Funding: Support for this research was provided by the National Institutes of Health/National Center on Minority Health and Health Disparities/National Institute on Diabetes and Digestive and Kidney Disease (R01 DK081324: Schoenberg).
Perspectives on Healthy Eating Among Appalachian Residents
Article first published online: 21 FEB 2013
© 2013 National Rural Health Association
The Journal of Rural Health
Volume 29, Issue s1, pages s25–s34, August 2013
How to Cite
Schoenberg, N. E., Howell, B. M., Swanson, M., Grosh, C. and Bardach, S. (2013), Perspectives on Healthy Eating Among Appalachian Residents. The Journal of Rural Health, 29: s25–s34. doi: 10.1111/jrh.12009
Acknowledgments: We appreciate the contributions of Kaye Dollarhide, Sherry Wright, and the dozens of participants.
- Issue published online: 14 AUG 2013
- Article first published online: 21 FEB 2013
- National Institutes of Health/National Center on Minority Health and Health Disparities/National Institute on Diabetes and Digestive and Kidney Disease. Grant Number: R01 DK081324
- dietary intake;
- health disparities;
- qualitative research;
Extensive 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.
During 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.
Participants 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.
We discuss the implications of these findings for programmatic development in the Appalachian context.