title: Rural and urban differences in the associations between characteristics of the community food environment and fruit and vegetable intake.
abstract: OBJECTIVE
  To examine the relationship between measures of the household and retail food environments and fruit and vegetable (FV) intake in both urban and rural environmental contexts.
  
  
  METHODS
  A cross-sectional design was used. Data for FV intake and other characteristics were collected via survey instrument and geocoded to the objective food environment based on a ground-truthed (windshield audit) survey of the retail food environment.
  
  
  METHODS
  One urban and 6 contiguous rural counties.
  
  
  METHODS
  This study involved 2,556 residents of the Brazos Valley, Texas, who were selected through random-digit dialing.
  
  
  METHODS
  Two-item scale of FV intake.
  
  
  METHODS
  Data were analyzed using chi-square analysis, 2-sample t tests, and linear regression.
  
  
  RESULTS
  Distance to supermarket or supercenter was insignificant in the urban model, but significant in the rural model (β = -.014, P < .010, confidence interval = -.024, -.003).
  
  
  CONCLUSIONS
  Retail food environments have different impacts on FV intake in urban and rural settings. Interventions to improve FV intake in these settings should account for the importance of distance to the retail food environment in rural settings.
authors: Program for Research in Nutrition and Health Disparities, Department of Social and Behavioral Health, School of Rural Public Health, Texas A&M Health Science Center, College Station, TX 77843-1266, USA. wdean@srph.tamhsc.edu
authors: Wesley R
authors: WR
authors: Dean
authors: Joseph R
authors: JR
authors: Sharkey
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