ArticleBMC public health2018
Food availability and food access in rural agricultural communities: use of mixed methods.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Assessing the Cost of Healthy and Unhealthy Diets: A Systematic Review of Methods.Current nutrition reports · 2022Pooled it
- The Hidden Costs of Shifting Away from Flexible Packaging: Implications for Food Prices, Access, and Food Waste Among Low-Income U.S. Households.Foods (Basel, Switzerland) · 2026Article
- Health Without Barriers: Community-Engaged Adaptation of a Whole Family-Inclusive Intensive Health Behavior and Lifestyle Program in Rural Colorado.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- A Multi-Level Intervention to Address Childhood Obesity in Rural Hispanic Communities.Obesity science & practice · 2026Article
- Policy, Price, and Perception: A Phenomenological Qualitative Study of the Rural Food Environment Among Latina Households.International journal of environmental research and public health · 2025Article
- A Meta-Ethnography to Determine Critical Constructs of Nutrition Security.Journal of nutrition education and behavior · 2025Article
- Utilizing large-scale human mobility data to identify determinants of physical activity.Scientific reports · 2025Article
- Adaptation and evaluation of the Nutrition Environment Measures Survey in Restaurants for the Spanish Mediterranean context (NEMS-R-MED).Frontiers in public health · 2025Article
- Subjectively-measured Environmental Support for Physical Activity, Healthy Eating, and Breastfeeding in the Rural United States: A Scoping Review to Inform Opportunities for Public Health Surveillance.Journal of healthy eating and active living · 2025Article
- Objectively-measured Environmental Support for Physical Activity, Healthy Eating, and Breastfeeding in the Rural United States: A Scoping Review to Inform Opportunities for Public Health Surveillance.Journal of healthy eating and active living · 2025Article
- Community-Based Participatory Obesity Prevention Interventions in Rural Communities: A Scoping Review.Nutrients · 2024Article
- Association between Number of Teeth and Eating out of Home: A 2019 Statistical Survey of the Japanese Representative Population.Nutrients · 2024Article
- Differences in Intakes of Select Nutrients by Urbanization Level in the United States Population 2 Years and Older, NHANES 2013-2018.The Journal of nutrition · 2024Article
- Predicting willingness to consume healthy brand foods using the theory of planned behavior: the role of nutritional literacy.Frontiers in nutrition · 2024Article
- Household food security, child dietary diversity and coping strategies among rural households. The case of Kole District in northern Uganda.Dialogues in health · 2023Article
- See Me, Hear Me, Know Me: Perspectives on Diet and Physical Activity Influences among Teens Living in Rural Texas Communities.Nutrients · 2023Article
- Adult food choices in association with the local retail food environment and food access in resource-poor communities: a scoping review.BMC public health · 2023Article
- Examining the Relationship Between Existing Community Resources and Community Leaders' Perceptions of Resilience and Rural Health During COVID-19.Health promotion practice · 2023Article
- Dietary contributions of food outlets by urbanization level in the US population aged 2 years and older-NHANES 2013-2018.The American journal of clinical nutrition · 2023Article
- Factors impacting implementation of nutrition and physical activity policies in rural schools.BMC public health · 2023Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundHispanics bear some of the highest burden of the obesity epidemic and the disparities gap is bigger among Hispanics in rural communities. This mixed methods study examined the objective and subjective assessment of food availability and food access in four rural, agricultural, and predominantly Hispanic communities.
methodsIn this convergent parallel mixed methods study, we used the Nutrition Environment Measures Survey (NEMS) of Food Stores and Restaurants to objectively assess 57 food stores and 69 restaurants in four rural agricultural communities in Washington State. To complement the objective assessment findings, we conducted semi-structured interviews with 32 community residents. The data were collected from 2013 to 2014. Frequencies and means were calculated for quantitative data and content analysis conducted for interview data.
resultsParticipants (n = 32) had a mean age of 35.6 (SD 6.2) years, were mostly women, uninsured, low income, and had less than a high school education. Grocery and convenience stores had low NEMS composite scores indicating low overall availability of food items, low quality, and high food prices. Composite scores for sit-down restaurants, fast casual restaurants, and fast-food restaurants were similarly low in all four towns indicating limited availability of healthier options. Semi-structured interviews revealed participants perceived high availability and accessibility of quality fresh produce. Most participants reported eating out regularly several times a week, frequenting restaurant chains that serve buffets or fast foods, and allowing children to make decisions regarding their own food choices.
conclusionsCommunity members' perception of food availability and food access may be different from the objective assessment of food environment. This information can be used to inform community-wide interventions to address food environment in these rural communities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.