Using ethnobotanical, anthropological and social science theory and methods this work illustrates significance of studying traditional foods and their medicinal qualities for maintaining health. Set in the background of the communities¿ practises and rituals specific plant-based items, used by Sikh and Ukrainian migrant communities, are a central focus to understanding the significance of practises and related knowledge for maintaining health and the broader concept of ¿well-being¿. Literature review, participant observation and in-depth interviewing techniques were used to identify 126 species of plants mentioned. These illustrate what was a primarily female domain of knowledge now becoming superficial and spread over domains of both men and women. This study notes convenience in terms of time and transport, changes in markets in the UK, importation of goods and the use of machinery and techniques such as freezing, and intervention by healthcare professionals have all affected the way traditional foods and remedies are perceived and practised. There are key foods which will remain important for generations to come whilst the domains are changing. Specific community structures support maintenance of food practises, including langar within the Sikh community and the regular OAP Ukrainian lunchtime club and numerous food events where foods with particular religious and cultural significance are made by at least two generations. These events involve transmission of knowledge related to foods and their health qualities, including images of strength as a ¿people¿. By questioning the significance of emic perspectives healthcare professionals and policymakers could learn much from practises developed over centuries or millennia.

Cette étude propose d’identifier les facteurs affectant la consommation d’aliments traditionnels à travers une perspective écologique, afin de réduire les taux de prévalence élevés de maladies chroniques et ralentir la forte diminution de consommation d’aliments traditionnels chez les Cris du nord québécois. Pour ce faire, une méthode mixte « sequential explanatory », fut utilisée, combinant quatre groupes focus (n=23) et une régression logistique (n=374) à partir de données secondaires issues de trois études transversales. Selon les résultats de la régression logistique: l’âge, chasser, marcher, le niveau d’éducation et la communauté de résidence étaient associées à une consommation d’aliments traditionnelle trois fois/semaine (p<0,05). Subséquemment, des groupes focus vinrent enrichir et contredire ces résultats. Par exemple : les participants étaient en désaccord avec le fait qu’il n’y avait aucune association entre les aliments traditionnels et l’emploi. Ils croyaient que les personnes sans emploi ont plus d’opportunités pour aller chasser mais peu d’argent pour couvrir les dépenses et inversement pour ceux avec emploi. Ce double effet aurait possiblement fait disparaître l’association dans la régression logistique. Suite aux groupes focus, plusieurs facteurs furent identifiés et distribués dans un modèle écologique suggérant que la consommation d’aliments traditionnels est principalement influencée par des facteurs sociaux, communautaires et environnementaux et ne se limite pas aux facteurs individuels. En conclusion, afin de promouvoir l’alimentation traditionnelle, quatre suggestions de priorités d’action sont proposées. L’alimentation traditionnelle doit faire partie des stratégies de santé publique pour réduire les taux de maladies chroniques et améliorer le bien-être des populations autochtones. / To reduce the high prevalence rates of chronic diseases and slow the sharp decline in consumption of traditional foods for the Cree, northern Quebec, this study proposes to identify the factors affecting the consumption of traditional foods through an ecological perspective. A mixed method design was used combining focus groups (n = 23) with secondary data analysis from three cross-sectional studies (n = 374). First, a logistic regression was performed followed by interviews, providing additional information to enrich, clarify and even contradict interpretations based on quantitative analyzes. In light of the results, two scientific papers were written. The results clearly identified several factors that help or interfer with the consumption of traditional foods. These factors are distributed on four levels of influence :individual, social, community and environmental. A better documentation of environmental, social and community factors is desirable for future research. These findings will have an immediate application in public health planning.