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

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL

International Journal of Behavioral Medicine Pub Date : 2025-04-28 DOI:10.1007/s12529-025-10362-1

Benjamin J Smith, A Janet Tomiyama, Deborah H John, Bryan Mantell, Elliot T Berkman

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引用次数: 0

Abstract

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.

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收入、健康食品供应和消费调节城乡健康差距。

背景：研究收入、健康食品可获得性和消费作为城乡健康差异中介的作用。方法：使用国家和州一级的调查数据，对预先注册的简单中介模型和事后多中介模型进行检验。俄勒冈州的数据是在2021年10月8日至11月9日期间使用CloudResearch进行的在线质量调查中收集的；健康信息全国趋势调查（HINTS） 5是一个具有全国代表性的数据集，于2017年至2020年分4个周期收集。俄勒冈州居民(n = 771；农村= 313，城市= 458)在线自我报告：收入，感知水果和蔬菜（FV）可用性，FV消费量和BMI测量（身高，体重）。提示受访者(农村n = 1235；城市n = 13,912)在没有FV可用性的情况下自我报告了相同的感兴趣变量，并附加了一个自评健康变量，详细说明如下。结果：农村性对综合数据集的BMI （b = 0.012, SE = 0.005, p = 0.01）和自评健康（b = 0.003, SE = 0.001, p = 0.008）的影响是由一系列收入、感知FV可用性和FV消耗介导的。结论：要解决城乡健康差异，个体（认知、行为）、社会（家庭收入）和社区（健康食品可得性）因素应共同针对。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.