Honors College Thesis
 

Risk of food insecurity and readiness to change obesity-preventing behaviors in rural families

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  • Purpose: This study examines the relationship between food insecurity (FI) risk and families’ readiness to change obesity-preventing behaviors within rural home-environments. Methods: Families (n=144) were recruited through six elementary schools (K-5/6) in low-income, rural, Oregon communities. Families completed surveys including a FI risk screener and the Family Stage of Change Survey (FSOC), a measure of readiness to change behaviors that influence child-level nutrition and physical activity (PA) behaviors at home. Logistic regression analyses examined associations between FSOC scores and FI risk. Results: Families with FI risk (40.2%) were more likely to be non-White (p=0.036), eligible for school meal programs (p<0.001), and have lower adult education levels (p=0.015). Regarding FSOC scores, families who scored higher on family support for children to play actively and do organized PA were 55% less likely to be at-risk for FI. (OR=0.45; p=0.003), after adjusting for demographic variables. Conclusion: FI risk is associated with rural families’ readiness to change PA behaviors. Specifically, lower odds of FI were associated with family support for children to play actively and do organized PA. Family-based efforts for improving child health among under-resourced, rural families may benefit by focusing on realistically accessible and affordable PA opportunities. Key words: Food insecurity, rural family home-environment, obesity-prevention behaviors, family stage of change.
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  • Data from Generating Rural Options for Weight - Healthy Kids and Communities (GROW HKC) is supported by the National Institute of Food and Agriculture and the U.S. Department of Agriculture under the award number 2011-68001-30020.
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