Midlife and older rural women's adherence to U.S. dietary guidelines across stages of change in healthy eating

Carol H Pullen, Susan Noble Walker

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Poor diet is one of the factors that influences morbidity and premature mortality among older women. The purpose of this descriptive correlational study was to assess (a) healthy eating behaviors of midlife and older rural women, as reflected by adherence to the Dietary Guidelines for Americans, and (b) differences in daily servings in each food group consumed by the women across stages of readiness for change in healthy eating. A sample of 371 midlife and older rural women attending a national meeting of a community education organization completed a questionnaire, including items to measure healthy eating and readiness for change in healthy eating. Only 5.9% of the women adhered to all levels of the Food Pyramid. Adherence to individual levels ranged from 3.5% for grain products to 65.4% for fruit. Analyses of variance revealed significant differences (p < 0.05) in servings consumed daily across stages of change for grain (F = 4.80), fruits (F = 19.02), vegetables (F = 9.24), dairy (F = 2.45), and meats (F = 1.98). Findings suggest the need for community health nurses to design dietary interventions tailored for women's stage of readiness for change to reduce disability in this vulnerable population.

Original languageEnglish (US)
Pages (from-to)170-178
Number of pages9
JournalPublic Health Nursing
Issue number3
StatePublished - May 2002


  • Healthy eating
  • Midlife and older rural women
  • Stages of change
  • U.S. dietary guidelines

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health


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