“…The area is made up of parts of 12 states and all of West Virginia, with almost half of the area being rural (Smith & Grant, 2008). Some studies also support that its rates of food insecurity, overweight and obesity, diabetes, and chronic disease are above those of the rest of the nation (Crooks, 1999;Demerath et al, 2003;Denham, Meyer, Toborg, & Mande, 2004;Holben, McClincy, Holcomb, Dean, & Walker, 2004;Holben & Pheley, 2006;Pheley, Holben, Graham, & Simpson, 2002;Rappaport & Robbins, 2005;Tulkki et al, 2006;Walker, Holben, Kropf, Holcomb, & Anderson, 2007;Wewers, Katz, Fickle, & Paskett, 2006). More specifically, and in relation to poverty and food access, food insecurity has been found to be a concern to Appalachian residents (Holben, Barnett, & Holcomb, 2006;Holben & Pheley, 2006;Hutson, Dorgan, Phillips, & Behringer, 2007;Kendall, Olson, & Frongillo, 1996;Kropf et al, 2007;Pheley et al, 2002;Tessaro, Mangone, Parkar, & Pawar, 2006;Walker et al, 2007;Wewers et al, 2006).…”