empty 1 t fill d with tra h. tra h, weed everyw here" (Li a, f park 1 t fill d with needl e and ommunity Mapping) . The va t maj orit y of em ergency food aid providers in PG are located in the downtown core. Whil e downtown was ge nerally accessible phy ically the act of going orb ing downtow n had negati ve con egu ence to m ental well -bein g. As one parti cipant explained, "Ju t rea l, real spirit and , and strength are titl ed fo r me" (Lisa, Community Mapping) . Living in an atmo sphere that pmiicipants viewed as negative had effect on indi vidual behavioural choices, resulting in different level of hann and patterns of consumption. For some it was increased consumption of junk food as Lisa explain , "Cause definit ely when I am in a downswing I make the wrong choices if they are avail able to me. I eat a whole bag of cookies instead of having some potatoes or something (laughs) " (Lisa, Interview) . The social services are located downtown so it draws a specific crow d to access them. Dean-"0" acknowledged that this crowd also influences hi s behaviour: I go out, I make about $30-$40 dollars a da y, and ah, it more than supplies us with what I need for ba ics, like to get smokes, or whatever, but it keeps me sober eh, cau e uh, I'm bu sy at, usuall y about six hours a day, I'm away from downtown . Cau e otherwise if I'm downtown I'm around where everybody' drinking and once that happen than I don't rea lly have to worry about food 121 becau e th g ernment gi rything up nth hill. Participant de rib d h w they t an-" " k effi rt t limit their including Dean-" ", "W g t t g t out f t town a littl way th y w n't b th r Dan 11 d actually giv m a b d and mmunity Mapping). u, eh " ( p n cau e that' wh re all the crazie are h? (Int rvi w). He e plained h w h tri off there' no u e t g t up utta an-" ", Intet iew) . plain d h w d wntow n "there' a 1 t f de pr know they won't 1 k at y ur eye , th y'll m ur t th e d wnt wn ar a, ed pe pi e. Y u kn ow . Y ou tl y 1 ok d wn at th id walk r w hatever " t c pe wi th the negative atm phere; "I ju st let it lid e t. If y u g t up et ab ut everything that happen d wn there yo u'd go cra zy" (Dan ell Interv i w). The negative el m nt of downtown includ e ph ysical vio lence. Zack elaborated on th e phy ical danger of the downtown environment by aying: Sometime peopl e cl ash, ar gue . Som etimes peopl e are strun g out, start arguing wi th taff so ..A lot of times yeah . om etime I just don't go there because I don't want to see people. Certain peopl e, whatever, at that point in tim e. ther time I j ust ay, 'Hey, I need to go'. Even if they are there. And even if something mi ght happen. Because I'm hungry Julia: Are there peopl e that are lookin g fo r a fi gh t with you? Zack: Y eah, with anybody reall y (Zack, Interview). M amie believed that it was not the people, so much as the essence of the pl ace that was problem atic. "No , I don't know how it is. It's just the spirit, I can fee l it. In the town, around thi People around ...It's evil downtown[ ...] Yeah, so I just eat my foo d as fa t I can and get out of there" (M amie, Interview). Although downtown is a place that Mamie and Zack both find negati ve, they feel they h ave little other choice than to go th ere for fi od . However Mary suggested how the situation could be ameliorated thro ugh enhanced social relation hips: Basically it just all comes down to ah, being abl e to , ah communicate to one another and respecting each other. Helping each other, lov ing one another, you know . If there was more love, like there should be more laughter[ ... ] the negative ah, wav that uh i around the bowl in Prince George would disintegrate all that positive calm would come m . But that's me (laughs ) (Mary, Interview). 122 H w p 1i nee with th urban n ir nrn nt w re n t uni er allyn gative, e pecially wh nth re were connection to natural n ir nment , whi hi the focu of ection 5.4.3. u 111 1017 andennark' (2007) tud y ral parti ip ant in thi r earch m nti n d feeling a en e of di plac m ent and n t-bel nging in th e c it n ir mnent. tory et al. (2008) explain how th phy ical, ocial and indi idual en ir nrn nt interact t influ ence D od ch ice. In thi ca e, the phy ical en ir nrnent helt r b ing hou f pa11icipan t are frequently chan ging a they move between d , and 1 eping r ugh, and the finding indi ca te that D od acce s shift as th e physical environment hift , but that, at tim e , th e s cial env ir nn1 ent ha greater influ ence on fi od choice than the phy ical environm ent. Participant de cribed downtown a a place that ha an array of i ues from negati ve ae thetics to phy ical vio lence and the e are impo11ant influence on food acce . Northern Health acknowledges that, "There are important social , cultural and enviro nmental dim ensions to all stages of the food chain and each has the potential to support or undermin e individual , community and cultural health" (20 12, p. 11 ). The negative atmosphere led to decreased social interaction, which is clearly a detriment to pm1icipants (See Section 5.3.1.). The participant experiences of a negative atmosphere downtown reflects what Friel et al. (20 11) describe as "systemically unequal distributions in pow er, pre tige and resources associated with relative position in the social hierarchy whether at an individual or group level" (p. 864) . Thus other people do not face the same physical and mental challenges that homeles people do when downtown, which is another way in which the same physical settings has a unique influence on different people. 123 pe pl ha e b ar n 1 ng r able t a pe pl ar di plac d th gr und n c n ider d di plac d p e ple (Murphy & traditi nal [! obin, 20 11 ). When d , hunting or fi hing and th yare oft n fore d int m re marginal area and thr ugh thi th y have exp rience d wnt wn that th r d n t. together to influen t d, health and Lh dli T'enn hand ther ir t c n equence D r D d Poland and D cial, phy ical and cultural dynamics interact h 11 -b ing. ati n p opl e in reed di plac m nt i what anada. Thi i an envir 11111ental inju tice with curity and h alth equit (Ma uda ri cuned with the rabtree, 20 10) . (20 10) ugg t that using a etting approach in publi c hea lth hould include working n the peopl e and the tting, und er tanding local context and working collaboratively. The participant in thi re earch intuitively identified with this recomm endation , and the finding how how th phy ical etting and ocial a pect are connected within the participant ' live 5.4.2 Tran sportation - "Walk, walk, walk, carry, carry, carry" The significance of the downtown core was likely du e in part to the fact that the participants had few options for leaving downtown. Transportation was a serious concern held by all the participants and was especially prominent during the community mapping . Transportation is the way in which people are able to move thou gh physical environments, it can allow them to control where they are, and without transportation people become contained in an environment. This can greatly influence how a person experiences the setting they are in. As established in Section 5.2. 1, people who are homeless in PG have a wide variety of strategies they use to obtain food, and these necessitate travel throu ghout the city. Transpmiation strongly influenced where participants lived and if, and how , they accessed food aid . 124 F r many participant th tim p nt in tran it, wheth r walking ron th bu , i exce iv , ometime requiring th m to p nd all day tra acce v ral m al a day. Participant all t lling betw een tra tim b cau rv1ce m rd r to th y have to mrive in advance to av id line and to btain [i od bet re it i all di tribut d. imited tran p rtati n ption ex a rbated the hall ng f bringing D d t their h m with heav y 1 ad fr m the [! or heltcr . Pm1icipant had difficulty d bank, r bu ying gr c rie , e peciall y those with phy ical limitati n , [! und th y had diffi ulty wa lking t ervice . Li a expl ained that to be homeless and acce ing food mean a p rp tual cycle of "walk, walk, walk, carry, carTy, carry " (Lisa, Community Mapping) . ome peopl e went through a great deal of tro uble to get to fo od provid er but it did not guarantee t od would be acce ibl e, and participant explain ed being turned aw ay when charities ran out of food to di tribute. haron de cribed the tep he took to acce the food bank, including orne of the point of diffi culty and the resulting consequ ences; You have to have to pa ck your bag and go do wn to the shelter to get bu s ti ckets, sometimes they don't beli eve you[ ... ]. Older peopl e, see th em all the tim e. There should be a shuttle bus or something. To go up there, once a week or tw ice a week (to the food bank) . Just m eet at a cer1ain spot and go up ... Cancell ed appointm ents because of that. Because I don't have no rid e to get up there (Sharon, Interview) Dean-"0" described how binning is easiest in the summ er wi th a bicycle, and more chall enging in the winter hauling fro zen bottl es. However, with limitations on bringing bikes and bags insid e various locations, the cyclist was unable to keep the bike in his possession for very long, and this non-food related regulation ended up influencing his foo d access . Feeling safe while walking on the streets was a transpm1ati on concem year round . Peop le felt vulnerable because of unmarked crosswalk , dangerous and disrespectfu l drivers and ti cketing campaigns against jay-wa lkin g th at th ey fe lt targeted them . "You can try and walk across the crosswalk , you can be halfway across it, and somebody want to, that' s dri\ ing, the) 125 h ju t pull ut ri ght in front of u" (Darrell , Int rview) . Ther w a ome e a p ration am ng the particip ant wh th ught that th cr for the anad a Winter am walk w uld be repaint d and n t becau e f th dang r t citizen , e peciall y th e who are Tran p rtati n in th win ter wa m r dibl y limiting [! r particip ant who are old er or ha e ph i allimitati n , and [! r h m phy ical inj urie and accident are c mm n. During winter, it wa hard to get up and d wn hill that un und d wnt wn, re ulting in mi eI appointment and i lation. Anne tated, "t u e a cane, and using a walker and a wh elchair was impo ibl e in fi e feet f now" (Anne, ommunity m apping). Li a lam en ted, " o many peopl e were falling and hurting th m el e . Y ah, e peciall y old er people. And yea h, it' just not cleared, it' reall y hard to go out ide becau e you are o cared yo u are going to fa ll and hurt yourself ' (Li a, Community Mapping). lack of now clearing and the ub equ ent risk of injury to pedestrians wa something that the participants fo und disrespectfu l. Discussion The findings resonate with the findings that transportation was a significant obstacle in being able to access the food (and services) needed by peopl e who are hom eless or low income (Cannuscio, W eiss & Asch , 2010 ; The Stone oup Project, 20 10). Participants in previous research who lived in large metropolitan cities with more transportation options a! o found that travelling to different services was a large impediment and a time consuming venture (Eikenberry & Smith, 2005; Mi ewald & Centre fo r Sustainable C01rununity Development, 2009; Tarasuk et al. , 2009). Dixon et al. (2007) explain that access to food can increase dramatically with access to a vehicle. Pati icipants in thi re earch suggested they would benefit greatly from shuttle bus services, an approach whi ch is already being trialed in low income communities in other cities (Story et al. , 2008). 126 Phy icallimitati n in luding tran p rtati n ha £ r enior itizen , and p e ple wh ar di abled ( been h wn t af.G ct di tary pattern k, 200 ; Miewald & 01rununity De el pm ent, 2009). Regul ar and r liabl e ac e t many comm nly pre crib d m di ati n £ r lder indi idu al upp ed t be tak n De lopment 2009). ith £ d An empl yee of a becau k, 200 ; M iewald 1 1c p ro id r in P ntr £ r u tainable m al i al o important becau e r pe ple living with HIV are ntre £ r u tainable e pl ained h w p mnmunity pl e hould n t g hungry th y could g t three meal a day th ugh the ervice provid er (M all am , 2014 ). imilar to other tudi e , participant in thi re earch de crib ed m ving from ne ervice provider to anoth er throughout the day, creating rout that peopl e fo llow ( loke, May, & John on, 2008 ; Mi ewa ld & McCann, 2014 ). Thi impact health and well-being when people are con trained to an atmosphere they ma y find unplea ant or where they engage in self- de tructive behavio urs and it leaves little time for peopl e to pursue anything else (Mi ewald & Centre fo r Sustainabl e Cmnmunity Development, 2009). DeVerteuil and Wilton (2009) describe thi s as creation of sp aces of "abeyance" to regulate where peopl e who are homeless travel which creates contradictory spaces that people depend on although they di like the restriction . Research on food dese1is often considers how far p eopl e must travel to purchase food and the ease with which they are abl e to transpmi food (Larsen & G illiland , 2008). Geo graphic location is more problem atic when access to transpmia tion is limited (Jaio, 20 12; Larsen & Gilliland, 200 8). Thus people who are well off but live fa r away from grocery stores are not usually considered to be at risk of food insecurity because they can drive to acces food . Food deserts are measured using a one kilom etre wa lk or a ten minute bus ride combined with a 500 m etre walk. if the trip to a grocery store exceeds these limits it is con idered problemati c for food 127 ace ( ar n & illiland 200 ). kilometre walk wi th h av gr n n if fl d i a ailabl within a hort r di tance, a n , in th wint r, fl r an elderly, di abl ed h mel ss per on i an enorm u barri er t food acce The e p eri nc f the e Prince that peopl wh are hom 1 rge parti cip ant r inti rc finding in ther tudies pend much f th day walking from one pl ace t an ther and trat gicall y purcha e li ghter fo d in rd r t tra n p rt them m r ea ily (The tone oup Proj ect 201 0) . were limiting fa a nalit wa a! imp rtant t tran p rtati n, becau e the c ld , ice and snow t acce ing fo od. Th finding carry impli cati n for tory et al. ' (2 008) framework of food choice, including th value f ex panding the environm ental ection to con ider the ea onal dim n ion . 5.4.3 N atural E n vironm ents and Well-b eing- "Look at th e birds and it 's like I'm h om e" Whereas participant a ociated the urb an ( e peciall y downtown) environment with certain moods and states of being, nature was id entified as a source of healing and in piration . This sense of wellness came from spending time in nature, as well as thro ugh the benefits of food related activities such as gardening or hunting. The participants recognized the effect of the natural world on their well-being and acti vely ought it out to improve their mental state. As Mary describes, "If I'm reall y, really upset then I go for a walk. I grab th e dog and go for a wa lk. Look at the scenery. Look at flow ers, looks at the sky, look at birds and then it's like I am back home" (Mary, Interview) . As Mami e explained : Where they have those little walking paths, I go through there, tho e tree . I walk through there and I feel so calm. And my spirit feels awesom e. I don't know how to describe it. I just walk throu gh there and I just feel o calm. And I think abou t home. To me I don't know about others, but to me if I feel depres ed or hurt or something, I ju t, ven if I go through the park I just w alk through the park and it does omething to my spirit. I feel better (Mami e, Interview). 128 Mary and Mami both and conn ct itt their hildh th ir time in nature a being r ju d h me . W 11-being c m outd or a ti iti e , and pa1iicipant i w a ti iti e fr m b ut f d nating during l w p int ommg ngag d with h alth y. B ing abl t pro id [! r on elf thr ugh h m gardening i a pa time that i mis ed by eral p arti ipant . Li a u e gardening, in pa1i, a a pr engaging in nega ti ource of m dicin , [! entati ve m ea ure t keep fr m b havi ur . Thu the na tural w rld ha man y r le .G r the participant a a d, tranquil ity and en e f h me. Living in the urb an en ir nment r the natural nvir nment wa n t necessarily con idered mutu ally clu ive by particip ant . Thi wa fac ilitated by ome avail ability of food within the city limit e peciall y berry bu he and place to fi h. orn e parti cipant fe lt c ntent to live in the city, and did not think it limited their acce to traditional foo d or medi cines. Durin g her interv iew M elody hared that she had know ledge of the u e and preparation of traditi onal medicines. When I asked if it was diffi cult to be able to get out on th e land in order to retrieve materials she would need, she explained how she was on her land already and she could count on the river to supply her with what she required. At least one foo d p rovider is provi ding opportunities for homeless people to get out on the land by ho ting fie ldtrips co llecting traditional fo ods and medicines, such a berry picking, sage picking, salmon canning and salmon fi shing. Discussion There is a large body of literature which has found that there are positive benefits from spending time in nature (Grose, 201 0; M all er, Townsend , Pryor, Brown, & St Leger, 2005; N 01ihe1n Health et al. , 20 12; Townsend & W eeras uri ya, 20 10) . Approache uch as wildemes therapy have been benefi cial for at-risk population in the pas t, and are connected to outcomes such as spiritual and psychological hea lth (Largo-Wri ght, 20 11 ). As pmiicipants seek out conta 't 129 with natur in ord r t impr th ir m d aid 1c 1 me rp rating e po ure to nature int pr gralTilnmg. c uld p t ntially b me place ha ve att mpt d t do thi rt f acti ity encourag through urban agriculture pr gram . Thi nhanc d by healthy eating, gentl i e and community r lati on hip . Th conn (Kirmay r, 1mp tion b tween land and h alth i particul arly tr ng for Indi genous p n, & arg , 200 ; Riehm nd R , 200 ; Wil pl n, 2003). N rthem Health (20 12b) rec gmze the importance f th e e c nnecti n , which have been outlined in their po ition pap r n the E m •ironm nt a a on text for Hea lth . urther ugge tions includ e ervmg traditional food in ho pital a "a way£ r b ri gin al and non-Abori ginal peopl e to reconnect with the land or eco y tem, tradition and community. Thi connecti on m ay help to heal individuals communiti e and the environment " orthern H ealth, 20 12, p. 7). Th at the homele s participant felt at 'home' when in nature i al o important to con id er from the perspective of shelter design, supportive housing design and a health context of providing and access in g food . These initiatives may fo cus on accessibility to service providers and transit routes but the findings suggest that a fo cu s on natural setting would also be very benefi cial. Thi idea resembles past efforts to locate hospitals in areas of abundant nature in ord er to faci litate health (Northern Health, 201 2). Promoting access to wild foo ds, cultiva ting and tewarding natural settings that are a source of food will enable participants to have greater access to food they feel are healthy. This could simultaneously contribute to improving the mental health and well-being related conditions that can impede access to food fo r the pati icipants. The interest pmiicipants expressed in undertaking outdoors activity, the connections parti cipants mad e betw een being in nature and positive experience , and th negative connotations with being in the downtown core all suppoti La rgo-Wights' claims that natural 130 tting enhanc and pr m t h alth, whil etting v id f natural 1 ment can have detrimental h alth con equ nee (20 11 ). Larg -Wight (20 11) hav implicati n t h alth beyond direct e p plain h w built environment ure t c ntaminant . H we r, built envir nment can b impr v d by incr a d "availability f h althy ch 1ce , afety, mix d de igned land-u e, en 1rorun ntal u tainability and t ward hip and th e pp rtunity for nature contact" (Largo-Wight, 20 11 , p . 42) . Participant in thi tud y e pre d h w park and trail through natural areas were re torative forth m, e en if th y w r n tabl e t leav the city. lntere tingly th se re ult differ from there ult of Ma uda and rabtr (20 10), wh b und that, for pm1icipant in their research, the ocial a pect that came from park a place t gather with others was the primary value of the park. The natural , 'green' element of the park participant in the DTES in Ma uda and rabtree' eemed to have less valu e to (20 10) re earch, compared to the parti cipant in this research who needed the olitude of green paces. This could perhaps be attributed to the differences betw een population living in large m etropolitan areas compared to the small er northern city. However, group pa11i cipation in environn1ental activitie can enhance connectedness between participants (Townsend, 2011, p. 111 ). This is important as participant also emphasized the importance of relationships and positive social interactions to their overall well-being. Pa11icipants desired more than 'green spaces' within the city but also contact with nature beyond the city. Townsend and Weerasriya de cribe this as wild nature, "nature in an environment that develop s spontaneously and can be maintained with minimal management (natural rivers, marshy woodlands)" (201 0, p. 3). In this research, pm1icipants id entifi ed setting that were draining (downtown) and enl1ancing (being in nature) as integral to their mood and outlook on life with r percussion 131 ranging fr m hunger to i lence, and incarc ration. tory t al. (200 ) do ace unt £ r influ enc anti cipat d the ec logical fram work of n D d ch i e fairly well. rep 11ed h re ugg t h wev r, the framew rk h uld b natural en iromn nt and included int a nality. 1 ment pand d t includ acce s t the f the natural nvironment that could b u efully tory et al.' fram w rk include lim at , w ather, ace medicinal plant , local a ailability, the finding o y tem , and to land , edibl e plants, a nality. The en ir nment i m r than a ource f hazard D r th e participant . The participants' strong de ire to eek out natural pace when they were feeling 1 w and the trength they drew from their time in nature r onat with a m re holi tic und erstanding of the natural environm ent as a source of w llbeing and healing (Parke , 20 11 ). The e findings also highlight the valu e of including eco y tern more explicitly within healthy ettin g approache (Parke & Horwitz, 2009), and a more explicit recognition of the natural environment a a co ntext for health (Northern Health, 2012). Interrelation hips are of utmost importance to a holistic und erstanding of food systems. 5.5 Indigenous Food Systems: Multiple Environments and a (Re)Emergent Food System - "It's not just about food , it' s everything that goes with it" The quote included in the title of this section echoes the title of the Stone Soup report from 20 10. As the participants described, food is impacted by, and impacts, many different areas of life and is a good place to stm1 to improve health and well-being holistically. In her dream for the future, Anne touched on the interconnections between food, culture and community health and well-being: M y dream is actually .. .. m y family has, uh, doe a lot of hunting and fi hing, annnnd (1 5:22) .. ..they can share their dry meat, their moose meat, their dry almon, and betw een the people on my rez bac k home. Ammd they have the old potlatch ystem . And they also have the old Indi an M edic ine w hich, they've tried to get me on but..um. I love fi shing, I 132 v berry picking, and I lo e ha ing a gard n. I u mmunity Mapping) d to ha a garden (Anne Mo t participant e pre d h w th y th ught 'the ld w ay ' (hunting fi hing, mall cal e farming) of btaining t d w re m r healthful t r p her childh pi and the envir nm nt. In refl ecting on d Li a e plained h w th r wer c nn cti n b tween h er[! o d, famil y life and Indi gen u cultur and expl ained it wa c01mecti n and an envir nmental c n n ir nmentall y u tainabl e and h ealthy. These m w r ech d by M amie: urture the dream, th at' wh ere I m from , bet re I nd up n th e treet. I'm going home, li ing th way I u d t , workin g. I like to w rk. Hiking, I like to hike. I get m y own food that way . It' cl an, it' n t chemi cal mix like w hat we bu y in the tore ri ght now . Camping, I lov camping, and I 1 ve trapping. In the w inter I do that a lot. I used t 'til I end up out here tu c k. Fi bing, I do th at a lot. uiding. I love guidin g. Taking out hunter . And picking berri and liv ing off th e land . That' wa bet! re I end up on the street. I done all that and I mi it a lot" (M ami e, ommunity M apping). A participant who w a abl e to acce traditi onal m edi cines reported th at they h elped her immensely. Another participant compl ain ed about barri er to acces ing traditi onal medi cines b ecau se of their monetary value within alternative m edicine and contradictorily their devaluation within W estem m edi cine. M any p articipants also expressed con cem s about the ways that animals and plants are raised in industrial agriculture and the human health con sequences they beli eve resu lt from consumption of such foo d, "W ell look how bi g all the kids are these days . It's from the all the steroids in the chicken and the m eat because they want it to grow super fast.. . From eating so much meat! It's so pumped up with chemi ca ls, it's te rribl e" (Me lody, Community Mapping) . Some p eopl e contrasted this with how they grew up hunting, growing and harve ting food, "G row ing things is really what I miss, a lot. Like yo u say withou t all the processing and chemi cals" (Lisa, ommunity M apping) . T hey expl a ined the many way of pre erving and storing food naturally. 133 aring fl r th nvir nm nt and caring fl r p pl and the h alth f b th wa c nn ct d. Mamie recall d h w he had n e taken the initiat to pr vide [i een as d for others while w rking a a hunting guid : Th part that I r ally didn't like ab ut that i um, taking out hunter they ju t take a tr phy and they l ave th m at. Ah, th y ju t take ff the kin and h rn and tuff like that. ... Like then t hunt, th n t day we tell th m we want the m eat. Y u guy g t th e plane, we took all them at and bring it t ur p t and p a it ut t all the ld ers there. o they did! Till the hunting ea n cl ed. W e out there fl ur month (Mamie, Interview). Mami fllt a re pon ibility to n t wa te the meat, and the them e f taking nly what ne needed from nature wa al ech ed in her tat m ents ab ut her trapline and ga rd ning, with the ugge tion that thi left healthier and m re u tainabl e environments. People thought that traditi nal fl od were n t onl y better ta ting and hea lthi er but were also a manner in which to connect with their culture. I a ked one participant if having traditional food would influence h r attendance at certain ervice provid er , to which he replied , "Probably, becau e I would , I'm working on gettin g back in touch with my cu lture. My heritage, urn, like ah, the, the food part of it. Like at potlatches. I haven't gone to a potlatch yet and that i just one thing that I am working on. I got to get there, I will. " (Mary, Interview) . Participants became empowered and engaged when they were actively involved in food citizenship activities. Participants expressed a desire to garden and over the course of the smnmer some participants did become quite active with gardening. Fm1hennore the pa11icipant were sharing the food they grew with the shelter where they lived, and it was subsequently used in the preparation of mea ls. Pat1icipants also had suggestions for ways to become involved in the food ystem, ranging from urban agriculture, to Dean-"0"' sugge tions about a coupon ystem where people co uld redeem coupon for "real mea l " at re taw·ants, "So it orta made you a bit more, ah, acti\ e 134 in what y u're eating during th da y in t ad of ju t getting what II II r th y give y u ri ght?" (Dean- ommunity M apping) . M ary xpl ain d even if pa11icip ating in thi re earch i a mall tep and he ca n help ther to have better ac e to :D d he thi nk that i imp rtant and w 11hwhil e. " t lea t I'll ha e left eed for omeb dy 1 e to c m al ng and pick up that ed" (M ary , Intervi w). By joining in thi re earch, the parti cipant w r bee ming invol ed in the po litic de c1ibed d irabl e di t a tho f food. They which includ e traditi nal D d and wild m at , whi ch are prioritizing local fo d y tern , eating m re who! D d and le pr ce sed D ods, avo iding m at raised in confw d animal feeding peration , and D !l owing ea nal trend in avail ability. Di cu ion The participant in thi re earch live in both world , the We te111 and the Indigenous, and thi is the complexity of the era we live in. W hile participant aw things as hou ing in the ci ty and fm ancial resources as potenti al solutions to orn e of th e chall enges they fa ced, th ese were not end goals that were necessarily held by everyone. Proposing onl y solutions that promote W este111 ways of living and being is not only culturall y insensitive but tum a blind eye to the valu e and richness of alternative ways of being. For example, pm1icipants spoke of acces ing traditional m edicines when asked about food. Within m any Aboriginal cultures food and m edicine are not as distinct as within Western medicine (Earle, 20 13) . Suppo11ing and respecting Indi genous food systems is a way to decolonize (M oni son, 2011 ) and traditional food s often fonn ed the basis of an econom y that was not an anged around money (Earle, 2013 ). mpowennent, relationship and cultural connection were imp011ant themes that emerged from the re ults. From survivors, to lifelong learn ers, there wa a trend of empowen11ent. For p arti cipants actively seeking to connect with their culture, th re was know ledge renewa L and to relationship of caring b tween individuals experi encing homele . ncs , there wa renewa l of 135 relation hip . The are important th m in th Indigen u .D d ereignty model of lli tt et al. (20 12) r quired t incr a e traditi nal .D d a ce . The M ntreal ta k.D rce ( d crib e c mprehen i e .D m ething w hi h incl ud d cmi ty a ducation and ocial ecuri ty (R ck, 2 0 ). Th ey d "r p ct regi nal dynami c and di ffe rence " (R e agriculture, h alth, rib d h w agri c ultural p licie k, 2006, p . 3 7) . hi hapt r 2) hould ould b both ecolo gicall y and ulturally m ore appr pria t and imp rtant .D r a north en1l ca ti on lik Prince eorg to enc urage 1 cal .D When d ribing .D d produ cti n and c n u mpti n. d acce , p311icipant production, cultiv ation and harv ting of th eir .D di ets and a de ire for more diver e .D pok of a d ire to be acti ve ly engaged in th e d . Par1icip ant poke of th e m no tony of their d offering w hi ch could upp ort biodiver ity w hich align w ith practice in lndigenou food y tem and Indigenou Food overeignty. There was a sense of di connection from the way they felt th ey should be li ving. M amie connected this shi ft to urb an li ving and a W estern di et w ith poor health and w ith indu tri al agriculture where consum ers are removed from their food system . P eople wanted to acce s culturall y appropriate services, beyond food, including healing circles. In a review of traditio nal A borigina l diets and health, Lynda E arl e writes that "It may be impossible or even und esirabl e to define the comp lex nutrition al benefits of traditional food s separately fro m the health benefits of traditional food system s" (201 3, p . 3). Food system s should be a refl ecti on of th e local context in keep ing with priorities for other health care and health promotion program s (W orld Health Organization (WHO), Health and W ellness anada, & C anadian Publi c Health Associati on, 1986) . The authors Weiler et al. (2014), asser1 that "meaningfull y bringing food sovereignty principl to bear on health equity research and practice non etheles offers transform ati ve p otential in realizing health equity 136 tlu·ough the .D desir d y t m" (p.2). In thi re ar h, the cultural backgr und and the pecific of the pa1ii ipant illu trate th imp rtanc and utility of an Indig nou food over ignty framew rk. An Indigen u .D a d ereignty framework i r ea onality and the a ailabilit of c untry .D andre pect are encap ulat d in thi appr ach addre e c mpl d a well a th i ue of pow r, relation hip hich i critical of cial pr ce es and which al o ity and int rc nnectedne . Ther were many way in which .D od and health w re interconn cted, and .D thi t d in place, and the factors uch d ereignty may help improve health equity for the participant in tudy. The theme rele ant t Indig nou food sovereignty that emerged from the fmdings resonate with idea of food overeignty and traditional food availability that were di cus ed in the tone Soup recommendation (20 10). The framework of Indigenou food sovereignty hould be advocated and adopted by organizations providing food charity. This i because Indi genous food sovereignty frameworks regard food as a sacred gift and the ri ght to food i an inh erent element of this. Indigenous food sovereignty requires peopl e active] y participate as food citizens, it promotes self-detennination and non-reliance on corporately controll ed food, and also the movement works to reconcile colonial laws and processes with Indigenou food and cultural values (Morrison, 20 11 ). Indi genous food sovereignty fosters relationships, belonging and sustainability, encourages re-skilling, connects people to the land, fights against the capitalist model of food production and distribution, and thus directly confronts many of the issues that emerged in thi research as paramount to participants. Grey and Patel (20 15) explain that many lndigenou food cultures involve "environmental maintenance activities" (p . 9) . While being careful not to feti shize and commoditize traditional or country foods , ea ting local foods from well-managed 137 fo d y t m i a u tainable way of ating. benefit a lli tt et al. (20 12) de crib th nvironmental c iat d with traditi nal [i od y t m , '' traditi nal kn wl edge practices are clo ely linked to environm ntal tew ard hip tating th at it c uld h lp pr tecting b d urce fr m mi manag m ent, ver-e tracti n , and p llution" (p . ). During di cu ion ar und fo d, the pa11icipant v ic d c nc rns about m ental-health, well-being and ub tance u e, and di onn cti n fr m tra diti onal way f being. A awn MOITi on (2 0 11) e pl ained ".G r m ntal health, biol gical and nutriti nal m echani m m ay be in eparabl e from the ultural and ocial a p ect of traditi onal li b tyle " (p. 4). Th e Stand ard Ameri can Diet di place Indi genou way f being that devo ted large p rtions of tim e to food related acti vitie . When b th the nutriti onal and oc ial-cultural elem ent of Indi genous food ways are removed from the live of Indigenou peopl e, th ey ex peri ence poor health and well -being. The con equ ences of thi are compounded fo r peo pl e ex peri encing hom ele sness because decisions around what food is erved through foo d charit y, w hen, and und er whi ch cond ition 1s presentl y beyond their control. The participants who were growing their ow n foo d at the community garden and supplying their shelter kitchen with produce felt empowered by thi s because the conditions of mutual respect and collaborati on were m et (Dickinson, 1999). Several participants either presently were, or had at other times in their lives, grown, hunted, fis hed and foraged their own food . That people were provided food that was highly processed and largely unlike food they would be able to produce for themselves, peopl e become "di tanced" from their food, as argued by Riches (1999) . The findings of this research, regarding the food kill s and know ledge of the participants supp01i calls to challenge and counter the attitude that peop le who are economically di advantaged are also ignorant of food preparation and nutrition knowledge. The e finding and 138 th n ti n that p me fl ple h uld ha d charitie (Mi wald ch i e in what they c n um are b ginning t re nate am ng M e ann, 20 14). 5.6 Conclusion Thi chapt r pr nt d th finding and di cu and fo d quantity fl r p ople e peri ncing h m le n ocial and phy ical en irorun nt. In th n addre n un unding ~ d acce , fo d quality in P , a well a the influ ence of the t cha1 ter, th r ult are yn the ized to fl nnall y the re earch qu e ti n and the finding and di cu si n are built up n into a et of recommendation for fl d pr id r and g vernment . 139 HAPT R6 : ON L 10 hi fin al hapter f the the i b gm with an th y r lat t each f th re arch g al . hi i in ight ar a ~ 11 f future re earch and implicati n . pro ide a et f r c rmnend ati n . La tl , I pr p er 1ew f the r arch contributions a w d by di cu i n f the m eth d logical ft rward , I detail th f future r tudy limitation and I arch and c nclud e th the i with a bri ef fin al tat m nt. 6.1 Research overview and contribution s to th e Research Qu estion s Thi Prince tud y ha expl r d the ~ eorge, B f individu al experiencin g h m ele ne s m d y t m and the related imp ac t on hea lth and well-being a described by the re earch participant . The food y tem include th e ea nal dynamic of availability, acce and use, a well as the physical , social and cultural environment of theca e tud y of P . This research draws on the theoretical orientati on of critical ocial theory. A explain ed in Chapter 2, critical social theory aims to expose the m eans through w hich power and oppression operate within society. I drew on literature concerning homelessne , food i sues, health , and the connections to physical, social and cultural environments. This re earch u ed aspects of ethnography and ca e stud y m ethodologies with modified community mapping in ord er to explore the foo d system of the participants. The fl exibility of this research design enabl ed the participants to creatively explore and express the food related issues, challenges and successes that were most pertinent to their lives. A focus group after the community m apping and su b equent interviews with parti cipants revealed a dynamic and complex fo od ystem which requires a holi tic approach to improve and enhance health and well -bein g in the m yriad of way they are interconn cted to food through social and physical environm ents, and through the mind, body and spirit. The Research Qu e ti ons introdu ced in hapter 1 are as follows : 140 • • • 1: What ar th e rge, and b ing? II: e th fi d tern and fi d curi ty f h m le p ple diffi r throu gh ut th y ar. What ace unt fi r th imilariti e r diffi renee ? III: In regard t th fo d y t m , hat d pe pi e e p riencing h m le ne ee as p iti e, and what chang d p pi e d ir . What d e thi ugge t in te1m f pr gramming and p !icy d el pment . In thi ne t ecti n the tud y finding begim1ing with R earch • ple wh are hom 1 in Prine p n nee n their health and w 11- p n nc hat ar th p rc 1 u ti n I ( re re i ited in relation t the re earch qu esti on , hapter 1 fi r the bj ctive ). Re earch Que tion 1: What are th e perience w ith fo d ecurity of peopl e who are hom ele in Prince e rge, and what are th perceived ffec t of the e experi ences on their health and well -b ing? According to definiti n provi ded and literature reviewed in thi s th e is, the participant m th1s study were found to be highl y foo d in ecure. Parti cip ant frequentl y have to make use of a . wide variety of pathways to acce foo d, however many of these pathways are neither reliabl e nor socially acceptable (Mi ewald & M cCann, 20 14; T ara uk et a!. , 2008 ). Access to foo d wa found to be highl y influenced by social relation hips, physical setting and seasonality. Relationships and social netw orks were very important to the parti cipants (Allan & Sakamoto, 2014; B ar-on, 1997; Makiw ane et al. , 2010). When the participants are able to access fo od, it is often of poor quality and/or insufficient quantity. The pa11icipants connect the food they are eating with poor outcomes t egarding health and well-being. Furthermore, participants describe the foo d as monotonous, a lacking in sufficient amounts of culturally appropriate foods, and they were concerned with fi od safety. The current food system is not meeting the right to food for patiicipants. In thi research Indigenous people were found to be provided food that is cultu ra ll y inappropriate and damaging to their health evidenced by the high rates of diabete , obesity, hypertens ion and heart disease among Indigenou peopl e who con urn imilar diets (Na bhan, 20 13). Providing the tandard 14 1 Am n an it al Cl t att mpt p ntributing t p Thi re arch ha ntri uted t ing the kn d during tim ne £ d (Mi ald a ulturate p r h alth and c pl and n premature death. 1 dg gap r und h w pe ple arc n ha e f ari ety fw ays t ace Me ann, .... 14: ara uk et al., 2 0 b) . H we er, unlike ther tudi e parti ipant w re fi und t pr cure fi impact the I el f ~ awarene t he findin g w re UJP rt d by th e re ult hi h fi und pe pl e p n en mg h mel ther • hi h d minant h i all r pr ing fi ace ) i a mann r m 1 t d d fr m the natural en ir nm nt. Thi wa n t fi und t urit but i tmp rt nt in term f great diffi r n m ea nal fi f cultural und er tanding and an d a ail abillty p tenti al and life tyle. d y tern and fi d ecurity f h melc through ut th year? Wh at ace unt fi r the imil ariti e or difference ? Re earch Qu e tion II: pc pi e differ The fo d y tern doe di ffer thr ugh ut the year, however th e parti cipant remained fi d in eeure thr ughout the year de pite th e difference . ln regard to the fo d ys tem, wild food acce i increa ed throu gh th e warmer month , and during thi tim there are donati on of fre h produce made to charitable food prov id er . orn e participant b..,come engaged in community gard ening during the warmer month . ln orn e contra t to traditional food ys tem of the region, the participant were abl e to obtain food with the mo t ease during th e ummer month . The summer was al o a time of increased ind epend ence. Food acce wa re tricted in the win ter due to decrea ed avail ability of wild food , fre h cultivated foo d , increa ed tran portation chall enge and an inability to tore or preserve food. Parti cipant b lie there are increa 'e m donati ons to charitabl e food provider around holid ay , e pccia ll y hri tma ' . However, the participant repo1i the e peak are foll owed by peri od. of . carci ty. ModeL of food choices and of etting for health would b nefit by taking into co nsidera tion the natura l environment and th, cultural contex t of that environm ent. ModeL need to be responsive to seasonal it and the 142 differ nt way in whi h etting chang c proc dur • do ha li ally. lth ugh th y ar n t tati c, p licy and a t nd ency t appl br adl and fail t account[! r nuance . Re earch Qu e tion III: In regard t th [! d y t m , what do p pi e e p riencing h m el ne a p 1t1 , and what cha ng d p pl de ir ? What does thi ugge t in t nn f pr granuning and p licy devel pm nt? The parti ipant th ught that ha ing m rem very po itiv change. M were very D nd f th m nt in th ir D d y tern would be a t participant had e penenc wi th gardening, hunting, fi shing and acti iti . M any participant v iced h w traditional D d y tern w r much healthier than the indu tri al D d y tern ( e hapter 2). Where p or fi sh, there are bureaucrati c re tri cti n on thi behaviour ple wo uld like to hunt that peopl e have to modify th eir behaviour away from traditional life tyles to urvive. Regu lati on al o m eans th at peopl e have a more diffi cult time acce ing traditional m dicine becau e th ey are not within the rea lm of knowledge of mo t W e tern practition r . The incentive to pre cribe may not ex i t and an atmosphere of litigation could al o influence willingness to di stribute them . Participants thought that sharing food and increasing accessibility of foo d aid generally, and traditional fo od specificall y (including traditional medi cines), would be very positive. Generally, the participants found that times when wild foo ds, especiall y wi ld meat, were avail able at em ergency food providers to be the most positive a pect of charitable food assistance. Participants desire increased access to traditional foo ds, which are intimately connected to seasonal trends. In te1ms of programn1ing and policy development, the stud y highli ghted that the phy ical environment and culture are very important to consider when pl ann ing food aid, and und erstanding how people may obtain food. All of the partic ipant were either First Nations, Meti s or had mixed Indi genous and European ance try, and many d cribed a desire tore onnect 143 with th ir culture . Th participant were c nc m d fi r en irorun ntal well-being and felt an motional c nnection t th land. They d cribed uffering fr m ill health du in part t the food th y were on urn in g. Th e fa ct r t geth r ugg t that the W stem y tern of ·fi od pr ducti n and m rg n y fi for the participant . The d pro n t c nduci cial y tern f the d minant CI to improved health and wellbeing ty r m e power, aut n my and connection t the fo d y tern fr m th c n umer 111 c ntra t t lndigen u food y terns. The participant d experience many [i liD Homele s people are oppr f ppre ion in their everyday live . ed by cla , are racializ d, ma y have m ental health and substance use challenge , phy ical di abiliti , health concern and experience ge nd ered viol ence (Allan & Sakamoto, 2014 ), but the participant have a budding awarene of histori cal injustices and strong de ires to hape a different future. Respect among people, and for th e envirorunent, were important themes for the participants and resonate with an understanding of Indigenous food systems introduced in Chapter 2. The relationship between participant health, well-being and food security was found to be reciprocal whereby participant health and well-being was impacted by, and also created an impact on, food security. This interrelationship highlights the relevance of developing and designing Indigenous food systems as one step toward improving health equity, decolonizing services and simultaneously supporting more sustainable food systems for people and the envirorunent. Developing and designing services that respect and understand Indigenous food systems is one step toward fostering Indigenous food sovereignty. The findin gs suggest that organisational effort to promote and enhance Indigenous food sovereignty would be helpful for the participants in thi study b cause the food would meet the desire they have for more culturally appropriate food, for becoming engaged with c n1munity 144 r may want t 1 arn , and for pr viding fo d the and family mpl ymg kill th y ha parti ipant i w a h althy. The participant di like that wa te £ d i c nsider d uitable food for h m le population . lndi g n u £ d reignty chall eng the corporat /capitali t control f the food ect r, which i imp rtant becau e that mean that the ba i for c loniali m (profit) i chall ng d. Pr m ti n of lndi g n u £ d y t m and food overeignty wo uld al to e JTectinju ti c inth £ d y tern ( lli tt t al., 20 12· M e ntee& Finally, participant 'e pen nee aumova, 201 2) . ugge t that r lation hip w ith the general public and food pr vider are often trained which can contribute to hunger. In term development and progra1mning thi be w rking ugge t that regu lati on f p li cy hould be developed that ee the mis ion of the organization fulfill ed while not jeopardi zing an individual' right to food if they have poor behaviour or in ufficient identification . 6.2 Methodological Insights The methodological in ights that I gain ed throu gh this research were prim aril y related to participant recruitment, adapting research plans to the context of street life, m ember-checking, follow-up and protecting p arti cipant identity. 6.2.1 Participant Recruitment Insights regarding the parti cipati on of people experi encing hom eles ness or other lowincome participants began during the recruitment phase of the research process. During preliminary discussions with potential patiicipants, several individu als cmrunented that they participate in every research study from the uni versity that they are eli gibl e for. This was a source of pride for som e participants, people reli ed on it to supplement their income in ca h or in kind , and there was a gen eral atmosphere of tru st. This enthu iasm fo r participation and level of trust was something that I had not anti cipated because of report of marginalized p ople, as w ell 145 a Ab riginal c mmunjtie b ing untru ting f ( ft n Whit ) academic duet prevwu violation of tru t and th lega y of c 1 ni zati n. It b cam cl ar that many pe pl w re int r t d in participating in u1 y wh r they c uld quickl y be reimbur d forth ir time. Wh n my re earch wa mi tak n ~ r a urv y n w that I wa recruiting parti ci1 ants pread quickly and there wa a hi gh le el f int re t fr m p tential pa11icipant . plaining th re earch v r the ph ne and m ting with potenti al participants in advance enabled m t gaug intere tin th pr j ct to en ure the parti cip ant kn w what wa s being a k d of them . The intere t d pa11icip ant were given a pi ck-up loca tion D r th e day of the community mapping work hop which, I believe was helpful to prevent a fl ood of peopl e expecting quick urvey from interrupting the work hop and j eopardi zing pai1i cipant privacy. The willingne s to participate in re earch is omething that re earchers mu t be attenti ve to in order to ensure that people are not coerced into particip ation because of fin ancial incentives (Paradis, 2000) and to full y consider the ethical implications of, in a sense, creating a ' market' for research pai1icipants. It ma y al so be signifi cant because, if the same individu als are consistently participating in research, a lot of info1mation may be being compiled regarding a very small subset of the population. Tills is noteworthy, for exampl e, when researchers are comparing their results to locally available literature. Finally, as introduced in Chapter 1, a range of insights were gained by living in the community where I was conducting the research. Even when re earch is not designed as an ethnographi c study, living in the areas where research is conducted wi ll greatly enhance contextual understanding of the research. This was certainl y tru e for this stud y and also provid ed oppmiuniti es to follow up with hard to reach people in all phases of the r search. An alternati ve to living in an area of research could be for researchers to volunteer. In this study both these 146 trategi nhanc d th r final pha of di ar h, and minati n ( m e f th tra tegi hav al be n influ ntial in th Table 2). 6. 2.2 A dapting R e earch M ethod to th e onte t of S treet Life During th d ign tage f the r h m le n that had eluded p arch, I read ab ut tudie ple n the ba i am ng pe pl wh are e peri ncing h mele ne ord er to go ab ut their liv . I de id d that r potenti ally di cri1ninat ry and could al f ub tan and f di ffer nt a p ct of u e. ub tance u e i common me pe pl e u di fferent sub tances in tricting pe ple fr m participating wo uld be limit the r pr ntativene f the ampl e and other re earch ha al o taken thi approach (Bourg i , Prince, & M s , 2004 ). M eeting with participant on multipl e occa i n , t review con ent form , at the communi ty m apping, during the interviews tran cript review, and in dail y life, I provid ed opportunities to check if participant still wanted to participate in the re earch; if they were happy wi th w hat they had already shared; and if they would like to change anything they had p revio usly bared or to add anything else. These follow-up interaction , which took place over a fo ur month period reinforced and strengthened the fo rm a l ' in fo rm ed co nse nt' signed by partici pants at th e start of the study. The regular contact provided opportunities for pmiicipa nts to reaffinn their consent verb ally. However had there been a single withdrawal of consent, I would have immediately removed that participant's data from the research. I origin ally pl anned to hold individual interviews with participants after the community mapping and focus group session, but it was suggested by my con1111ittee members that peopl e may be more co mfmiabl e in group interviews due to cultural norms of the region . This wa the case fo r orn e parti cipants who requested that they be interviewed together, whereas other preferred to be interviewed individuall y. As with the community mapping and focu group, 147 I a ked parti ip ant t a during a gr up int I w . I had t be attenti e t th fa t th at c n r ati n, but al M -B r th re m p hat ther pl rna b aid during th ntr !ling f th gr UJ m e pa11i ipant rna n t b a talkati ve a th r . ting e pi e multipl tim arti c ip ant . in their li to mi b a ar that id baring pl ain d b th e parti c ipant , r lati n h ip and re e t were k y va lu . It wa n tunc mm n [! r participant t [! rget ab ut a m eeting we had aiTanged r a m eting becau arch ne parti ipant m th ing I e th at cam up in th ir li fe . H weve r, durin g th n i tent! m1 m e any n ti ce. Howe er, I c ntinu ed t b enthu ia ticall y pr d ra l m e ting we h ad aiTanged w ith ut providing k m etin g w ith thi parti c ipant when th y d int re t in hav ing an interview . I be li eve thi dem on trat d that I va lued th ir opini n and that I wa in e ted in th e p roject. f c ur e being left wa iting wa inconvenient, but if a re archer believe it i trul y important to c n ult w ith tho e w ith li ved experi ence , then I believe takin g thi ri k i nece ary. T he e tim e can be op portunities to gain a greater depth of und erstanding of th e contex t of th e re ea rch, if on e aiTange to meet a p r on omewhere they have elected, and can al o help re ea rcher to und er tand the unpredictability of lifi fo r p eople experiencing hom e le ne s. Furthennore, it m ay provide an opp011unity whil e wa iting, fo r in ightfu l info rma l conver ati ons wi th others w ho may happen to be at th e meetin g locati on . f course there are limit to thj , and time when it may become too unpracti al to continu e, but re earcher hould not be too qui ck to reach th e e limit , e pecially when conducting ethnographic research . 6.2.3 Member Ch ecking and F ollow-up A lthough th ere is emph a i o n the impot1ancc of member chec king in m any re ea rch method b k , there em t be a dea11h of tud ie th at have used pm1ic ip ant chec kin g w hen 148 w rking with h mele p ple. Within n p ople wh participat d eem d t le tr t in ol tudy that did u e pa1iicipant checking, the homele a le iew th d which, and a the particip ant in that tudy them elv were likely n t a r pre entati e ample ( u k, R ch n, mmittee ofH althcare ~ r th H m el HA likely t remain hom le recognition that h m le avid explained, m eant they n, Me urd y, & M embers of the -H u ton, 2004) . This i de pite d in tudie peopl n ed t be in and were f th e ir~ d security (Miewald tal. 2010) . I agreed in advan e with m mber ab ut ho w I would c ntact th em . Most p ople provided me with ph ne number of ervice agencie they acce ed where I was able to leave a telephone mes age reque ting that th ey r turn m y call , and avoided reference to the research a much as po ible. Thi worked very well and I wa able to maintain contact with the majority of pruiicipants in this way. Although I moved away from Prince George shortly after finishing the research, I maintained the same telephone numb er so that parti cipants could follow-up wi th me if desired. When I returned to PG briefly in winter of 2014, I was able to follow-up with two participants to provide them with an update regarding the progression of the thesis writing. An alternative to aiTanging individual meetings with pa1iicipants is to consider hosting drop-in times at a library or other public space that is safe, readily accessibl e but also with a degree of privacy. In that way the researcher can go and work there, even if no one else attends, and participants have a window of time in which they could drop-in hould they desire . 6. 2.4 Protecting Participant Identities As discussed in hapter 4, I was aware that people taying in shelter , and moving frequently, may Jose their transcripts if they chose to keep them, so the identity of the per on in the interview was not pa1i of the tran cript. As there was a focu. group and ome group 149 I pr intervi id d a h parti ipant ith nl a tran ript f re 1 ft in nl if th th r parti ipant 1 an the th r p rti ip nt 1 r th rwi h 11 m had be n r m d in rd r [! r th tran cript t r mam pr cauti n , m t f th pa11icipant tran ript thi , ith th m be au her a parti ipant th agu and n n-id ntifying, d and I add d umman e h r nt. lth ugh I t ed the ir tran cript h had n h t th y and I had p ken. h ript with th k th t that e n t t tak their afe pa e t st r th em . here wa a pr ud t t ke th ir tran f th t n epti n t pecifi int nti n f baring it w ith h r fri nd . 6.3 tud y Limitation P1ince becau e of the rg 1 c n idered a centre o f th e n rth and i a de tinati n for h m ele rvt ce ffered . However, the e pen enc northern town are n t full y r pr ented in thi f h m e le peo pl e indi vidu al in m all er tud y. Furth erm ore, th e ampl e ize [! r th e community mapping event, and the number of p opl e parti c ip ating in th e emi - tru ctured interv iew , wa m all . Their ex perienc of all hom ele people in the city . hould not be co n id red definiti ve of th e experience M any of the parti cipant with experi ence of hom elessne were fri end , relati ve and acqu aintance of one anoth er. Cam eron (2 005) wa m that thi can lead to partici pant modifying their contribution to the conver ati on to limit w hat one reveal or to align one elf with the people w ith whom th y have relati on hip . It is pos ibl e this oc un·ed at the community mapping and in th e group interview , however parti c ipant were p rovi ded amp le opportunitie to p ak with me, if th ey had om ething they wanted toe pre ind ependentl y. I am a novice researcher but have been guid ed by my commi ttee member , who ha\ e experi ence working on community-ba ed resea rch, and w ith m argina lized populations in Prince 150 e rg and unding area . I nl y li UIT mpl te und r tanding f th 1 ca l from ha ing a ll e ti n t b th pr data data t achi e e the r a ari ety f ( r w d inn rth 111 id e r dibilit arch g a! ( r and al nt £i r tw y ar thu I may be limit d t. H w r, I u d ariou £i nn f t en ure th at I had a uffi i nt am unt f we ll , 2 1 ). he intenti n f thi wa t gain in ight fr m re ear h r of in uffi cient data ur 11, 201 ). criti ci m f c mmunit -1 1d el ment rgani za ti n , including th e whi ch lf-pr vi i ning and emp w nnent, i that they till w rk within th e d minant oc ial tru ctur which ha e led indi idu al t b in a p iti n t be £i d in ecure (T ara uk, 2001 ). T hi re arch can likew i e b criti c i d . tate leve l adv cacy and acti on are needed to bring about ocietal change (T ara uk, 200 1). ontinu ed pr gre i n t ward lndi gen u food overeignty would require ev ntu al di mantling of ome f th e pre ent tate impo ed tru ctu re ( rey & Patel, 20 15), but Indi geno u food overeignty is a long term goal and not om eth ing that can be achieved overni ght. As this re earch was fo r a M a ter' the is, it was tempora ll y li m ited . Id ea ll y it would have been ongoing with m apping event and interv iew over the cour e of a year to full y capture the seasonal elem ents of food sy terns. A lthough the community mapping event and ub equent emi -structured interview aim to capture individual's experience of food ecurity throughout th e year, research indicates that elf-reported di etary pattern are infl uenced by an individual' previous two-wee ks f con umption ( ub ar, Frey, Harl an, & Kahle, 1994) and therefore may not accurately refl ect vari ati on thro ughout the yea r. However, ince the participant had e pcrienccd 1 ng-tenn hom e! sne their re p n s regarding ea o nal change would b more informed than those f omeo ne w ho had had ho rter e peri ence 151 r homelcssness . 6.4 Recommendation n id rati n f both the ba kgr und f h mele erv1ce pr p pl e and th g a graphic location of h uld ccur in th de el pm nt f alter11ati e aid m del that are culturally and n ir nm ntall y appr pria te, alth ugh th re w r diffe r nt pini n among the parti cipants ab ut reli gi u or ulturall iritual ri nt d ervic pr id r . Th orth rn 1-i alth P o ition tat m nt on H a/thy Eat in already a kn wledge the valu e f Indigen u fo od ys tem £ r norther11 re id ent in g n ral, and pl ain h w "a a re ult of it in lu i n of game m ea t , frozen vegetabl e and fruit , [ ating W 11 with ma y be rel vant £ r man y anada' F d uid e- Fir t ati ons, Inuit and M eti s] orthem r id ent , independ ent of ethnicity" (2 0 12a, p . 4) . There i debate about the utility of thi foo d guide and whether the pro moti on of specific fo od , such a dairy products or bann ck i in it elf neoco l nial ( rey & Patel, 20 14 ), and o it i not necessarily the be t tandard through whi ch to repre ent a culturally appropriate di et. The fram ework of Indi genous food overeignt y could be advocated and adopted by local organizations providing food charity. Transferring power to particip ants is a way to begin decolonizing services (Allan & Sakamoto, 20 14 ), and decision making processe must be made transparent to participants. This also involves recognizing the strengths, indi vidu ality and humanity of each person and continuing to develop low barri er services. The findings were complex but the recmmnendation to promote Indigenous foo d systems accounts for that complexity. I recommend that the federal govern ment of Canada reco gnize the Right to Food and the Ri ghts of Indigenous peoples. This would lead to the promotion and prot ction of Indi genou food systems and respon ibility to provide an adequate diet for those who ar unabl e to prov ide it for them selves, uch as the homeless. 152 rthern Health ~ ll I rec mmend that pli itl d lar erei gnt fi r p pl and upp rt ~ r Indi gen u h are h m el t a numb r [ r lated m r p the lead f the ir t t nl d inherent! un u tainabl c nditi n u tainability. In parti ular, thi opp rtunitie t learn fi rol e a ~ d aid i an pp riunity to it ha e th e p t ntial t fo ter a m re rv1 e pr n 1r run ntal u tainabilit th at are imp rtant chall ng y tern . In the uth rity reignt . Pr moting Indi gen u [! od and a part f m rgenc c ietal bj cti e . tful n 1r nm nt G r d ati n Health f fi an c m by en uring p within th e c ntemp rary G d d aid it c uld build elem ent pi e w h arc h m ele f have d kill , and parti cipate in new way in em ergency D d aid , b yond a nl y. The rec mmendation to fo ter lndi genou F d r ignty may al o fo ter effi rt to upport other area of need fi r peopl e who are hom ele , in cludin g th e need for increa ed acce ibility, and acce to kitchen , to ra ge pace and refri gerati on ( idea are needed to work around the e chall enge , a well a le try, 201 0). Innovati ve recogni zed concerns uch a how hav ing pets, primarily do g , affect an indi vidu al' ability to attend foo d related event (Irvine, 201 3). Whil e charitie in churche are common, considerati on of the pa t traum a of re identi al choo l and di versity in reli gious beli ef and exual orienta ti o n may mean tha t churches do not feel like w elcoming place to all p eopl e, though comforta bl e, afe pace are necessary (Ostry, 201 0) . ome of the initiatives already und erway coul d be expanded to hom eles popul ati ons, uch a conu11uni ty gard ening program . Increa ed contact with nature in programming should be developed. While not directl y related to homeles ne , innovati\'e programmmg, uch a th e pri o n farm co uld be reinstated, because of connecti n, to issue, of a ietal ca le. 153 R k (2 0 ) ar willing t a r te, charitabl D uld begin t r tri t what D d th y pta D d aid , t b gin t reduc th am unt f unh althy D d that ar rved . Wh n D d p li i h uld n t nl y aim t ar d upp rt h m le indi idual , but the ntir c mmunit D r a h alth y c mmunity D d y tern . hi may includ e pr i i n t pur ha fr m l cal farmer ag and empl yment tandard ( ur pr ducing healthy D d in I ca ll and fair anada, 2 ll ). If the federal and pr vincial hift agri ultural D d p lici mm nt g d ith re p n ibl e n ir nm ntal prac ti and ub idi e , thi c uld lead t wa rd u tainabl mann er . There i p tenti al t de el p pr gramming th at take advantage f the intere t of parti ipant in D d citiz n hip , culture and utd r acti viti e to devel p D od p li cie th at are of the pl ace they ly wo rk aga in t ppre rv , are u tainabl e and acti nm ciety. Promoting Indigenou food y tem and fo d overeignty are tw method t do thi . Whil e orne ma y argu e it i impracti cal, other organizati on ha ve found way to engage imil ar population . Promotion of lndigenou food overeignty i a holi tic approach and thi s i increasingly recognized as important for health and well-being (Grey & Patel, 20 15; Mart in, 20 12; MoiTi son, 2011 ). It is holi tic becau e of the oc ial, cultural and enviro nm ental fa tor that influ ence the food ystem. With Indi genou food overeignty the entire communi ty benefit and people fo ter crucial relation hip . Thi could be linked with the -u tai nable food movement, and food sovereignty work within 1 anada , and with the Via ampe ina, who are promoting the e ue globall y. Partner hips between govenunent and aid agencie could be benefi cia l if the charitabl e D d service offered are well attended and r p cted by th e attendee . Inc rea ing acc ess \\ ould b ignificant pr gre toward h !ping to meet the ri ght to food and , if well des igned, could also 154 r ate p ttuniti t unpr e th r d t tminant f hea lth [! r p pl h ar h m ele , in luding link with th r upp rting 6.5 rea of F uture R e ea rch e ti n m lud d r ac during tim r ear h . In thi an ar a th at ha n t r fh n I pr p ar a f futur r ea nality f [! d ed adequ at attenti n m earch th at w uld h lp c ntribut t th e n . D a ibility f th to increa mmend ati n [! r chang , th utur r ugg acce t traditi nal [! t db ll i tt et a!. 20 12 ), h uld includ e inve ti ga ti n of h w d [! r b ri ginal p pl w h de ire it e peciall y [! r pe pi e w ho m ay be c n id red hard -t -r ach p pul ati n , includin g pe pl e ex peri enc ing h m ele ne . The co nte t in P i rip e for devel ping Indi gen u [! d vereignt y, c n id erin g th at N rth em Health i committ d to enabling hea lthy ea ting b y: promoting a comprehen ive approach to hea lth y ea ting th at co n iders nutriti on, food, eatin g competence, foo d y tern , community foo d ecu ri ty, plea ure an d tradition , and how the e fa ctor influ ence health y ea ting ... coll ab ra ting w ith external partn er to upp o11 conu11unity level, ystemi c change to enabl e th e development and maint nance of su tainable fo d y tern and hea lth y eating env ironment where people live, lea rn , wo rk and play ( orth rn Hea lth , 2012, p. 6 ). A related avenue for future re earch i the analy i of food afety poli cie to determine how they may re tri ct parti cipant invo lvem ent in food produ cti on and p reparati n , and how they re trict which food are permitted to be served . R ecomm end ati on co uld then b developed to overcome any challenges uncovered through re earch o n [! od afety po licy. The de e l pmcnt of a pilot program or mod e l for charitable organization to move towards Indi genou s food SO\ ereignt and evaluation would be va lu abl e to compar participant engagement and sa tisfaction. recent review of[! od sovereignty, [! s tated in a d ecuri ty and health equity, there is a continued need Cor re ea rch that va lu ate th e "effectiveness of food sovereignty interventions in addressmg health 155 bjecti " Weiler tal. 2014 p. ). Fw1her re ar h in th fi ld f nutriti nal uld b aluable t u p rt r rebuk th Th r ar limit lndig n u [! n [! d fr m a bi m dica l per pective. laim in thi th d a ail bilit luti n will be needed a1 ng th way. i n t, h we r, a tati c ncept and i a I ng term g a1 that cann t be a hi ed imm diat 1 . h parti ipant and al t er [! und t ha w 11 d cia] c nn cti n k are f ne an ther, building n ther re arch, and again ugge ting that Indi gen u er ignt d uld b a alu able appr a h du e t it c mmunity ba ed and Je indi iduali tic nature. Ther i a ne d [! r r ear h n [! o ereignty in particular. languag -g netic [! od d vereignty and lndi gen u [! d r y and Patel (2 15) have id ntifi ed a recent increa e in ngli h ereignty r earch a11i cle , but there i a c ntinu d need [! r inn vati ve co- de ign d, long-term r arch am ng rele ant gr up . In the c ntext of Prince pa11ner could includ the Fri nd hip entr , th F H , eorge, uch H and r earcher from B . 6.6 Final Remarks Thi re earch found that acce , availability and u e of fo d are haped by environmental, social and cultural factor . The participant who are homele method to acce in Prince George have a variety of food including formal and informal means of food provi ioning. Although there is a breadth of option for food acce , they are primarily poor options, which are individualistic, do not fo ter community, and where the food obtained i often di conn cted from Aboriginal cultures and the land. Du e in part to the e circum tance , the participants continue to experi ence high food in ecurity and poor hea lth and well-being. In contra t, th participant ' vi ion for an id al food ystem i one which promote food itiz n hip, relation hip , culture and su tainability whi le fo tcring health and well-being. Pmiicipant relationship with both nonh mele sand homele peopl were imJ ortant in regard t food acce. but aLo related to 156 having a en f c mmunit , b 1 nging and b ing respected. The phy ical nvir runent al o had ignificanc t D d acce , a ail ability and u whi ch differ cultural n nn . Th e peri ence , m ti ati n and de ire health and 11-b ing ugg t that Indigen u [! mod 1 fi r c mpr hen ive l int rpreting th The d ea onally and according to f the participant regarding food , vereignty is an ov rarching explanatory tud y r ult . findin g helped t fi ll a gap in kn w ledge regarding the food sy terns of people exp riencing h m 1 pru1iall und er t ne , whi ch de pite the ignificance f fo d system to health, are only d. P rticip ant ee fo d citizen hip a a pathw ay to improving health and well- being and their e peri nee hi ghlight the timeline and relevance of fo stering Indi genou s food sovereignty a a way to m eet multiple ocietal obj ectives. Food is interconnected with social and phy ical en irorunents and creating more ju t and su stainable food systems will naturally contribute to reshaping the ocial structure and improving the societal inju stices that influence people becoming homeless. General awareness about our food systems is increasing and there are diverse allies who are all striving for food system change, from small scale organic fann ers, to Elders, and health authorities. 157 REF ERE lfr d, ailabl at: http :/ li M . . Jo urnal ~( hori ina/ JJ, ,cdth .S 42- 0. 1 ni li m and tat d p nd n . (20 hahab, ., ww .nah . aja engli l jah 5 02/ 5 12 hijima, H., ' de Muyn k, ituati nal anal f . (2004 . tr t children in Paki tan: a cia l c nditi n and nutriti nal tatu . ocia l ci 'nc & Medicin ~ , 9, 1707- 17 17. Alk n . H., ju ti g . In . H. lk n ' J. Su, tainability (pp . 3 1- 4 ). 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Tool for Thou ghtful Acti n : The Role of Eco y te111 Approach to Health in nhancing Public Health. anadian Journal ofPuhlic Health, 101(6), 439- 441. W ebber, . B ., & Dollahite, J. . (2008) . ttitude and bcha iour of low-in o111e head of h usehold t ward u tainabl D d y t 111 concept . Journal olllunf!.er , Environm >ntal N utrition, 3(2- ), 186- 205 . 180 . M ., H rg h imer, d [! Fl a/th P oli y and W 1 h, J., Ma Ra T r nt ., Wittman, d ., emit and h alth quit : a m ta -narrati fannin R. (1 ., Ya i, d an ). piegel, J. M. (2014) . . . mappmg e rc1 e. cce . d itizen hip and c mmunity [I d curity: 1 n fr m anada . 'anad wn Jo urnal of e1•e /opme nt , tudt 'siR '-'vue 'anadienne D 'etudes u D ' 1• lapp 177 nt, 19( 4 ), 2 7- 25 . Wet nd d P a rkda l . To ronto atal t ll/71177 r ~ 009. R tri e ed fr m Retri e pi it /we tend~ http ://we t ndfl od .c ting /c mmunit -.G m ntre. (2 00 ). oml77um ty Foo d M appin Project S outh d .c d fr m p/fiJ e /wefc/publi c/200 /event d - m a ppin g~ P a rkd a l eF o dM a ppin gln~ nn ati nKit.pdf Wilkin , J. L. (2005) . E ating ri ght h re: M v ing from co n um er to fo d citi zen: 2004 Pre idential addre t the gr1 culture, F d, and Human Valu e ociety, Hyde Park, ew York, June 11 ,2 004 . A ricu/ture and H um a n Va lue, 22,269-273 . Wilkin , J. L. (2 012). B e a food itizen : 12 acti on for foo d y tern change. The Food Citi::.en. R etrieved from http ://www .eatri ghti owa.org/annmtg/20 12112Acti on oodFood itizenJ enn iferWilkin .p df Wilkin on, R ., & Marmot, M . (Ed .). (2003). Second dition. World H ealth ocial detennin ants of health . T he o lid fact . rganizati on . openhagen, D enm ark. R etrieved from : http ://www .euro .who .int/_data/asset /pdf fil e/0005 /98438/e8 1 84.pdf Wil on, K . 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First International onference on Health Promotion tta wa, 17-2 1, ovember 1986. World Health Organization (WH ). ( 199 ). Settings for health - 11/HO health promotion g /o sary. Retrieved from http ://www .who.int/healthpromotion/about/HPR %20 lo ary 0 o20 1998.pdf World Health rganization (WHO) . (20 10) . Backg rounder 3: Key concept.. Retrieved from http ://www .who.int/social_detenninant /final_rep011/k y concept en.pdf World Health f 14 20ll.pdf In Qua/itali\' rc · ar h m '/hods 111 human r ' O raph_v. ( Y: mb rg ch at rganization (WHO) . (20 12). Food Security (p. http ://www .wh .int/t.rade/glo aryl tory028/enl) . 182 W rid H alth rganizati n (WH ) ciati n. (19 ). alth and W llne an ada anadian Public Health tta a hart r [! r Hea lth Pr m ti n. R tri d fr m http :// w .pha -a pc.g .c ph- p/d c /charter-chaJire/pdf/chat1 r.p f Yin R. K. ( 1994 . a ali[! mia : tudy r ar h d i nand m thad. ( Publica ti n Inc. 183 c nd) . Th u and ak , APPE DI PPE DIX Julia Ru : Reque t for upport and Lett r of upport 11, Ma t r' h ,M 2 , Ph Z9 ate a me R le ddr ecutive Dir ctor T Whom it May n m, I hop thi letter find y u w II. I am a graduate tudent at UNB in the program of ommunity Jlealth cience and for my Ma ter' the i re earch l am planning to tudy th complexity of food sec urity for individuals who are h m le in Pnnce George . F d ecurity consider the nutritional , s cia!, cultural and personal need of the people who are acce ing ~ d. I intend to I ok at what is available and acce sible as food aid, and also how people who are homeless may be engaging in self-provi ioning of food. I am also curiou as to how easonal differenc may affect food acce s in relation to change in the phy ical environment (winter compared to umm r) and also the social environment (incr ased food donations near holidays). I have now begun the early stages of my proposed re earch focu ed n food ecurity for people who are homeless in Prince George. My thesis comm.ittee has approved there earch proposa l and I am in the process of contacting community groups related to the proposed re earch, as we11 as seeking approval from the UNB Ethics Review Board to conduct thi project. s part of thi process, I am eeking letter of support from organization that may find thi re earch to be of interest or value. Thi letter is therefore to seek your support for thi project throu gh providing a Jetter th at out! in your awarene s of this research. I would be happy to di cuss my propo ed re carch with you and to an wer any que tion y u may have. If you are willing to provide a letter f supp rt , I am a\ailable to assist wtth th preparation of the let ter if that wou ld help. I I ok forward to hearing from y u and would b very grateful if you cou ld plea, e provide me wtth TE. confirmation that thi s lett r ha been received by Respectfu ll y your , Julia Ru e11 If'y ou have any questions or concerns pleasefeelji ·ee to contact Julia Russell at russe03 (£lunhc ca. or Dr. Margot 1 arkes (.\'upen·isor) at parkeslll ~l) unhc. ca. (!50) (){>{}- 6813. 184 N The ath nnq P lan:, 1600 hmi Avenu Pnnro G orgo, OC V?l 3G Pho-. 250 564 3560 Fax: 250 563. 924 Web Site www pgn c.com Ematf tnlo @pgnlc com Abor n nal ln f '11 & r 11mlly n hi eve .opm nt n r 250 5 4 594 1 Ff1A'~~ho1~•P l oUgo 2fi0 56;> K tso Yoh vlen ·s C n\re a t e HeaJ,~g C ntte & Ab Ct- ld & You th Weltness POF Abong•nal I lead ta n Smoke~o use nestauran 250 .5 3 19 2 250.56-1 4324 2!>0.56.<1 '1.1 40 ?50 5 i138R4 :>50 5 6? 2539 250 61d 7726 T ?50 !)64 PC, Ab,qpn I 1-'eaf) '> 1Ar1 Reconnect 'oulh Servlr s & Ca enng ·Koo HutJa Yo•• W omen·" C niH} 0 04 454 February 20, 20 14 Tulia Russell c/o Dr. Margot Parke Uni er ily of 1orthern Britt h 333 Universi ty \ ay Prince George, R V2N Z9 o lumbia To whom it may concetn: Re . Master·s Thesis Rese~ch "; !h~ Prince George N:-~tive Friendship entte, we have programming around foot! sec uri ty and emergency provisions for community m embe1·s including a food bank, clot hing room, transport 11011 f>upport and winter gear We have many program which provi lc o pportumt ics in education, housing, literacy, a nd health for urba n people. ur Emerge ncy Resource. o rclinalor ha " orkcd with Julia Ru ssell in he past · in ou1 Community Kitchen , Commu111ly G~:~rden, and pmtner hip in the Fmmer' s Ma1kct coupon program . We look fan ard to working with he r again in the fu t u re in ·imilat o r new capucllies We support Julia's research in our community around fo od security, 1\nd feel that the resu lt will be or great interest, and vnlue o our organ izat ion. Please keep us updated, nnd h:t us k..now if more s upport 1s needed. Respectfully, Erin And erli ni Directo r of I Iea lth 185 'ommunit Partn r ddr ing 1f c,c 107-76 0 t Patri k \ nue 1arch 17. 201-l Julia Ru ell o r. :viargot Parke ni\l:r It) of orth rn Briti h 'olumbia :3 ') l 'niYer it) Wa) Prin ·e eorge. B 2 · 47.9 T \\'hom it \Ita. on ·ern: arch, "E:r:ploring the , 'r:asonal Dynwmcs of Food Security Among~tihe Homele'is o(.Yorthern Bnti\·h Colwnhia" Rc: ;\1a t r' The i R 'ornrnunity Partn r Addr ing llomclc ness (CPAH) i plea ·ed to upport the prop ed re earch. of , 'B 'VI 'ter of ommunit) H alth . ci~nce . tudent Julia Rus ell. which i entitled "l~~rplonng the, asonal Dynamic:.\ of Food ecurity Jmong.~t the 1/ome/e<.;s of\orthern Brili.\h Columbia". \\ fir t learned of 1·. Ru " ell' · re earch early in 2013 v.h n he attended a PAI-l meeting and gave a brief pre entation of her propo ed work. Communit) Partner. Addre ing Home\e. _ne · i made up of a network of sen ice agencies. municipal and pro\ incial government reprc cntativ . and interested member of the public that are involved or connected to \vork around i.. ucs of homelessne . . Ms. Rus ell' work i. therefore of strong intere t to CPAH and our m mbcr organizations. In particular. man) of our organ inti on would be ver} inter . ted in the out omcs of the r~scarch a: we find that food ecurity for those with limited income in Prince George is an ongoing concern. CPAH members ha\'e e:prc cd kccnnc to cc this research undertaken b) M Ru ell. W look ton,ard to the resull of thi re. earch, \\ hich we feel v. ill be of value to our organization and the communit~ . inccrcl), Patcman. Coordinator and Acting Chair Community Partner Addressing llomelessne . 186 APP DI B: B R e earch thi Board pp rova l UNNERSITY OF NORTHERN BRITISH COLUMBIA RESEARCH ETHICS BOARD MEMORANDUM To: CC : Julia Russell Margot Parkes From: Greg Halseth , Acting Chair Research Ethics Board Date: April 3, 2014 Re: E2013.1 211 .120.00 Exploring the Seasonal Dynamics of Food Securi ty amongst the Homeless of Northern BC Thank you for submitting revisions to the Research Ethics Board (REB) regarding the above-noted proposal. Your revisions have been approved . We are pleased to issue approval for the above named study for a period of 12 months from the date of this letter. Continuation beyond that date will require further review and renewal of REB approval. Any changes or amendments to the protocol or consent form must be approved by the REB . If you have any questions on the above or require further clarification please feel free to contact Rheanna Robinson in the Office of Research (reb@unbc.ca or 250-960-6735). Good luck with your research . Dr. Greg Halseth Acting Chair, Research Ethics Board 187 pp DI : R ec ruitm ent Po ter Partici. ants Wanted F ·day, May 9th llam - 2:30pm P~rti ci~nts will be p ovided Lunch clnd c. smull honornriurn Looking for Pa ici.pa nt:s for a P oj called: " E •plori.ng he Seasonal o_ anlii cs o f Foo d Securit y a 10 1gst the H Ollle less in Nor hern Britis Columbia " This p oject v.·Hl study food access at dtffere t times of he ea t~r people\ ho a e hom-eless in PG. 'IJ,'e wi.U also explore effects o f this food access on ealth and 'Nell-being. If you have b~n homeless i.n PG . you re in vited to partictpa e this p oje<:t and share yo ur exper i ence ~ Participa nts 'lN iU ake part · n a group .ar project to ap heir e peuen<:es ,, -t h food du ing tin1es o f homelessness. as.\" ell as a group talk a d intef'.•iew. his project i.s be ing run by Julia RusselL a maste 's studen in Com ealth Sciences a For unl • UNB C. ore de a il.s alb out the st ud _ and to lea n ho'-1\' ou can join please call Julia by May 8th, at or enlail russe03@ u lbc.ca Tlrtis. stud as received -ethics de arance b • the UNBC R-e searc 188 E hies Board APPE DI D: Information beet Proj ect Informati Project Title : pl ring th et for Participant d e urity am ng t the H m l a nal ynam1 c f rth 111 riti h lumbia f What i thi ? Y u are in it d t lunt r a a par1i ip nt in a pr ject that will e pl re difi~ renee thr ugh th e rthe111 ar in il d e urit [! r h m 1 p pl 111 Thi pr je t i b ing run b Jul ia Ru Pr gram at th c1en nt r it f tud ent in th e Ma t r f rth 111 Briti h lumbia ( ). The inD nnati n bared in thi tud y will b u d in Julia' ma ter' th pap r , talk and at e nt wh r the r ult ar hared. ----------------------------------------- mmunity Health , and may be u ed in think y u may like to join thi re earch. arne of Contac t Per n) How doe this work? Pati icipant can choo e to drop-out at an y tim e without any probl em. • To drop-out contact Juli a or the rganization that connected yo u to there earch. • If you drop-out the infon11ati on you have given will be de troyed and wi ll not be pmi of the results At any time during there earch, you can a k qu e tion , a k for the tape recorder to be turned off, or leave. W hy do this Proj ect? The reason for thi project i to b tter under tand the link, to health and wellb ing, and food ecurity for homele people. • ~ od ecurity i having enough g and well. d [! od, of the right kind , to ha e energ , be hea lth 189 Parti ipant n ld r than 18 dt b la t 5 year h m 1 r und r h u ar f age and ha d in Prin pent at 1 a t 6 m nth uring the rge (P ). The project aim to find wh a t p opl who are hom ele their food. Th er e a r two oa l of thi r a rch. in P are eatin and how they get p eopl f P a nd what th ffect of thi i on 1. To e plore th e food of hom e] health and wellb in g. 2. T o look at ocial a nd en ironm enta l factor th a t a ffect fo od cu r ity a nd food p pi e in P a t diff r ent tim e in the yea r. r elated a ction for hom el If I volunteer in thi proj ct w ha t will! d ? • Y u ill mak art ab ut [! who ha al d and j in a gr up haring e ent wi th up t 9 th er pe pi e been h m 1 • You will have an interv iew with Juli a. • You will g t a gr up m ting wher we w ill talk ab ut th e early re ult f th e pr ject Th a rt event and group barin g, wi ll b held at _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ and will take ab ut 3 h ur . Th ev nt wi ll in o lve : d ( 1 h ur) • Drawing and making art related t [! • A lunch break with food provid ed ( 1 hour) • Group haring ( 1 hour) The interview will take place in a public place you choo e. The int rvi w wi ll take about 1 h ur. If you agree, what you ay at the community mapping/group haring, and the interview will b recorded. The recording will then be typed up word for word, a an interview tran cript. In transcripts and report you will be called by a fake name, unl e process that you want your first name to be u ed. yo u ay durin g the on You wi ll ha ve a chance to go over the tran cript of the interview and group haring. A i tant will read the e out loud if you want, and r cord th e change you ask for. nly Julia Ru sell , Julia's r w ill have acce s to th e data arch up rvi ata includes the vo ice r rding and tran The data will be kept in locked-up in des tr yed . nt Re earch r Dr. M argo t Parke , and theRe earch ript . r. Parke ' lab at 190 NB . fter 5 ear th e data will be Th data i cr t but Julia will hav to r p rt t th pr p r auth riti ify u: 1. Threaten to hurt omeone includin g our elf 2 . If you report child abu e. Ri k and Benefit There i !itt! ri k t ing part f thi pr J ct. lunt r ar a ked t re pect the pri acy [ th er and a o id haring th er ' per nal in.G and nam ut ide f th nt. Julia cannot promi e that yo ur n ame or what yo u ay in the community mappin g or group barin g will be k ept ecret by other participant Y u may b n fit by I arning m re ab ut [! d, hea lth and wellbeing . Re ult Y u are invited t help with the de ign f how re ult are hared . Thi i a chance t reach more p ople with your t ry, and to make mething that ma y help th er hom ele peo pl e and al policy maker . The final product will be decided by parti c ipant fr m the group but could be for example: a book, a You Tube video, or an art how . By joining in thi project you will be haring important info that will help p ople lea111 about food for people who are homele s in a mall Northern City. Questions or Worries If you have any que tion about thi s proj ect, plea e call either: • • Julia's Research Supervisor, D.-. Margot Parke • PH N 250 - 960 - 681 • . . mail : margot. parke ~l unb .ca or any worrie or c mpl aint , plea e conta t th • PH N . . : 250- 9 0 - 6735 NB mail : 191 Re earch thic Board at rcb ~l unbc .ca APPENDIX E: Consent Form c 'l OJ :t 1.J.fo;m.11J ac __ I hJ,"'@ ll.;l,.;t 1±1. (' b.\rs: @ o ) t.k thJ; prtfJe< ~,~ iull:J R U 1 DG DG 1 192 I I l11 Choo 1 option, eidl.H A or B, :md initial in the b )o-- 3 ··') )t l I, f'J, r,J' ; (/ ;{ j l ..d~ ~\o' ,. ..t'/'{' / J J /f I / ' ! : r; / / ,, ' /J ( r r ~·v;(\.~0H '7 ;; 9 . !tte( J (1'\ [l I I ~ ) ,. ;t ') !rV rv r 4 ) 4 V4·v~"-lr~r:: VrMe,..,( ~i. f" 4 j u. rv .f YJ \ r."r /..•f' t. l' p ,,~ L .. r r r ,1 /I I I I" / I f I Em 't1 .e..J ( ( I I '"! ~ ' " I f!r/ I ) f\} ,J -f \) }l\J ~ ' l [( r r 1 i ~ 11. t ( I fl I If', h ...r . p # . f I f 1 1 ~ f (t b~ 1--t ) 204 I !~' { I 'P- I ~ ,. . I' '' Too many hurd l es to get over for food. First you 've got to go in there and present ID. Then you have to come back in the afternoon and morn ing and that 's all! We 're done .'} - Sharon ....c ........ ..,. ....~~·I ~~ ..... t"'\t t he tlLl the steyo£t;(s. LV\, the cltttc~eVY aff .., - ttV\-~ tltte vv..tt.lt becrAuse tV1etj w~IM: t to grow sw:per fast ... From 'C, owL~ th~~s ts e&~ lLf.j wk£4t c -v..Lss, a Lot. LlY<.e !10Ll s&tt-; wt hout aLL he '})roetssL~ i-11'\4 c emLeals."'- t.lsa e~tt~g so ~uc¥1 ~eat ! It's so pu~e~ up wtth cktY\.tLca ~s.. tt's terrt Le. ~ - l'v\tLO~!j 205 •1 • Participants repo1t needina t eat n1ore 1ne t, especially rnoose n1eat. l TheY are con erned ' about getting enc uoh protein. ~ 1&<~ • (;-.6 I• \)()~ t People lso report f eling hungry b catL the fo d a\·ailable fill: hen1 Uf but, not f 1 .: s 1 ng " ~ 1neat \\·otlld . ~-")~. 206 JJD.c UfWU J UNIVERSITY OF NORTHERN BRITISH COLUMBIA 207