Rural Healthy People 2010, 2020, and Beyond

Bellamy, Gail; Bolin, Jane N.; Gamm, Larry

doi:10.1097/fch.0b013e31820dea1c

Cited by 38 publications

(43 citation statements)

References 8 publications

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“…However, this no longer is the case; rural children now show an increased prevalence of obesity and overweight compared to their urban counter-parts (Montgomery-Reagan et al, 2010). Estimates for rural-dwelling children exceed the national averages by as much as double (Bellamy, Bolin & Gamm, 2011; Oza-Frank, Norton, Scarpitti, Wapner, & Conrey, 2011). Furthermore, in rural areas across the United States, childhood overweight and obesity prevalence rates are highest in rural Appalachia (Bellamy, Bolin & Gamm, 2011; Centers for Disease Control and Prevention, 2008; Montgomery-Reagan et al 2010; Smith & Holloman, 2011).…”

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confidence: 99%

“…Estimates for rural-dwelling children exceed the national averages by as much as double (Bellamy, Bolin & Gamm, 2011; Oza-Frank, Norton, Scarpitti, Wapner, & Conrey, 2011). Furthermore, in rural areas across the United States, childhood overweight and obesity prevalence rates are highest in rural Appalachia (Bellamy, Bolin & Gamm, 2011; Centers for Disease Control and Prevention, 2008; Montgomery-Reagan et al 2010; Smith & Holloman, 2011). Appalachian children have overweight and obesity prevalence rates approaching 40%; this rate exceeds all other racial, demographic, or geographical groups (Daniels, 2009, Oza-Frank et al, 2011).…”

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confidence: 99%

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Comparing the Effects of Teen Mentors to Adult Teachers on Child Lifestyle Behaviors and Health Outcomes in Appalachia

Smith

Holloman

2013

The Journal of School Nursing

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Childhood obesity prevalence rates in the United States are the highest in the rural Appalachian areas. Teens mentoring younger children to reverse obesity health risks are an understudied approach. This randomized-controlled trial compared the effects of two curriculum delivery methods and assessed the mediating effects of the number of sessions attended on the outcomes. The control group received the 8-week Just for Kids! curriculum via an adult teacher in a classroom and the experimental group received the same curriculum via individual teen mentoring. Data collected at baseline and postintervention were analyzed using multilevel linear models. Each of the outcomes (e.g., body mass index, blood pressure, current lifestyle behaviors) were modeled separately. Only the mentored children demonstrated improved current lifestyle behaviors (e.g., physical activity and dietary patterns) and health outcomes. Teen mentoring was an effective and efficacious approach to impact the lifestyle patterns and health outcomes of children in a school setting.

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Comparing the Effects of Teen Mentors to Adult Teachers on Child Lifestyle Behaviors and Health Outcomes in Appalachia

Smith

Holloman

2013

The Journal of School Nursing

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“…Davies warns of the dangers of overly homogenizing the group as "rural older persons" or reducing rural aging to something of a "positivistic demographic trend" (2011,191). There is the repeat of Graham Rowles's early "quest for phenomenology of rural aging" (1988,122) to include the often-absent rural voice in the discussion of aging and meaning of place (Bellamy, Bolin & Gamm, 2011).…”

Section: Older Adults' Moves In Rural Placesmentioning

confidence: 99%

Aging in rural communities: Older persons’ narratives of relocating in place to maintain rural identity

Weil¹

2017

Online Journal of Rural Research & Policy

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“…Despite being socioeconomically disadvantaged and encountering numerous barriers to living healthy lives [16][17][18][19][20] , rural residents are more likely to be obese than urban residents, independent of diet, physical activity, and sociodemographic factors 2,3,21,22 . These studies support a growing body of research suggesting that broader neighborhood characteristics are associated with poor health outcomes independent of individual-level factors.…”

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Residing in economically distressed rural Appalachia is independently associated with excess body weight in college students

Abshire

Lennie

Mudd‐Martin

et al. 2017

Rural Remote Health

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A B S T R A C TIntroduction: The prevalence of obesity is greater among adults living in rural compared to urban areas of the USA. Greater obesity risk among rural adults persists after adjusting for obesity-related behaviors and sociodemographic factors. With the ruralurban obesity disparity greatest among younger adults, it is important to examine the complexity of factors that may increase the risk for excess body weight in this population so that effective preventive interventions can be implemented. College students residing in economically deprived rural areas such as rural Appalachia may be particularly at risk for excess body weight from exposure to both rural and college obesogenic environments. The purpose of this study was to determine if living in economically distressed rural Appalachia is independently associated with excess body weight among college students. Methods: College students aged 18-25 years who were lifetime residents of either rural Eastern Appalachian Kentucky (n=55) or urban Central Kentucky (n=54) participated in this cross-sectional study. Students completed questionnaires on sociodemographics, depressive symptoms, and health behaviors including smoking, fruit and vegetable intake, and physical activity. Height and weight were obtained during a brief health examination to calculate body-mass index (BMI). Excess body weight was defined as being overweight or obese with a BMI of 25 kg/m 2 or greater. Binary logistic regression was used to determine if living in economically distressed rural Appalachia was independently associated with excess body weight. Results: The prevalence of excess body weight was higher in the rural Appalachian group than the urban group (50% vs 24%, p<0.001). Depressive symptom scores and smoking prevalence were also greater in the rural Appalachian group. © DA Abshire, TA Lennie, GT Mudd-Martin, DK Moser, 2016. A Licence to publish this material has been given to James Cook University, http://www.jcu.edu.au 2There were no differences in fruit and vegetable intake and vigorous physical activity between the groups. Residing in economically distressed rural Appalachia was associated with more than a six-fold increased risk of overweight or obesity, controlling for sociodemographics, depressive symptoms, and health behaviors (odds ratio=6.36, p=0.002). Conclusions: Living in economically distressed rural Appalachia was associated with excess body weight in college students independent of sociodemographic factors, depressive symptoms, and obesity-related behaviors. Further research is needed to determine other characteristics of this region that are associated with excess body weight so that effective programs to reduce obesity risk can be implemented.

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Rural Healthy People 2010, 2020, and Beyond

Cited by 38 publications

References 8 publications

Comparing the Effects of Teen Mentors to Adult Teachers on Child Lifestyle Behaviors and Health Outcomes in Appalachia

Comparing the Effects of Teen Mentors to Adult Teachers on Child Lifestyle Behaviors and Health Outcomes in Appalachia

Aging in rural communities: Older persons’ narratives of relocating in place to maintain rural identity

Residing in economically distressed rural Appalachia is independently associated with excess body weight in college students

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