Assessment Of The Nutrition And Physical Activity Education Needs Of Low-Income, Rural Mothers: Can Technology Play A Role?
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The purpose of this study was to examine the perceptions of low-income, rural mothers regarding their need for nutrition and physical activity education and the role of technology in addressing those needs. Quantitative and qualitative research was combined to examine the nature and scope of the issues faced by this target population. Women who were currently receiving food stamps and had children in nursery school to eighth grade were recruited through a state database to participate in a telephone survey (N = 146) and focus groups (N = 56). Low-income, rural mothers were aware of and practiced many health behaviors related to nutrition and physical activity, but they faced additional barriers due to their income level, rural place of residence, and having children. They reported controlling the fat content in the food they cooked and integrating fruits and vegetables but showed less interest in increasing fiber consumption. They reported knowing little about physical activity recommendations, and their reported activity patterns were likely inflated because of seeing housework and child care as exercise. To stretch their food budget, the majority reported practicing typical shopping and budgeting skills, and many reported skills particularly useful in rural areas: hunting, fishing, and canning. Over two-thirds of the survey respondents reported computer access and previous Internet use, and most of those not yet online intended to use the Internet in the future. Those working in rural communities need to consider technology as a way to reach traditionally underserved populations like low-income mothers.
KeywordsTechnology Rural Health Nutrition Physical Activity
Acknowledgment for funding of this study goes to the United States Department of Agriculture through a cooperative agreement between the Maryland Cooperative Extension Service and the University of Maryland, College Park.
- 2.U.S. Department of Health and Human Services 2001 The Surgeon General’s call to action to prevent and decrease overweight and obesity. Overweight and Obesity as Public Health Problems in America. Rockville: Office of the Surgeon General pp. 8–14Google Scholar
- 3.U.S. Department of Health and Human Services 2000 Healthy People 2010, Volume II: Objectives for Improving Health. 2nd ed. Washington, DC: U.S. Government Printing OfficeGoogle Scholar
- 4.Gamm L., Hutchison LL, Dabney BJ, Dorsey AM (Eds.) 2003 Rural Healthy People 2010, Volume II: A Companion Document to Healthy People 2010. Washington, DC: Southwest Rural Health Research Center pp. 115–123Google Scholar
- 8.U.S. Department of Commerce 2002 A Nation Online: How Americans are Expanding Their Use of the Internet. Washington, DC: National Telecommunications and Information Administration pp. 11–30, 76–83Google Scholar
- 9.U.S. Department of Commerce. 2004 Entering the Broadband Age. Washington, DC: National Telecommunications and Information Administration pp. 14–16Google Scholar
- 10.Fox S 2005 Health information online. Washington, DC: Pew Internet & American Life Project pp. 1–17Google Scholar
- 11.Bell P, Reddy P, Rainie L 2004 Rural areas and the internet. Washington, DC: Pew Internet & American Life Project pp. 7–37Google Scholar
- 12.Lenhart A, Horrigan J, Rainie L, et al. 2003 The ever-shifting internet population: A new look at internet access and the digital divide. Washington, DC: Pew Internet & American Life Project pp. 1–46Google Scholar
- 13.National Cancer Institute. Clear & Simple: Developing Effective Print Materials for Low-literate Readers. Washington, DC: Department of Health and Human Services, 1995 Pub. No. NIH 95–3594Google Scholar
- 14.Poikolkainen, A. 2005 Characteristics of Food Stamp Households: Fiscal Year 2004. Alexandria, VA: US Department of Agriculture, Food and Nutrition Service, Office of Analysis, Nutrition and Evaluation Report No. FSP-05-CHARGoogle Scholar
- 25.O’Brien K 1993 Improving Survey Questions Through Focus Groups. In: Morgan DL (Ed.). Successful Focus Groups. Newbury Park: Sage pp. 105–117Google Scholar
- 26.Nord M, Andrews M, Carlson, S 2003 Household Food Security in the United States FANRR-42, USDA/ERS, 2004, pp. 2–19Google Scholar
- 27.Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients). Washington, DC: National Academies Press, 2005Google Scholar
- 28.National Center for Health Statistics Health, United States, 2005. With Chartbook on Trends in the Health of Americans. Hyattsville, Maryland: National Center for Health Statistics pp. 42, 275–278Google Scholar