Three new CEDIK publications from our research faculty and staff:
Allen, James, IV, Jairus Rossi, Timothy Woods, Alison Davis, “Do community supported agriculture programmes encourage change to food lifestyle behaviours and health outcomes? New evidence from shareholders,” International Journal of Agricultural Sustainability, May 2016. doi: 10.1080/14735903.2016.1177866.
Abstract: Community Supported Agriculture (CSA) programs have recently received attention for their potential to influence food lifestyle behaviors and health outcomes, though studies have mostly drawn from small samples (n < 25). Therefore, we designed a survey to test whether CSA participation links to changes in food lifestyle behaviors and health outcomes, and assess if the magnitude of changes varies based on respondent characteristics. A detailed survey was distributed to existing shareholders from three mid-sized CSAs near Lexington, Kentucky, and produced 151 usable responses. Through 20 paired questions, respondents reported on their food lifestyle behaviors and health outcomes both prior to joining a CSA and then after CSA participation. Paired two-sided t-tests assess if paired means are statistically different, and multiple regressions of paired differences on socioeconomic factors, self-reported health, and years of CSA enrollment estimate the effect of respondent characteristics on behavior change. The results strongly suggest that CSAs have the potential to positively impact shareholders’ food lifestyle behaviors and health outcomes, and that those reporting ‘poor health’ prior to CSA enrollment exhibited the most change overall. These results should be taken as an initial, yet promising, analysis of the impact of CSA participation on shareholder food lifestyle behaviors and health outcomes.
Brislen, Lilian, Jairus Rossi, and Kenny Stancil, “First Processed Produce in Central Kentucky: A Pre-feasibility Study,” The Food Connection, University of Kentucky, May 2016.
Ona, Lucia, James Allen IV, Alison Davis, and Xiao He, “Determinants of Bypass Behavior for Critical Access Hospitals (CAHs) in Rural Kentucky,” Staff Paper No. 496, Department of Agricultural Economics, University of Kentucky, June 2016.
Context: Critical Access Hospitals (CAHs) in rural Kentucky face financial pressures which has caused difficulty introducing new technology and services and retaining qualified health care professionals. Lack of access to quality and affordable health care leads to bypass behavior among rural residents with serious consequences for rural hospitals.
Purpose: The objective of this paper is to analyze the reasons attributed to CAH bypass behavior among rural Kentucky patients. This study contributes to the literature regarding hospital bypass behavior by updating our understanding of hospital bypass in rural Kentucky, 45 years after the last local study on the topic.
Methodology: Based on the literature, the factors chosen to explain hospital bypass are: location, availability of hospital services, local quality of medical care (perception), and consumer traits. The results obtained from a logit model are presented and discussed in this study. Data was collected by a survey sent to 3,000 rural households in Kentucky in each county served and to surrounding counties often served by CAHs.
Findings: Rural Kentucky patients are in fact bypassing the local CAHs influenced by factors related to hospital location, availability of hospital services, perception of quality of local medical care, and certain consumer traits.