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Retail Food Store Access in Rural Appalachia: A Mixed Methods Study.

Esther Thatcher1,2, Cassandra Johnson3, Shannon N Zenk4

  • 1School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Public Health Nursing (Boston, Mass.)
|November 19, 2016
PubMed
Summary
This summary is machine-generated.

Low-income rural women

Keywords:
Virginiacommercefood supplygeographic information systemsmedically underserved arearural population

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Area of Science:

  • Food access and public health
  • Rural health disparities
  • Consumer behavior in food retail

Background:

  • Understanding factors influencing food access is crucial for public health interventions.
  • Rural populations often face unique challenges in accessing healthy food options.
  • This study examines potential and realized food access among low-income, rural Central Appalachian women.

Observation:

  • A cross-sectional descriptive study was conducted in a rural Central Appalachian county.
  • Data were collected through store mapping, in-store food audits, and in-depth interviews.
  • A convergent parallel mixed methods approach was used to merge findings.

Findings:

  • Supermarkets offered the best availability of healthy foods, followed by grocery stores, dollar stores, and convenience stores.
  • Women generally shopped at the nearest store meeting their expectations for food availability, price, service, and atmosphere.
  • Perceptions of stores varied among participants and differed from objective audit findings.

Implications:

  • Findings can inform public health nurses on strategies to improve access to affordable, healthy foods in underserved communities.
  • Recommendations include consumer education and partnerships with local food retailers.
  • Addressing disparities in food access is essential for improving health outcomes in rural areas.