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Rural Health Information Hub

Rural Obesity and Weight Control – Resources

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

Pharmaceuticalization of Obesity: Empirical Analysis of Metro and Nonmetro Populations, Cognitions and Behavior
Examines perceptions, attitudes, and behavioral intentions related to obesity medications in metro and nonmetro areas. Utilizes 2023 data from Kaiser Family Foundation's Health Tracking Poll to analyze weight loss drug prescriptions across demographic groups.
Author(s): Adee Athiyaman
Date: 11/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Geographic Differences in the Magnitude of Black-White Disparities in Having Obesity
Compares the magnitude of Black-White obesity disparities in rural and urban areas with U.S. regional comparisons, utilizing data from the 2012 Behavioral Risk Factor Surveillance System. Assesses rural-urban status by county-level Index of Relative Rurality quintile.
Author(s): Steven A. Cohen, Monique J. Brown, Furong Xu, Caitlin C. Nash, Mary L. Greaney
Citation: Obesity Science & Practice, 9(5), 516-528
Date: 10/2023
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Rural–Urban Differences in Overweight and Obesity, Physical Activity, and Food Security Among Children and Adolescents
Examines the relationship among food security, physical activity, and overweight or obesity in rural and urban children. Analyzes 2019-2020 National Survey of Children's Health data of children aged 10-17 according to body mass index (BMI), physical activity, and food security, with data broken down by demographic variables and rural versus urban location.
Author(s): Elizabeth Crouch, Demetrius A. Abshire, Michael D. Wirth, Peiyin Hung, Gabriel A. Benavidez
Citation: Preventing Chronic Disease, 20
Date: 10/2023
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The State of Obesity: Creating Pathways to a Healthier America Livestream Event
A recorded livestream event that focuses on The State of Obesity 2023: Better Policies for a Healthier America report. Discusses federal policy and strategy to address nutrition and wellness, diet-related disease, and obesity prevention programs. Includes information specific to rural areas. Transcript available under video description.
Author(s): Will McIntee, James "Jim" Jones, Caree Cotwright, et al.
Date: 10/2023
Sponsoring organization: Trust for America's Health
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Adult Obesity in Rural America: An Examination of the Relationships Between Obesity Prevalence, Sociodemographic Factors, Access to Care, and Differences Between Rural and Urban Counties
Provides an overview of obesity prevalence in rural versus urban counties. Analyzes factors related to obesity such as education, income, physical inactivity, healthcare workforce, and food, internet, and healthcare access. Includes case studies and data related to obesity prevalence in Texas and Arkansas.
Additional links: Appendix, Executive Summary
Date: 09/2023
Sponsoring organization: NORC at the University of Chicago
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Racial Disparities in Obesity‐Related Cardiovascular Mortality in the United States: Temporal Trends From 1999 to 2020
Examines disparities in obesity-related cardiovascular mortality in U.S. citizens from 1999 to 2020. Utilizes the Multiple Cause of Death database to analyze mortality trends by race, sex, age, and rural versus urban residence.
Author(s): Zahra Raisi‐Estabragh, Ofer Kobo, Jennifer H. Mieres, et al.
Citation: Journal of the American Heart Association, 12(18)
Date: 09/2023
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COVID-19 Working Paper: Obesity Prevalence Among U.S. Adult Subpopulations During the First Year of the COVID-19 Pandemic
Explores obesity disparities among adults before the COVID-19 pandemic and during the first year of the pandemic. Uses data from the 2011-2020 Behavioral Risk Factor Surveillance System (BRFSS) to estimate changes in obesity rates and compares rates across demographic and socioeconomic subgroups, including urban-rural status, Census region, age group, race and ethnicity, and more.
Author(s): Mariah D. Ehmke, Brandon J. Restrepo
Date: 07/2023
Sponsoring organization: USDA Economic Research Service
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Self-Assessed Health Status and Obesity Vulnerability in Rural Louisiana: A Cross-Sectional Analysis
Examines the self-assessed health of rural residents in Louisiana utilizing the obesity vulnerability index, which factors in sex, race, education, caregiver status, exercise, and grocery store choice as potential risk factors for obesity. Provides 2021 data of residents from 3 rural counties, with obesity vulnerability index indicators broken down by fair, good, or excellent health status.
Author(s): Santosh Pathak, Hua Wang, Katherine Seals, Naveen C. Adusumilli, Denise Holston
Citation: PLoS One, 18(6)
Date: 06/2023
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Barriers, Facilitators, and Opportunities to Promote Healthy Weight Behaviors among Preschool-Aged Children in Two Rural U.S Communities
Examines barriers, facilitators, and opportunities related to supporting wellness and healthy weight in rural preschool children. Utilizes focus group interviews with parents, caregivers, and community organizations as well as observation of built environment to assess healthy eating and physical activity resources. Discusses wellness barriers and facilitators for preschool children at the family, organization, and community levels.
Author(s): Katherine Jochim Pope, Cason Whitcomb, Maihan Vu, et al.
Citation: BMC Public Health 23, 53
Date: 01/2023
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Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19
Examines rates of pediatric obesity before the COVID-19 pandemic and during the pandemic as related to normalized difference vegetation index (NDVI) or greenspace. Analyzes patient electronic health records (EHRs) of 81,418 children who had a pediatric visit between June 2019 and December 2019 and then again between June 2020 and December 2020. Includes demographic breakdowns of EHR patients by age, sex, race/ethnicity, insurance type, neighborhood measures such as social/economic deprivation and supermarket access, and urban, suburban, or rural location.
Author(s): Stephanie L. Mayne, Shannon Kelleher, Chloe Hannan, et al.
Citation: American Journal of Preventive Medicine, 64(1), 33-41
Date: 01/2023
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Last Updated: 6/18/2025