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Rural Obesity and Weight Control Resources

Selected recent or important resources focusing on Rural Obesity and Weight Control.

Catalyzing Medicaid-Public Health Collaboration to Reduce Childhood Obesity
Explains cross-sector interventions tested by five states - Arizona, Maryland, Oklahoma, Oregon, and Texas - participating in the Center for Health Care Strategies' Innovations in Childhood Obesity Initiative. Each state profile highlights how Medicaid and public health agencies are using innovative approaches to address childhood obesity in their high-risk communities. The Texas initiative focuses on childhood obesity in the rural, low-income population along the U.S./Mexico border.
Author(s): Alexandra Maul, Stephen A. Somers
Date: 11/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Longitudinal Analysis of Nut-Inclusive Diets and Body Mass Index Among Overweight and Obese African American Women Living in Rural Alabama and Mississippi, 2011-2013
Results of a weight loss intervention among 383 overweight women in 8 rural counties, comparing intake of nuts and other obesity-related foods with body mass index (BMI), over a 24-month period. Features statistics including income, education, and rates of consumption of various foods.
Author(s): Samara R. Sterling, Brenda Bertrand, Suzanne Judd, et al.
Location: Preventing Chronic Disease, 14
Date: 09/2017
Type: Document
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The Differences in Characteristics Among Households With and Without Obese Children: Findings From USDA’s FoodAPS
Examines characteristics of households with at least one obese child and without any obese children. Table 2 compares rural and urban household financial well-being, as it relates to obesity. Table 3 examines the food environment for rural households with and without obese children.
Author(s): Young Jo
Date: 09/2017
Type: Document
Sponsoring organization: USDA Economic Research Service
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State of Obesity 2017: Better Policies for a Healthier America
Report on obesity related trends and topics. Includes data and statistics for both adults and children and provides examples of successful programs and policies across the country. Also addresses obesity and chronic disease trends in both urban and rural areas.
Author(s): Laura M. Segal, Jack Rayburn, Stacy E. Beck
Date: 08/2017
Type: Document
Sponsoring organization: Trust for America's Health
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Ethnic Identity Attachment and Motivation for Weight Loss and Exercise Among Rural, Overweight, African-American Women
Results of a survey and assessment of overweight African American women in the South about their motivation for weight loss and exercise as it connects to ethnicity and rurality. Includes a discussion of racial identity, rural influence, and chronic disease diagnosis.
Author(s): K. Bryant Smalley, Jacob C. Warren, Sydney McClendon, Wilburn Peacock, Marisol Caro
Location: Clinical Medicine Insights: Women's Health, 9(Suppl 1), 95-101
Date: 11/2016
Type: Document
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Change from the Inside Out: Ohio Wellness Program Inspires Healthy Bodies Through Healthy Minds
Profile of the Trinity Hospital Twin City’s Fit for Life wellness program, which helps participants in rural Ohio lose weight and improve their health. Highlights how funding from the Federal Office of Rural Health Policy has helped this program grow over time.
Author(s): Jenn Lukens
Location: Rural Monitor
Date: 08/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Estimating the Prevalence of Childhood Obesity in Alaska Using Partial, Nonrandom Measurement Data
Results of a 2013-2014 study of obesity among students in the 8 largest Alaska school districts, 7 of which are in rural areas. Features statistics with breakdowns including district, grade level, sex, and ethnicity.
Author(s): Erik Everson, Myde Boles, Karol Fink, Rebecca Topol, Andrea Fenaughty
Location: Preventing Chronic Disease, 13
Date: 03/2016
Type: Document
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Using Electronic Health Records to Examine Disease Risk in Small Populations: Obesity Among American Indian Children, Wisconsin, 2007-2012
Examines use of the Public Health Information Exchange (PHINEX) to describe obesity among Wisconsin American Indian children seeking care off-reservation. Also discusses usefulness of electronic health records as an alternative to other data collection methods when studying disease risk in a small population.
Author(s): Emily J. Tomayko, Bethany A. Weinert, Liz Godfrey, Alexandra K. Adams, Lawrence P. Hanrahan
Location: Preventing Chronic Disease, 13
Date: 02/2016
Type: Document
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Physical Activity-Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002-2013
Synthesizes evidence from U.S. and Canadian studies, looking at Common Community Measures for Obesity Prevention (COCOMO) physical activity strategies implemented in rural communities. Identifies strategies relevant to rural communities.
Author(s): M. Renee Umstattd Meyer, Cynthia K. Perry, Jasmin C. Sumrall, et al.
Location: Preventing Chronic Disease, 13(03)
Date: 01/2016
Type: Document
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Association Between Student Body Mass Index and Access to Sports Drinks in Minnesota Secondary Schools, 2012-2013
Results of a study showing the correlation between school policies allowing sports drinks and student body mass index. Features statistics such as percentages of schools offering sugar-sweetened beverages or salty snacks, number of overweight and obese students, and percentages of schools in city, suburb, or rural locations.
Author(s): Martha Y. Kubik, Cynthia Davey, Marilyn S. Nanney
Location: Preventing Chronic Disease, 12
Date: 11/2015
Type: Document
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Obesity and Obesity-Related Behaviors Among Rural and Urban Adults in the USA
Analyzes the rural-urban differences in the prevalence of adult obesity, and the high risk obesity-related behaviors of physical inactivity and poor diet.
Author(s): Tushar Trivedi, Jihong Liu, Janice Probst, et al.
Location: Rural and Remote Health, 15, 3267
Date: 10/2015
Type: Document
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Promoting Weight Maintenance among Overweight and Obese Hispanic Children in a Rural Practice
Explores the development of efficient, effective, and feasible behavioral programs and interventions primary care providers can used to promote weight maintenance in overweight and obese rural Hispanic children. Includes demographic and clinical characteristics.
Author(s): Deborah Parra-Medina, Cynthia Mojica, Yuanyuan Liang, et al.
Location: Childhood Obesity, 11(4), 355-363
Date: 08/2015
Type: Document
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Comparisons of Weight Change, Eating Habits and Physical Activity Between Women in Northern Sweden and Rural New York State - Results from a Longitudinal Study
Reports on a study that compares the change in weight over a 10 year period of women living in Northern Sweden and rural New York State. Identifies and compares the eating habits, the physical activities, and the vulnerability to the negative effects of unhealthy behaviors on both female population groups.
Author(s): Kristina Lindvall, Paul Jenkins, Melissa Scribani, et al.
Location: Nutrition Journal, 14, 88
Date: 08/2015
Type: Document
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Assessing Child Obesity and Physical Activity in a Hard-to-Reach Population in California’s Central Valley, 2012-2013
Results of a family-centered program to reduce obesity among Latino children in two rural towns by promoting nutrition education and assessing the quantity and quality of children's physical activity levels. Includes data with breakdowns by weight classification, sex, and average length of time spent daily in moderate to vigorous activity.
Author(s): Sara E. Schaefer, Rosa Camacho-Gomez, Banefsheh Sadeghi, et al.
Location: Preventing Chronic Disease, 12
Date: 07/2015
Type: Document
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Nutrition-Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002-2013
Summarizes findings from 29 rural studies of obesity prevention interventions using nutrition-related and environmental strategies. Includes interventions in school, tribal, farmers market, and other settings. Discusses common strategies for adapting and implementing these programs in rural communities.
Author(s): Larissa Calancie, Jennifer Leeman, Stephanie B. Jilcott Pitts, et al.
Location: Preventing Chronic Disease, 12
Date: 04/2015
Type: Document
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Hawaiian Weight Management Program Aims for Healthy, Happy Lives
Highlights Kūlana Hawaii, a weight management program that helps Native Hawaiians and the medically underserved population on the islands of Oahu and Molokai.
Author(s): Jami Schumacher
Location: Rural Monitor, 2015(Winter)
Date: 02/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Development of a Nationally Representative Built Environment Measure of Access to Exercise Opportunities
Describes the development of a county-level measure of residents' access to physical exercise opportunities, based on proximity to parks and recreational facilities. This measure is used in County Health Rankings & Roadmaps. Includes a national map showing county-level access to adequate exercise options.
Author(s): Anne M. Roubal, Amanda Jovaag, Hyojun Park, Keith P. Gennuso
Location: Preventing Chronic Disease, 12
Date: 01/2015
Type: Document
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The Social Determinants of Health of Type 2 Diabetes and Obesity: A Research Framework
Examines the social determinants of health related to childhood obesity and type 2 diabetes from a Native perspective, considering historical trauma, self-determination, and cultural factors. Looks at currently available information, identifies gaps, and provides a research framework to help build a better understanding of the causes of child obesity among Native Americans.
Date: 2015
Type: Document
Sponsoring organization: Notah Begay III Foundation
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Relationship Between Social Support and Body Mass Index Among Overweight and Obese African American Women in the Rural Deep South, 2011–2013
Reports results from a study undertaken in rural communities of the Alabama Black Belt and the Mississippi Delta. Examines encouragement and discouragement provided to overweight and obese African American women by family and friends related to healthy eating and exercise.
Author(s): Erica R. Johnson, Tiffany L. Carson, Olivia Affuso, Claudia M. Hardy, Monica L. Baskin
Location: Preventing Chronic Disease, 11
Date: 12/2014
Type: Document
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Disparities in Obesity Among Rural and Urban Residents in a Health Disparate Region
Reports on a community-based study to measure and compare the current levels of obesity and associated lifestyle behaviors of physical activity and diets of fruits and vegetables among rural and urban residents in south central Virginia and north central North Carolina.
Author(s): Jennie L Hill, Wen You, Jamie M Zoellner
Location: BMC Public Health, 2014(14), 1051
Date: 10/2014
Type: Document
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Rural-Urban Disparities in Heart Disease
Policy brief reporting on rural disparities in heart disease and the associated risk factors of obesity and physical inactivity. Includes heart disease-related death rates and information on obesity prevalence by sex, region, and rural/urban status from 2008-2010. Based on data from The 2014 Update of the Rural-Urban Chartbook.
Author(s): Alana Knudson, Michael Meit, Shena Popat
Date: 10/2014
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Rural Childhood Obesity Prevention Toolkit
Provides specific policy options for healthy eating and active living for rural communities to implement to address childhood obesity.
Author(s): Maya Rockeymoore, Craig Moscetti, Andrew Fountain
Date: 10/2014
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Integrating Primary Care Practices and Community-based Resources to Manage Obesity: A Bridge-building Toolkit for Rural Primary Care Practices
Provides resources to help rural primary care practices connect patients to community-based obesity management resources. Outlines a step-by-step process, as well as sample worksheets, surveys, brochures and other materials. Based on the experiences of six rural Oregon primary care practices and developed by the Oregon Rural Practice-based Research Network.
Author(s): Paul McGinnis, Melinda M. Davis, Sonya Howk, Molly DeSordi, Michelle Thomas
Date: 05/2014
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Goal Setting for Health Behavior Change: Evidence from an Obesity Intervention for Rural Low-income Women
This study analyzed whether obesity intervention targeted for rural low-income women resulted in goal setting and its effectiveness on healthy behavior outcomes, and if there were any variation by racial and ethnic populations in the use of goal setting and strategies.
Location: Rural and Remote Health, 14, 2682
Date: 05/2014
Type: Document
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Residency and Racial/Ethnic Differences in Weight Status and Lifestyle Behaviors Among US Youth
Discusses a secondary analysis of a study based on the rates of adolescent obesity and obesity-related behaviors of U.S. students in grades 6-10 during the 2005-2006 school year. Details the results of the analysis by age, gender, race, and whether the students were from metro or nonmetro areas, as well as several other factors.
Author(s): Mary Kay Kenney, Jing Wang, Ron Iannotti
Location: Journal of Rural Health, 30(1), 89-100
Date: 01/2014
Type: Document
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Encouraging Healthy Weight Among Kansas Farmworkers
Provides details on the development and implementation of a bilingual nutrition education workshop geared to farmworkers that teaches healthy eating and how to keep a healthy weight.
Author(s): Kendra Baldridge, Pat Fernandez
Location: Migrant Health Newsline
Date: 01/2014
Type: Document
Sponsoring organization: National Center for Farmworker Health
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Childhood Obesity Prevention Strategies for Rural Communities
Covers childhood obesity in rural communities including common themes and lessons learned, the role of early care, education, and out-of-school time in obesity prevention. Also provides examples of community initiatives and recommendations to policymakers for preventing obesity.
Date: 2014
Type: Document
Sponsoring organization: Nemours Foundation
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Local Wellness Policy 5 Years Later: Is It Making a Difference for Students in Low-Income, Rural Colorado Elementary Schools?
Assesses 45 schools' environmental and policy changes resulting from implementation of a federally mandated program designed to increase physical activity and healthy eating, as a response to the childhood obesity epidemic. Looked at factors including number of minutes of recess per week, minutes of physical education, playground features, total number of fruit and vegetable offerings at meals, presence of a school health team, and familiarity with their district’s policy and related state or federal mandates.
Author(s): Elaine S. Belansky, Nick Cutforth, Lynn Gilbert, et al.
Location: Preventing Chronic Disease, 10
Date: 11/2013
Type: Document
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Promising Practices to Prevent and Address Obesity in Rural Communities
Provides resources and promising interventions for practitioners to prevent and address obesity in rural communities.
Author(s): Karen Harris Brewer, Heather Langerman
Date: 06/2013
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Individual-, Family-, Community-, and Policy-Level Impact of a School-Based Cardiovascular Risk Detection Screening Program for Children in Underserved, Rural Areas: The CARDIAC Project
Examines the evidence of sustainability and successful impact of a school-based cardiovascular risk detection program for children who are obese and overweight in underserved, rural Appalachia.
Author(s): Lesley Cottrell, Collin John, Emily Murphy, et al.
Location: Journal of Obesity
Date: 06/2013
Type: Document
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The Community-Based Healthy-Lifestyle Intervention for Rural Preschools (CHIRP) Study: Design and Methods
Explores the design and methods for the Community-based Healthy-lifestyle Interventions for Rural Preschools (CHIRP) study in rural Florida. CHIRP assesses the effects of a behavioral family weight management intervention overweight young children and their parents. Table 2 lists the CHIRP study schedule of behavioral family intervention session topics.
Author(s): David M. Janicke, Crystal S. Lim, Anne E. Mathews, et al.
Location: Contemporary Clinical Trials, 34(2), 187-195
Date: 03/2013
Type: Document
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Health Promotion Programs Continue to Combat Growing Obesity Epidemic
Provides an update on three obesity programs previously featured in the Rural Monitor. Includes programs in West Virginia, South Carolina, and Wisconsin.
Author(s): Candi Helseth
Location: Rural Monitor, 2013(Winter)
Date: 02/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
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Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress
Develops an actionable plan for measuring the nation's progress in obesity prevention efforts. Includes information and tools related to evaluating obesity prevention efforts, with the goal that the most promising interventions will be adopted more widely. Includes some discussion of challenges related to rural program evaluation. Appendix E features tools and methods used to evaluate programs and identifies those that were used in a rural setting.
Date: 2013
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Healthy-Lifestyle Behaviors Associated With Overweight and Obesity in US Rural Children
Examines the association between overweight and obesity prevalence of 401 ethnically or racially diverse, rural school-aged children and healthy-lifestyle behaviors: improving diet quality, obtaining adequate sleep, limiting screen-time viewing, and consulting a physician about a child’s weight.
Author(s): Alison Tovar, Kenneth Chui, Raymond R Hyatt, et al.
Location: BMC Pediatrics, 12, 102
Date: 07/2012
Type: Document
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Telefit: Adapting a Multidisciplinary, Tertiary-Care Pediatric Obesity Clinic to Rural Populations
Overview of a tertiary-care hospital, with a pediatric obesity clinic, implementing an telemedicine technology program in four rural satellite clinics to reach rural children and to assess the impact on patients enrolling and remaining in pediatric obesity treatment.
Author(s): Megan B. Irby, Katherine A. Boles, Christine Jordan, et al.
Location: Telemedicine and e-Health, 18(3), 247-249
Date: 04/2012
Type: Document
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Weight Status of American Indian and White Elementary School Students Living in the Same Rural Environment, Oklahoma, 2005-2009
Compares statistics on American Indian and white students at three schools in Anadarko, Oklahoma, with categories ranging from underweight to very obese. Includes breakdowns by year, weight status, race, sex, and age.
Author(s): Amanda E. Janitz, William E. Moore, Aietah L. Stephens, Kathryn E. Abbott, June E. Eichner
Location: Preventing Chronic Disease, 9
Date: 03/2012
Type: Document
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Prevalence of Obesity Among Adults From Rural and Urban Areas of the United States: Findings From NHANES (2005–2008)
Examines rural and urban obesity rates using measured height and weight to calculate body mass index, rather than self-reported obesity rates. Also looks at demographics, diet, and physical activity as they relate to obesity for rural and urban residents. Uses data from the National Health and Nutrition Examination Survey (NHANES).
Author(s): Christie A. Befort, Niaman Nazir, Michael G. Perri
Location: Journal of Rural Health, 28(4), 392-397
Date: 2012
Type: Document
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A Community-Driven Approach to Identifying “Winnable” Policies Using the Centers for Disease Control and Prevention’s Common Community Measures for Obesity Prevention
Describes a community-based participatory research approach used in two rural North Carolina counties to select obesity prevention strategies, based on the Common Community Measures for Obesity Prevention (COCOMO). Discusses how COCOMO might be adapted for use in rural communities.
Author(s): Stephanie B. Jilcott Pitts, Lauren M. Whetstone, Jean R. Wilkerson, Tosha W. Smith, Alice S. Ammerman
Location: Preventing Chronic Disease, 9
Date: 2012
Type: Document
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Feasibility of an Evidence-Based Weight Loss Intervention for a Faith-Based, Rural, African American Population
Discusses a culturally appropriate program created by a coalition of academic and community partners and geared toward adults in three African American churches in the Arkansas Lower Mississippi Delta. Measured effectiveness of recruitment strategies, program retention, implementation ease, participant outcomes, and program satisfaction.
Author(s): Karen Hye-cheon Kim Yeary, Carol E. Cornell, Jerome Turner, et al.
Location: Preventing Chronic Disease, 8(6)
Date: 11/2011
Type: Document
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Illinois Programs Offer Diabetic and Overweight Patients a Fresh Start
Highlights patients at Kirby Medical Group in Monticello, Illinois, who are losing weight and lowering their need for insulin.
Author(s): Candi Helseth
Location: Rural Monitor, 2011(Summer)
Date: 08/2011
Type: Document
Sponsoring organization: Rural Health Information Hub
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Obesity and Related Health Behaviors Among Urban and Rural Children in the United States: Data from the National Health and Nutrition Examination Survey 2003-2004 and 2005-2006
Evaluates and compares the rates of overweight, obesity and related health behaviors among rural and urban children using data from the National Health and Nutrition Examination Survey (NHANES).
Author(s): Ann McGrath Davis, Kevin J Bennett, Christie Befort, Nikki Nollen
Location: Journal of Pediatric Psychology, 36(6), 669-676
Date: 07/2011
Type: Document
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The 2011 Report to the Secretary: Rural Health and Human Services Issues
Report to the Secretary of the U.S. Department of Health and Human Services focused on rural childhood obesity, place-based initiatives for rural early childhood development, and rural implications of accountable care organizations and payment bundling. Includes recommendations to address these issues and provides appendices describing the 2010 site visits.
Date: 03/2011
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Upstream Ecological Risks for Overweight and Obesity Among African American Youth in a Rural Town in the Deep South, 2007
Data from interviews with adult African American community members who interact with youth in varying contexts in a small southeastern Georgia town. Presents their perception that factors including the built environment, laws and policies, and issues such as race and class contribute to the prevalence and perpetuation of obesity.
Author(s): Alison J. Scott, Rebecca F. Wilson
Location: Preventing Chronic Disease, 8(1)
Date: 01/2011
Type: Document
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Hunger and Obesity: Understanding a Food Insecurity Paradigm: Workshop Summary
Presents the results from a workshop, held November 16-18-2010, which explored the relationship between food insecurity and obesity. Chapter 4 focuses on four populations - children, immigrants, American Indians, and rural populations - as a way to discuss potential links between food insecurity and obesity.
Date: 2011
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Diet, Physical Activity, and Sedentary Behaviors as Risk Factors for Childhood Obesity: An Urban and Rural Comparison
Examines rates of childhood obesity, compared by rural and urban location. Also discusses issues related to physical activity, sedentary behavior, dietary quality, and other associated risk factors.
Additional links: Key Facts
Author(s): Jihong Liu, Sonya J. Jones, Han Sun, Janice C. Probst, Philip Cavicchia
Date: 11/2010
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
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Commute Times, Food Retail Gaps, and Body Mass Index in North Carolina Counties
Examines potential impact that longer commute times and limited access to affordable, healthy food have on the rural obesity disparity. Includes statistical breakdowns by age, weight status, race, education, and income level.
Author(s): Stephanie B. Jilcott, Haiyong Liu, Justin B. Moore, et al.
Location: Preventing Chronic Disease, 7(5)
Date: 09/2010
Type: Document
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Rural Obesity Prevention Toolkit
Contains eight modules that concentrate on different aspects of obesity prevention programs. Also shares best practices from successful obesity prevention programs that have been implemented in clinical, school, and community settings.
Type: Website
Sponsoring organization: Rural Health Information Hub
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PubMed Search: Obesity and Weight Control in Rural Areas
Searches PubMed's collection of journal article citations on the topics of obesity and weight control in rural areas.
Type: Literature Search
Sponsoring organization: National Library of Medicine
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Food Environment Atlas
A web-based mapping tool providing access to county-level data on a range of factors that affect access to healthy, affordable food. Includes information on grocery store availability, food assistance, and food insecurity. Also includes data on physical activity, diabetes, obesity, and socioeconomic characteristics.
Type: Website
Sponsoring organization: USDA Economic Research Service
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Last Updated: 12/5/2017