Abstract:Survey data from a USDA-funded multi-state longitudinal project revealed a paradox where rural low-income families from states considered prosperous were persistently more food insecure than similar families from less prosperous states. An examination of quantitative and qualitative data found that families in the food insecure states were more likely to experience greater material hardship and incur greater housing costs than families in the food secure states. Families in the food insecure states, however, did not have lower per capita median incomes or lower life satisfaction than those in the food secure states. A wide range of strategies to cope with food insecurity reported by families in both food insecure and food secure states was examined using the Family Ecological Systems Theory. Families in the food insecure states used several risky consumption reduction strategies such as curbing their appetite and using triage. Families in the food secure states, on the other hand, employed positive techniques involving their human capital.Keywords: persistent food insecurity, rural low-income families, food coping strategies, family ecological systems, material hardship

Poverty is a significant problem in rural America. Gaining access to economically marginalized rural populations in order to recruit individuals to participate in a research study, however, is often a challenge. This article compares three different nonprobability sampling techniques that have been used to recruit rural, low‐income mothers—purposive sampling, respondent‐driven sampling, and mixed purposive sampling. We review the relative advantages and drawbacks of the three methods in terms of access to the targeted population, methods of recruitment, size of the sample pool, randomness of the sample, generalizability of results, and researchers' control over the process.

Abstract:Survey data from a USDA-funded multi-state longitudinal project revealed a paradox where rural low-income families from states considered prosperous were persistently more food insecure than similar families from less prosperous states. An examination of quantitative and qualitative data found that families in the food insecure states were more likely to experience greater material hardship and incur greater housing costs than families in the food secure states. Families in the food insecure states, however, did not have lower per capita median incomes or lower life satisfaction than those in the food secure states. A wide range of strategies to cope with food insecurity reported by families in both food insecure and food secure states was examined using the Family Ecological Systems Theory. Families in the food insecure states used several risky consumption reduction strategies such as curbing their appetite and using triage. Families in the food secure states, on the other hand, employed positive techniques involving their human capital.Keywords: persistent food insecurity, rural low-income families, food coping strategies, family ecological systems, material hardship

Rural, low-income families are disproportionately impacted by health problems owing to structural barriers (e.g., transportation, health insurance coverage) and personal barriers (e.g., health literacy). This paper presents a Participatory Action Research (PAR) model of co-created Core Health Messages (CHMs) in the areas of dental health, food security, health insurance, and physical activity. The research project engaged a multi-disciplinary team of experts to design initial health messages; rural, low-income mothers to respond to, and co-create, health messages; and stakeholders who work with families to share their insights. Findings reveal the perceptions of mothers and community stakeholders regarding messages and channels of message dissemination. By using PAR, a learner engagement approach, the researchers intend to increase the likelihood that the CHMs are culturally appropriate and relevant to specific populations. The CHM-PAR model visually illustrates an interactive, iterative process of health message generation and testing. The paper concludes with implications for future research and outreach in a technological landscape where dissemination channels are dynamic. This paper provides a model for researchers and health educators to co-create messages in a desired format (e.g., length, voice, level of empathy, tone) preferred by their audiences and to examine dissemination methods that will best reach those audiences.

Earned Income Tax Credit, EITC non-participants, EITC participants, Low-income rural families,