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Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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Relationship Between Food Security and Walking for Transportation: Findings by Region and Rurality.

Jessica Stroope1, Marilyn E Wende2, Robert E Anderson3

  • 1School of Kinesiology, Louisiana State University, Baton Rouge, Louisiana, USA.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|June 17, 2026
PubMed
Summary

Individuals experiencing food insecurity walk more for transportation, regardless of where they live in the US. This highlights the need for better transport walking infrastructure to improve food access, especially in rural areas.

Keywords:
active transportationpedestriansruralurban

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Area of Science:

  • Public Health
  • Transportation Science
  • Food Security Studies

Background:

  • Lack of transportation is a known risk factor for food insecurity.
  • Understanding the link between active transportation and food security is crucial for developing targeted interventions.
  • Limited research exists on how rurality and US region influence the relationship between food security and active transportation.

Purpose of the Study:

  • To investigate the association between food security status and the frequency of transport walking.
  • To determine if rural-urban status modifies the relationship between food security and transport walking.
  • To examine if the US region moderates the association between food security and transport walking.

Main Methods:

  • Utilized data from the 2022 National Health Interview Survey (N = 27,651).
  • Employed negative binomial regression analysis with survey weights to analyze the relationship between food security and transport walking.
  • Included interaction terms to assess the modifying effects of rural-urban status and US region, controlling for covariates like age, sex, education, race/ethnicity, and self-rated health.

Main Results:

  • A significant relationship exists between food security and transport walking in both rural and urban settings.
  • This association did not significantly differ between rural and urban communities (p > 0.369).
  • Food insecurity was significantly linked to increased transport walking across all US regions (p < 0.001), with no significant regional differences in association strength (all p > 0.25).

Conclusions:

  • Individuals facing food insecurity engage in more transport walking than food-secure individuals, irrespective of their rural-urban status or US region.
  • Enhanced transport walking infrastructure is essential for improving food access nationwide, particularly in rural communities.
  • Findings underscore the need to consider transportation barriers in food security interventions.