Improving the function of a high obesity program: Findings from community-engaged Mississippi Delta focus groups

Erin King,Angela Robertson,Connie Baird-Thomas,Masey Smith,David Buys

doi:10.5304/jafscd.2021.104.012

Abstract

In this policy and practice brief, Mississippi State University Extension Services applies a coalition-driven approach to addressing the prevalence of obesity in communities in the Mississippi Delta through its High Obesity Program, funded by the Centers for Disease Control and Prevention (CDC). Focus groups were conducted with coalition members from six counties to evaluate efforts by this program. The evaluation team used content and thematic analysis to report on coalition activities. Some of the barriers coalition members identified were limited access to healthy foods and the need for more assistance from program staff. Action items were developed and implemented in response to focus group feedback. These items included enhanced communication tools and coalition trainings. This evaluation brief describes some of the common challenges in coalition building and innovative ways to improve them. Our focus group findings are also valuable to public health scientists and practitioners working in rural communities.

Highlights

Food insecurity is the lack of resources to access healthy foods (Dhurandhar, 2016)
It seems logical to assume that food insecurity would cause a deficit in food consumption and reduce obesity
The Mississippi Delta is a prime example of this paradox of food insecurity and obesity, with 17 of the 19 counties experiencing at least 15–19% food insecurity and eight of the 19 counties facing obesity rates greater than 40% (Feeding America, n.d.; Mississippi State University Extension, n.d.)

Summary

Introduction

Food insecurity is the lack of resources to access healthy foods (Dhurandhar, 2016). Ironically, food insecurity and obesity often co-occur. Keywords Obesity, Nutrition, Physical Activity, Focus Groups, Rural Health, Health Equity AIM for CHangE (Advancing, Inspiring, Motivating for Community Health through Extension) was funded through Mississippi State University (MSU) Extension’s CDC-High Obesity Program to reduce obesity and food insecurity in Mississippi counties with obesity rates greater than 40% (Mississippi State University, n.d.; Murriel et al, 2020).

Results

Conclusion