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Rural Health
Resources by Topic: Food security and nutrition

America's Health Rankings Senior Report 2023
Provides a national and state-by-state overview of population health for older adults across 52 measures using data from 22 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: County-Level Maps for Risk of Social Isolation
Date: 2023
Type: Document
Sponsoring organization: United Health Foundation
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Culturally Adapting an Evidence-Based Intervention to Promote a Healthy Diet and Lifestyle for Yup'ik Alaska Native Communities
Highlights a study on a culturally competent educational program on healthy foods and physical activity for Yup'ik Alaska Native communities. Discusses the structure and efficacy of the project. Details some of its limitations and access-based barriers.
Author(s): Scarlett E. Hopkins, Eliza Orr, Bert B. Boyer, and Beti Thompson
Citation: International Journal of Circumpolar Health, 82(1)
Date: 2023
Type: Document
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Assessing Intake of Food and Dietary Supplements in Older Adults: Proceedings of a Workshop Series
Summarizes workshop proceedings on assessing food intake and dietary supplements in adults aged 75 years or older. Discusses screening, nutrition practices, challenges, and policies related to elderly adults. Includes considerations of nutritional issues specific to aging in rural areas.
Additional links: Read Online
Author(s): Food and Nutrition Board
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Addressing Food Access In Arkansas: A Report & Recommendations From The 2022 Arkansas Governor's Food Desert Working Group
Reports on actionable steps at the community and policy level to eliminate food deserts in Arkansas. Provides county-level data on food insecurity and benefits programs such as the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutritional Program for Women, Infants, and Children (WIC), as well as working models to alleviate food insecurity in both urban and rural areas.
Date: 12/2022
Type: Document
Sponsoring organization: Winthrop Rockefeller Institute
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Changes in Physical Activity Outcomes in the Strong Hearts, Healthy Communities (SHHC-2.0) Community-Based Randomized Trial
Examines the Strong Hearts, Healthy Communities 2.0 (SHHC-2.0) intervention focused on exercise, nutrition, and civic engagement. Analyzes behavior changes of 182 women aged 40 and older living in rural New York and provides discussion about implementing wellness interventions in rural areas.
Author(s): Jay E. Maddock, Margaret Demment, Meredith Graham, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 19,159
Date: 12/2022
Type: Document
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Food Insecurity in the Rural United States: An Examination of Struggles and Coping Mechanisms to Feed a Family among Households with a Low-Income
Analyzes the barriers and strategies of low-income rural families around food insecurity. Reports on interviews with 153 primary grocery shoppers about their experiences related to affordability and adequacy of meals, difficulty in obtaining food and managing household food needs, and more. Includes demographic information about participants as well as selected quotes relating to their food insecurity experiences.
Author(s): Carmen Byker Shanks, Lauri Andress, Annie Hardison-Moody, et al.
Citation: Nutrients, 14(24), 5250
Date: 12/2022
Type: Document
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COVID-19 Working Paper: Consumer Food Spending Changes During the COVID-19 Pandemic
Examines U.S. consumer food-at-home (FAH) and food-away-from home (FAFH) purchasing behaviors prior to 2016-2019 and during the COVID-19 pandemic (2020). Provides spending data for U.S. households by age, race and ethnicity, household composition, income, and region. Includes budget share data for fruits, vegetables, and protein, and per capita spending on FAH and FAFH by region and urban/rural areas.
Author(s): Abigail Okrent, Eliana Zeballos
Date: 12/2022
Type: Document
Sponsoring organization: USDA Economic Research Service
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Trends in Supplemental Nutrition Assistance Program Participation Rates: Fiscal Year 2016 to Fiscal Year 2020
Presents information on eligibility for the Supplemental Nutrition Assistance Program (SNAP) alongside actual participation in SNAP. Presents information on households, children, elderly, refugees, low-income families, persons with disabilities, and other groups enrolled in the program. Tables A.3 and B.3 show rural versus urban participation.
Additional links: Summary
Author(s): Alma Vigil
Date: 12/2022
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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How the COVID-19 Pandemic Changed Urban and Rural Spending Habits
A collection of charts showing changes in spending in urban and rural areas in 2019 compared to 2020. Includes data on healthcare expenditures, including medical supplies, medical services, health insurance, and prescription drugs. Also covers spending related to food, transportation, and more.
Date: 12/2022
Type: Website
Sponsoring organization: Bureau of Labor Statistics
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QuickStats: Percentage of Adults Aged ≥18 Years Living in Families That Were Food-Insecure in the Past 30 Days, by Family Income and Urbanicity — National Health Interview Survey, United States, 2021
Bar chart showing the percent of adults in food insecure families overall, in urban areas, and in rural areas, with breakdowns by income level for those under the federal poverty level (FPL), between 100-199% of the FPL, and 200% or more of the FPL.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(48), 1539
Date: 12/2022
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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