Income, Healthy Food Availability, and Consumption Mediate Rural–Urban Health Disparities.

Background: Examine the role of income, perceived healthy foods availability, and consumption as mediators of rural–urban health disparities. Method: Pre-registered simple mediation models with post hoc multi-mediator models were tested using national- and state-level survey data. Oregon data was co...

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Publicado en:International Journal of Behavioral Medicine Vol. 32; no. 6; pp. 939 - 953
Autores principales: Smith, Benjamin J., Tomiyama, A. Janet, John, Deborah H., Mantell, Bryan, Berkman, Elliot T.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s12529-025-10362-1
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        atl: Income, Healthy Food Availability, and Consumption Mediate Rural–Urban Health Disparities.
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        au:
          Smith, Benjamin J.
          Tomiyama, A. Janet
          John, Deborah H.
          Mantell, Bryan
          Berkman, Elliot T.
        affil: https://ror.org/0293rh119 Center for Translational Neuroscience, Department of Psychology, University of Oregon, Eugene, OR, USA
      sug:
        subj:
          Access to Healthy Foods Evaluation
          Income Evaluation
          Food Intake Evaluation
          Rural Areas
          Urban Areas
          Healthcare Disparities
          Funding Source
          Human
          Male
          Female
          Middle Age
          Descriptive Statistics
          Post Hoc Analysis
          Oregon
          Fruit
          Vegetables
          Body Mass Index
          Health Status
          Blood Pressure
          Self Report
          Questionnaires
          Linear Regression
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Rural Health
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Examine the role of income, perceived healthy foods availability, and consumption as mediators of rural–urban health disparities. Method: Pre-registered simple mediation models with post hoc multi-mediator models were tested using national- and state-level survey data. Oregon data was collected in an online Qualtrics survey between October 8 and November 9, 2021 using CloudResearch; Health Information National Trends Survey (HINTS) 5, a nationally representative dataset, was collected over 4 cycles from 2017 to 2020. Oregon residents (n = 771; rural = 313, urban = 458) self-reported online: income, perceived fruits and vegetable (FV) availability, FV consumption, and BMI measures (height, weight). HINTS respondents (rural n = 1235; urban n = 13,912) self-reported the same variables of interest without FV availability, and with an additional self-rated health variable detailed below. Results: The effect of rurality on BMI (b = 0.012, SE = 0.005, p = 0.01) and self-rated health (b = 0.003, SE = 0.001, p = 0.008) when combining datasets was mediated by a series of income, perceived FV availability, and FV consumption. Conclusion: To address rural–urban health disparities, individual (cognition, behavior), social (household income), and community (healthy food availability) factors should be targeted together.
      pubtype: Academic Journal
      doctype:
        research
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        Journal Article
      ougenre: Article
    language: English
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