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Rural Health
Resources by Topic: Obesity and weight control

Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
Study examining barriers, resources, and community support for physical activity to address obesity in rural Appalachia, focusing on Martin County, Kentucky. Describes data related to physical activity, social determinants of health, and physical environment for a cohort of 152 people and 34 focus group participants.
Author(s): Natalie Jones, Dierdre Dlugonski, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(14), 7646
Date: 07/2021
Type: Document
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Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County
Discusses efforts to improve nutrition of rural Appalachian citizens through community-developed marketing strategies. Examines statistical differences in food purchases at 5 Kentucky gas stations before and after healthier options were noted on station shelves via a "Smart Snack" logo.
Author(s): Rachel Gillespie, Emily DeWitt, Heather Norman-Burgdolf, Brynnan Dunnaway, Alison Gustafson
Citation: Nutrients, 13(7), 2200
Date: 06/2021
Type: Document
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The Influence of Rurality on Fruit and Vegetable Intake and BMI: Findings in Mississippi Are Not Consistent with Those at the National Level
Utilizes data from the 2017 Behavioral Risk Factor Surveillance System (BRFSS) to look at fruit and vegetable (FV) intake and BMI in a nationwide sample of over 450,000 people and compares those results with participants within Mississippi. Examines FV intake across four geographic categories: in the center city of metropolitan statistical area (MSA), outside center city of MSA but within its county, inside suburban county of MSA, and not in MSA. Includes graphs of FV intake related to geographic category and discussion of FV intake within rural areas specifically.
Author(s): Danielle Fastring, Danielle Nadorff, Hilary DeShong
Citation: International Journal of Environmental Research and Public Health, 18(9), 5021
Date: 05/2021
Type: Document
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Caring for American Indian and Alaska Native Children and Adolescents
Examines the influence of historical trauma and health inequities on the socioeconomic and health status of AI/AN youth. Discusses the disproportionate mental and cardiovascular health needs, and disease processes of AI/AN youth. Identifies strategies for culturally sensitive care to lessen morbidity, and makes policy recommendations supporting institutional and system changes for improving health outcomes.
Author(s): Bell. S., Deen, J.F., Fuentes, M., Moore, K.
Citation: Pediatrics, 147(4)
Date: 04/2021
Type: Document
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Challenges to Admitting Residents: Perspectives from Rural Nursing Home Administrators and Staff
Study of nursing home admissions in rural areas that examines challenges nursing home workers encounter when admitting individuals with mental and behavioral health conditions, obesity, dementia, and complex medical conditions. Discusses capacity challenges facing rural nursing homes related to population density, workforce recruitment and retention, financial issues, and space and equipment needs to meet specific health conditions. Data taken from surveys of 209 rural nursing home administrators.
Author(s): Carrie Henning-Smith, Dori Cross, Adrita Rahman
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 58, 1-8
Date: 03/2021
Type: Document
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Relationships between Physical and Mental Health in Adolescents from Low-Income, Rural Communities: Univariate and Multivariate Analyses
Highlights a study on the relationship between physical and mental health among 10th and 11th graders in rural Alabama. Explores the role socioeconomic status and rural versus urban location play in the mental and physical health of teenagers. Breaks down data by sex, age, ethnicity, and household income, among other factors.
Author(s): Robyn Feiss, Melissa M. Pangelinan
Citation: International Journal of Environmental Research and Public Health, 18(4), 1372
Date: 02/2021
Type: Document
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Marcellus Shale Natural Gas Development Increased Income for Rural Pennsylvania Families, but Youth Obesity Rates Remained High
Results of a study examining whether increases in income generated by Marcellus Shale natural gas extraction led to declines in youth obesity in parts of Pennsylvania where geological conditions were better for extracting natural gas. Uses data from 317 Pennsylvania school districts and compares youth obesity rates in 2007 and 2011.
Author(s): Molly A. Martin
Date: 02/2021
Type: Document
Sponsoring organizations: Lerner Center for Public Health Promotion, Penn State Population Research Institute
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Effect of Behavioral Therapy With In-Clinic or Telephone Group Visits vs In-Clinic Individual Visits on Weight Loss Among Patients With Obesity in Rural Clinical Practice
Examines the difference in weight loss improvements between in-clinic group or telephone visits and in-clinic individual visits. Utilizes data from 1,407 participants visiting 36 primary care practices in the rural Midwestern U.S. and includes descriptive statistics broken down by age, sex, rurality, weight and body mass index, race and ethnicity, and education, among others.
Author(s): Christie A. Befort, Jeffrey J. VanWormer, Cyrus Desouza
Citation: JAMA, 325(4), 363-372
Date: 01/2021
Type: Document
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Eat Healthy, Be Active Community Workshops Implemented with Rural Hispanic Women
Describes a pilot study investigating whether delivering Eat Healthy, Be Active (EHBA) workshops through promotoras is a practical and culturally relevant method for encouraging healthy lifestyle behaviors and reducing obesity among Hispanic women in rural areas of Washington state. Includes data and statistics, with information on changes in nutrition label literacy, food insecurity, health behaviors, and health status among participants.
Author(s): Janeth I. Sanchez, Katherine J. Briant, Samantha Wu-Georges, et al.
Citation: BMC Women's Health, 21(24)
Date: 01/2021
Type: Document
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Comparing Three Ways to Offer a Weight Management Program to Patients Living in Rural Areas: The RE-POWER Study
Presents the results of a study in 36 rural primary care practices, including Rural Health Clinics and Federally Qualified Health Clinics, comparing Medicare Fee for Service behavioral therapy for obesity delivered to individual clients in clinics with an in-clinic group visit delivered by clinical providers; and phone-based group visits delivered by a centralized provider. Participants included 1,407 adults from rural areas over a 24 month period with the goal to identify the most effective therapy for rural settings.
Author(s): Christie A. Befort, Jeffrey J. VanWormer, Cyrus DeSouza, et al.
Date: 2021
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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