Rural communities face greater barriers to healthy eating and being physically active, which contributes to higher rates of obesity and chronic disease compared to their urban counterparts. In 2014, six Kentucky counties with an adult obesity prevalence of more than 40% received support from CDC to implement environmental changes promoting healthy eating and active living. County coalitions worked to assess needs and establish priorities as illustrated in this socio-ecological model.

Family and Consumer Sciences Agents worked with county coalitions, volunteers, local government, and grocery stores to increase opportunities for physical activity and access to healthy foods. In 2017, the CDC offered a fourth year of support for this work given the progress since 2014. In 2018, adult obesity prevalence in five of the six counties was below 40%, and the sixth county had reduced prevalence by 3%. Extension has a tradition of excellence in providing education to individuals and families, but can also successfully lead changes in systems and environments to impact long-term health outcomes and quality of life for Kentuckians.

Video: https://www.dropbox.com/s/x8jdf3o8ljmcka5/University%20of%20Kentucky%20School%20Of%20Human%20Environmental%20Sciences.mp4?dl=0