ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2013
Perspectives on healthy eating among Appalachian residents.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- The mediating role of social support in behavioral changes and weight loss outcomes among overweight Appalachian adults.Journal of behavioral medicine · 2025Trial
- Health Behaviors in Rural Appalachia.Southern medical journal · 2019Trial
- The role of dietary tracking on changes in dietary behaviour in a community-based diabetes prevention and management intervention.Public health nutrition · 2025Article
- Perspectives on Healthy Eating of Adult Populations in High-Income Countries: A Qualitative Evidence Synthesis.International journal of behavioral medicine · 2024Review
- The paradox of high greenness and poor health in rural Central Appalachia.Environmental research · 2024Article
- Article
- A pilot community-based Diabetes Prevention and Management Program for adults with diabetes and prediabetes.Journal of clinical and translational science · 2024Article
- Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency.Cancer causes & control : CCC · 2023Article
- A New Look at Barriers to Clinical Care Among Appalachian Residents Living With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2023Article
- Impact of community-driven interventions on dietary and physical activity outcomes among a cohort of adults in a rural Appalachian county in Eastern Kentucky, 2019-2022.Frontiers in public health · 2023Article
- Exploring attitudes toward taxation of sugar-sweetened beverages in rural Michigan.Journal of health, population, and nutrition · 2021Article
- Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study.International journal of environmental research and public health · 2021Article
- Healthy Eating in Low-Income Rural Louisiana Parishes: Formative Research for Future Social Marketing Campaigns.International journal of environmental research and public health · 2021Article
- "We're, Like, the Most Unhealthy People in the Country": Using an Equity Lens to Reduce Barriers to Healthy Food Access in Rural Appalachia.Preventing chronic disease · 2020Article
- Historical analysis of inverse correlation between soil-transmitted helminthiasis and pancreatic cancer.Proceedings (Baylor University. Medical Center) · 2020Article
- Investigating Socioeconomic Disparities in the Potential Healthy Eating and Physical Activity Environments of Churches.Journal of religion and health · 2020Article
- Mountains of Abundance: A Fruit and Vegetable Walking Program in Central Appalachia.Journal of Appalachian studies · 2020Article
- Barriers to Healthy Eating Among High School Youth in Rural Southern Appalachia.Journal of Appalachian health · 2019Article
- Rural Grandparent Headed Households: A Qualitative Description.Online journal of rural nursing and health care : the official journal of the Rural Nurse Organization · 2018Article
- Disparities in women's cancer-related quality of life by Southern Appalachian residence.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeExtensive attention has been focused on improving the dietary intake of Americans. Such focus is warranted due to increasing rates of overweight, obesity, and other dietary-related disease. To address suboptimal dietary intake requires an improved, contextualized understanding of the multiple and intersecting influences on healthy eating, particularly among those populations at greatest risk of and from poor diet, including rural residents.
methodsDuring 8 focus groups (N = 99) and 6 group key informant interviews (N = 20), diverse Appalachian rural residents were queried about their perceptions of healthy eating, determinants of healthy food intake, and recommendations for improving the dietary intake of people in their communities. Participants included church members and other laypeople, public health officials, social service providers, health care professionals, and others.
findingsParticipants offered insights on healthy eating consistent with the categories of individual, interpersonal, community, physical, environmental, and society-level influences described in the socioecological model. Although many participants identified gaps in dietary knowledge as a persistent problem, informants also identified extraindividual factors, including the influence of family, fellow church members, and schools, policy, advertising and media, and general societal trends, as challenges to healthy dietary intake. We highlight Appalachian residents' recommendations for promoting healthier diets, including support groups, educational workshops, cooking classes, and community gardening.
conclusionsWe discuss the implications of these findings for programmatic development in the Appalachian context.
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