Browsing by Subject "low-income"
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Item Open Access Identifying barriers to sustainable food production by low resource producers and purchase by low income consumers in Washington and Beaufort Counties, North Carolina(2014-04-25) Hill, Kim; Zhang, HarryServing the interests of our client, Resourceful Communities of the Conservation Fund, our project investigates ways to better connect low-resource producers and low-income consumers of fresh produce in 31 low-income counties in NE North Carolina. To better characterize barriers rural producers and consumers face to produce and access healthy food, we conducted three separate analyses. A general linear model statistical analysis based on the USDA Food Environment Atlas data was used to identify significant demographic and socioeconomic variables that affect food access at the macro-level. For a qualitative analysis, surveys and interviews were used to define barriers producers and consumers face on the intra-county scale. Using Geographic Information Systems, a spatial analysis was developed to understand spatial patterns of food deserts and access barriers. The qualitative and spatial analyses were focused on two low-income counties: Beaufort County and Washington County, NC Community stakeholders, local food producers, consumers, and grocery retailers were interviewed. The statistical analysis focused both on 31 target North Carolina counties and on the entire Eastern Coastal plain. Two general linear models revealed that persistent poverty counties and counties experiencing population loss were more likely to experience little or no access to grocery stores. Race was also a factor, particularly within North Carolina where minorities are more vulnerable to food insecurity. Both Washington and Beaufort Counties exhibit a high level of economic and demographic stratification. Two-thirds of consumers from the survey had problems stretching their food budget, and identified a weekly food box at low or no-cost as the best intervention. Retail grocery stores already can and do buy local food. However, retailers buy locally according to the season and price. Major barriers to connecting low-resource producers and low-income consumers were identified as the decrease in the number of small farms, increasing bureaucracy, high cost of entry, and historical divisions between ethnic and socioeconomic groups. Using the geographic and socio-economic barriers, the spatial analysis identified three food deserts, in SE Beaufort County, NE Beaufort County, and SW Washington County and the main drivers for each.Item Open Access The Kindergarten Home Visit Project: A Kindergarten Transition Intervention Study(2010) Schulting, Amy BethThis study examined the effect of the Kindergarten Home Visit Project, a novel universal intervention program designed to enhance the transition to kindergarten for children and families by providing teachers with the training and support they need to conduct a home visit for each of their students at the beginning of the school year. Forty-four kindergarten teachers from 19 schools and 928 children and their families participated in the project. Teachers were blocked within schools and randomly assigned to intervention or control conditions. Intervention teachers successfully completed home visits for 98% of their students. After controlling for child and teacher demographic factors, multilevel modeling with children nested within classrooms and schools revealed that random assignment to receive a home visit had a significant positive impact on classroom work habits by students and teacher-child relationship warmth at the end of kindergarten. Assignment to home visiting was also associated with positive child outcomes for girls, specifically including: higher academic achievement, academic motivation, work habits, social skills, and better conduct. Impact on boys was non-significant. The effect of home visiting on child outcomes was mediated by an intervening effect on academic motivation for girls during the fall. Positive effects of assignment to intervention were also demonstrated for children from non-English speaking homes. These children demonstrated higher academic motivation and better work habits. In addition, both non-English speaking parents and their teachers reported reduced adverse effects of language barriers on home-school collaboration. The intervention was also found to have a positive effect on teacher attitudes and beliefs. Teachers who conducted home visits reported an increased understanding of the diverse needs and cultural differences of families, a greater willingness to reach out to parents, and a more positive connection to students and their families. These findings suggest that home visiting is beneficial to teachers, students and families and should be continued and expanded as a kindergarten transition practice in the schools.
Item Open Access The Long-Term Benefits of an Integrated Model to Treat Childhood Obesity(2019-04-15) Pasquale, EllenObjective: To understand short- and long-term outcomes of diverse, low-income participants in a childhood obesity intervention, and to examine participant expectations, motivators, facilitators, and barriers to program attendance and engagement. Methods: A sequential mixed-methods study design was employed: first, a retrospective analysis of an integrated clinic-community intervention cohort to identify predictors of success at the end of a six-month intervention. Then, the most and least successful participants and their parents were recruited to participate in in-depth semi-structured audio-recorded interviews. Transcripts were analyzed with a thematic analysis approach. Themes were grouped into categories including: (1) barriers and (2) facilitators and motivators of program attendance and engagement, (3) program expectations, (4) lifestyle effects, and (5) parent perceptions of effects on child health. Body mass index z-scores (BMIz) two years after intervention completion were obtained to assess long-term effects of the program. Results: Only Hispanic race was found to be a significant predictor of BMIz reduction at intervention completion. Two years after program completion, intervention participants reduced their BMIz by 0.07. Prominent barriers to program engagement included travel to intervention site and parent work schedules. Motivators included social support from family members and enjoyment of program sessions. All participants cited at least one lifestyle change, including improved diet choices and increased physical activity levels. All parents expressed satisfaction with some aspect of the program, even if their child did not lose weight. Conclusion: Results suggest a number of positive long-term outcomes associated with an integrated clinic-community treatment model, which include BMIz reduction, increased health education, positive eating changes, and increased physical activity levels.Item Open Access Up the Down Escalator? How Nonmetropolitan Low-Income Families Experience Work, Poverty and Immobility(2012) Destro, Lane MarieThis research examines the economic well-being of nonmetropolitan low-income households through an analysis of their objective economic outcomes and subjective experiences of poverty. Despite a large body of scholarship aimed at urban poverty, comparatively little research examines economic hardship among impoverished nonmetropolitan families. This research contributes to existing work through an analysis of nonmetropolitan low-income households' employment experiences and short-term economic trajectories. Additionally, this research uses fine-grained longitudinal data to address how families subjectively experience poverty and economic im/mobility. The analyses use ethnographic data from a sample of households (n=71) in the Family Life Project, a multi-method, longitudinal study conducted in six counties within Pennsylvania and North Carolina. The analyses reveal that families across these two regions experience a high level of constraint with respect to their employment choices and economic mobility outcomes. The analyses also present alternative metrics for job quality and job satisfaction which explicitly include criteria from the perspectives of low-wage nonmetropolitan workers. Most households experience little or no upward economic mobility throughout their participation in the study, and family members express conservative expectations for their long-term economic well-being. The study concludes with suggestions for continued research in the nonmetropolitan U.S. This work contributes to existing scholarship in the areas of economic mobility, work and poverty. These analyses reveal scholarly assessments of work, poverty and the decisions of economic actors can be improved through the inclusion of subjective household perspectives. Additionally, these analyses should motivate scholars to reevaluate the effectiveness of employment for promoting upward economic mobility, especially among contemporary nonmetropolitan low-income households.