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Enduring Effects of the COVID-19 Pandemic on Food Access, Nutrition, and Well-Being in Rural Appalachia

Author

Listed:
  • Kathryn M. Cardarelli

    (Department of Health, Behavior & Society, University of Kentucky, Lexington, KY 40506, USA)

  • Emily DeWitt

    (Department of Dietetics and Human Nutrition, University of Kentucky, Lexington, KY 40506, USA)

  • Rachel Gillespie

    (Department of Health, Behavior & Society, University of Kentucky, Lexington, KY 40506, USA)

  • Nathan Bandy

    (Department of Dietetics and Human Nutrition, University of Kentucky, Lexington, KY 40506, USA)

  • Heather Norman-Burgdolf

    (Department of Dietetics and Human Nutrition, University of Kentucky, Lexington, KY 40506, USA)

Abstract
The COVID-19 pandemic produced acute effects on health inequities, yet more enduring impacts in vulnerable populations in rural Appalachia are understudied. This qualitative study included three focus groups with thirty-nine adults (74% female, mean age 52.7 years) to obtain perspectives on the impact of the COVID-19 pandemic on well-being in Martin County, Kentucky, in fall 2022. Grounded Theory was employed using an iterative inductive-deductive approach to capture the lasting effects of the COVID-19 pandemic on health practices and status. Three prominent themes emerged: (1) increased social isolation; (2) household cost of living strains caused by inflation; and (3) higher food prices and diminished food availability causing shifts in food purchasing and consumption. Participants noted that the rising cost of living resulted in residents having to “choose between medication, food and utilities”. Increased food prices resulted in residents “stretching” their food, modifying how they grocery shopped, and limiting meat consumption. Persistent food shortages were exacerbated by there being few grocery stores in the county. Lastly, increased social isolation was profoundly articulated as widely impacting mental health, especially among youth. Our findings underscore the ongoing deleterious effects of inflation and food supply chain disruptions in this rural, geographically isolated community, which resulted in difficult spending choices for residents.

Suggested Citation

  • Kathryn M. Cardarelli & Emily DeWitt & Rachel Gillespie & Nathan Bandy & Heather Norman-Burgdolf, 2024. "Enduring Effects of the COVID-19 Pandemic on Food Access, Nutrition, and Well-Being in Rural Appalachia," IJERPH, MDPI, vol. 21(5), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:5:p:594-:d:1388440
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    References listed on IDEAS

    as
    1. Charles Courtemanche & Art Carden & Xilin Zhou & Murugi Ndirangu, 2019. "Do Walmart Supercenters Improve Food Security?," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 41(2), pages 177-198, June.
    2. Rachel Gillespie & Emily DeWitt & Stacey Slone & Kathryn Cardarelli & Alison Gustafson, 2022. "The Impact of a Grocery Store Closure in One Rural Highly Obese Appalachian Community on Shopping Behavior and Dietary Intake," IJERPH, MDPI, vol. 19(6), pages 1-12, March.
    3. Kathryn M. Cardarelli & Emily DeWitt & Rachel Gillespie & Rachel H. Graham & Heather Norman-Burgdolf & Janet T. Mullins, 2021. "Policy Implications of the COVID-19 Pandemic on Food Insecurity in Rural America: Evidence from Appalachia," IJERPH, MDPI, vol. 18(23), pages 1-13, December.
    Full references (including those not matched with items on IDEAS)

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