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Rural Health
Resources by Topic: Food security and nutrition

Policy Implications of the COVID-19 Pandemic on Food Insecurity in Rural America: Evidence from Appalachia
Study examining food access during the COVID-19 pandemic in a rural Appalachian community in Kentucky, based on qualitative data from 5 focus groups. Discusses food scarcity, supply chain disruptions, federal food assistance, community food resources, and home gardening, and highlights policy implications related to federal programs and social determinants of health.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(23), 12792
Date: 12/2021
Type: Document
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U.S. Population Subgroups See Changes in Food Insecurity from 2019 to 2020 While Overall Rate Remains the Same
Chart comparing 2019 and 2020 data on the prevalence of food insecurity broken down by household composition, race/ethnicity, household income-to-poverty ratio, metro and nonmetro residence, and geographic region based on data from the U.S. Department of Commerce, Bureau of the Census, and the Current Population Survey Food Security Supplement.
Date: 12/2021
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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USDA's Supplemental Nutrition Assistance Program (SNAP) Contributed to Rural Economic Output, Jobs Following the Great Recession
Reports on the economic impacts of the Supplemental Nutrition Assistance Program (SNAP) in rural areas from 2009-2014 based on data from the USDA and U.S. Department of Commerce's Bureau of Economic Analysis. Discusses job creation, household spending, and food-sector investments.
Author(s): Cristina Miller, Katherine Ralston, Stephen Vogel
Citation: Amber Waves
Date: 12/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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Rural Counties Losing Share of Grocery Stores, Gaining Other Types of Food Retailers
Reports on changes in the rural food retail landscape in the 48 contiguous states from 1990 to 2015 using National Establishment Time Series data. Describes the distribution of different types of stores in nonmetro counties, including single-location grocery stores, chain stores, and dollar stores.
Author(s): Alexander Stevens
Citation: Amber Waves
Date: 12/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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Rural Counties Losing All Types of Grocery Stores Except National Chains
Line chart showing the change in numbers and types of grocery stores in rural counties between 1990 and 2015, representing national chains, regional chains, local chains, and single location retailers.
Date: 12/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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Losses, Gains, and Changes to the Food Environment in a Rural Kentucky County during the COVID-19 Pandemic
Results of a study conducted in rural Laurel County, Kentucky, regarding changes to the food environment during the COVID-19 pandemic. Offers suggestions for future programming to address inequitable access and response during public health emergencies.
Author(s): Makenzie L. Barr, Courtney Martin, Courtney Luecking, Kathryn Cardarelli
Citation: Nutrients, 13(11), 3929
Date: 11/2021
Type: Document
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Evaluation of the Implementation of Food Insecurity Nutrition Incentives (FINI): Final Report
Summarizes findings from the process evaluation examining Food Insecurity Nutrition Incentives (FINI) program models. Includes information about the amount of incentives issued and redeemed at FINI retailers, and characteristics of the retailers involved in the grant program, including statistics with breakdowns by rural and urban areas.
Additional links: Research Summary
Author(s): Tracy Vericker, Sujata Dixit-Joshi, Lindsay Giesen, et al.
Date: 11/2021
Type: Document
Sponsoring organization: U.S. Department of Agriculture
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Consistent SNAP Participation Increases Preventative Health Care Visits for Infants
Examines the connection between Supplemental Nutrition Assistance Program (SNAP) participation and preventive care in an infant's first year of life. Uses data from a survey covering 51,551 first-born children of low-income mothers, ages 18 and older, who participated in SNAP and Medicaid in Missouri between 2006-2014. Features statistics including race and urban or rural residence.
Author(s): Colleen Heflin, Irma Arteaga, Julia Stafford
Date: 11/2021
Type: Document
Sponsoring organizations: Center for Aging and Policy Studies, Lerner Center for Public Health Promotion
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Exposure to a Multilevel, Multicomponent Obesity Prevention Intervention (OPREVENT2) in Rural Native American Communities: Variability and Association with Change in Diet Quality
Explores the efficacy of an obesity prevention program aimed at rural Native Americans. Discusses the structure of the intervention and measures the outcomes. Breaks down the data by age group, region, and intervention component exposed to, among other measures.
Author(s): Michelle Estradé, Ellen J. I. van Dongen, Angela C. B. Trude, et al.
Citation: International Journal of Environmental Research and Public Health, 18(22), 12128
Date: 11/2021
Type: Document
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Persistent Gaps in SNAP Benefit Adequacy across the Rural-Urban Continuum
Report examining gaps in the adequacy of Supplemental Nutrition Assistance Program (SNAP) benefits to cover the cost of a meal across the rural-urban continuum using the USDA's Rural-Urban Continuum Codes (RUCCs). Discusses characteristics of the counties with the largest gaps and addresses the policy implications of the 2021 Thrifty Food Plan (TFP) update to SNAP.
Author(s): Olivia Fiol, Elaine Waxman, Craig Gunderson
Date: 11/2021
Type: Document
Sponsoring organization: Urban Institute
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