ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2023
Urban-rural disparities in childhood obesogenic environments in the United States: Application of differing rural definitions.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Free sugar intake and dietary sources in rural Japanese infants aged 18-23 months.Asia Pacific journal of clinical nutrition · 2026Article
- Disparities of children's obesogenic environments in Louisiana.International journal of health geographics · 2026Article
- How Family and Individual Physical Activity Environments Relate to Obesity Transition in Chinese Children and Adolescents.Nutrients · 2025Article
- Association between obesogenic environments and childhood overweight/obesity across the United States: Differences by rurality.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- A descriptive examination of rurality in the Environmental influences on Child Health Outcomes Cohort: Implications, illustrations, and future directions.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Experiences of Rural-Dwelling Children Wearing Physical Activity Trackers: An Exploratory Study.Children (Basel, Switzerland) · 2024Article
- Article
- Rural-Urban Differences in Overweight and Obesity, Physical Activity, and Food Security Among Children and Adolescents.Preventing chronic disease · 2023Article
- Urban-rural disparities in childhood obesogenic environments in the United States: Application of differing rural definitions.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- Odds of Achieving Target Serum Uric Acid Levels Among Gout Patients: The Role of Rurality in Outcomes and Treatment Adherence.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch is needed that identifies environmental resource disparities and applies multiple rural definitions. Therefore, this study aims to examine urban-rural differences in food and physical activity (PA) environment resource availability by applying several commonly used rural definitions. We also examine differences in resource availability within urban-rural categories that are typically aggregated.
methodsSix food environment variables (access to grocery/superstores, farmers' markets, fast food, full-service restaurants, convenience stores, and breastfeeding-friendly facilities) and 4 PA environment variables (access to exercise opportunities and schools, walkability, and violent crimes) were included in the childhood obesogenic environment index (COEI). Total COEI, PA environment, and food environment index scores were generated by calculating the average percentile for related variables. US Department of Agriculture Urban Influence Codes, Office of Management and Budget codes, Rural-Urban Continuum Codes, Census Bureau Population Estimates for percent rural, and Rural Urban Commuting Area Codes were used. One-way ANOVA was used to detect urban-rural differences.
resultsThe greatest urban-rural disparities in COEI (F=310.2, P<.0001) and PA environment (F=562.5, P<.0001) were seen using RUCC codes. For food environments, the greatest urban-rural disparities were seen using Census Bureau percent rural categories (food: F=24.9, P<.0001). Comparing remote rural categories, differences were seen for food environments (F=3.1, P=.0270) and PA environments (F=10.2, P<.0001). Comparing metro-adjacent rural categories, differences were seen for PA environment (F=4.7, P=.0090).
conclusionFindings inform future research on urban and rural environments by outlining major differences between urban-rural classifications in identifying disparities in access to health-promoting resources.
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