Date Available


Year of Publication


Degree Name

Master of Science in Nutrition and Food Systems (MSNFS)

Document Type

Master's Thesis


Agriculture, Food and Environment


Dietetics and Human Nutrition

First Advisor

Dr. Heather Norman


Rates of obesity and other health disparities are exceptionally high in rural Appalachian counties compared to the nation as a whole. One causal factor of these health disparities in Appalachian counties is the inequitable allocation of healthy food. Food insecurity and the local food environment are large drivers for obesity experienced by Martin County, Kentucky residents. Successful socioecological model (SEM) and policy, systems, and environmental (PSE) interventions have shown promising results in reducing obesity and enhancing food security in this population. Through the transcription of semi-structured focus group interviews, thematic analysis aimed to obtain perspectives on the local food system. This study identified major barriers, facilitators, and existing food programs relative to produce procurement in Martin County. Findings from this study will be used to tailor food security interventions for Appalachian counties in effort to reduce the obesity prevalence in this population.

Digital Object Identifier (DOI)