Health and Nutritional Beliefs and Practices among Rural Elderly Population: An Ethnographic Study in Western Spain.

Background: Demographic transition is causing an increasingly aged society, which has a significant impact on public health strategies. Increases in the size of the elderly cohort create a wider stratification and pose specific challenges. Nutrition and diet are one key issue. This study aims to describe food-related practices, beliefs, and representations of non-institutionalized older adults in rural communities in Extremadura (Western Spain).

Method: The ethnographic-based fieldwork was conducted from January to July 2019. Empirical material was collected through different research relationships (semi-structured interviews and informal conversations) and direct observation in various locations in Extremadura-involving a variety of agents associated with different aspects of the nutritional process.

Results: Data analysis revealed four major themes: (1) Limitations on choice and quality of food available; (2) food preferences and cooking methods; (3) the role of nostalgia in the construction of taste preferences; and (4) perceptions of what "healthy" food is and how respondents relate to the advice provided by health professionals.

Conclusions: Nutritional choices among the group studied presented significant differences from medical advice-which was seen as a series of "bans" that did not carry enough authority to alter the symbolic value attached to their traditions.