Qualitative Exploration of Cultural Influence on a Rural Health-Promotion Initiative |
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| Institution: | 1. Department of Lifelong Education, Administration, and Policy, Mary Frances Early College of Education, University of Georgia, Athens, GA;2. Department of Agricultural Leadership, Education, and Communication, College of Agricultural and Environmental Sciences, University of Georgia, Athens, GA;3. Department of Nutritional Sciences, College of Family and Consumer Sciences, University of Georgia, Athens, GA;1. Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI;2. Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI;3. Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI;4. Department of Human Development and Family Science, University of Rhode Island, Kingston, RI;5. Department of Behavioral and Social Sciences, and Department of Epidemiology, Brown University School of Public Health, Providence, RI;6. Department of Human Development and Family Studies, University of Connecticut, Storrs, CT;1. Department of Sociology, Georgetown University, Washington, DC;2. School of Nursing and Health Studies, Georgetown University, Washington, DC;1. Westat, Rockville, MD;2. The Urban Institute, Washington, DC;1. Department of Agricultural Leadership, Education, and Communications, Texas A&M University, College Station, TX;2. Texas A&M AgriLife Extension Service, Texas A&M University, College Station, TX;3. Department of Recreation, Park, and Tourism Sciences, Texas A&M University, College Station, TX |
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| Abstract: | ObjectiveTo develop a conceptualization of cultural influence on perceptions of a rural food and physical activity policy, systems, and environmental (PSE) change project to inform public health research and practice.DesignBasic qualitative research design, semistructured phone interviews with community health coalition members.SettingFive rural Southern counties (obesity prevalence > 40%).ParticipantsThirty-nine community coalition members.InterventionThe Centers for Disease Control and Prevention High Obesity Program. PSE initiatives to increase access to healthy food and physical activity opportunities through a community coalition model.Phenomenon of InterestSocial norms and cultural influences surrounding community members’ food preferences, physical activity behavior, and future hopes for community development.AnalysisAbductive content analysis.ResultsMajor categories on food social norms (subcategories: physical health, eating habits, and food preference), race relations, generational factors, physical activity social norms, and hopes for the community (subcategories: increased engagement, health, awareness, cohesion, and inspiration) were discussed in relation to the progress of PSE initiatives.Conclusions and ImplicationsBecause of community member perceptions, PSE initiatives became associated with factors beyond food and fitness, such as race relations, generational differences, and community cohesion. A focus on increased youth and church involvement, community values, relationship building, and input from diverse voices can be foundational to culturally-appropriate PSE efforts in rural settings. |
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