Barriers to nutritional well-being for rural elders: Community experts' perceptions

Thomas A. Arcury, Sara A. Quandt, Ronny A. Bell, Juliana McDonald, Mara Z. Vitolins

Research output: Contribution to journalArticlepeer-review

47 Scopus citations


Older adults use public and private services, as well as personal resources, to meet nutritional needs. In-depth interviews conducted with 73 service providers and community experts in two rural North Carolina counties were analyzed for these experts' perceptions of barriers to adequate nutrition for older adults. Perceived barriers included characteristics of the county and programs, transportation, and kin, as well as older adult medical and economic conditions, food habits, knowledge, and attitudes. The importance given each of these domains varied by respondents' area of expertise. Community experts and providers may not see the connection between their services and nutritional well-being of older adults.

Original languageEnglish
Pages (from-to)490-498
Number of pages9
Issue number4
StatePublished - 1998

Bibliographical note

Funding Information:
This research was supported by grant R01-AG13469 from the National Institute on Aging. 1Address correspondence to Thomas A. Arcury, PhD, Center for Urban and Regional Studies, Hickerson House CB #3410, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599. E-mail: tom_arcury@ 'Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC.


  • Elderly
  • North Carolina
  • Nutrition
  • Rural aging
  • Service providers

ASJC Scopus subject areas

  • General Medicine


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