Rural migration and food insecurity of Latino immigrants is high. The goal of this study was to examine food insecurity among Latino immigrants in a rural region (N?=?119) in comparison to urban Latinos (N?=?166). The objectives were to examine, identify, and compare determinants of food security, weight status, and diet between urban and rural Latinos. Household surveys were conducted by 2 trained bilingual/bicultural interviewers. Data on food security, body mass index, self-reported weight change since US arrival, diet, and barriers to healthy eating were collected. Rural Latinos were more likely to be overweight and have low food security than urban Latinos. Difficulty eating healthy and increased time in the United States were the primary determinants of low food security and poor diet among rural Latinos. Rurality and food insecurity pose a barrier for Latino immigrants and must be addressed further
