Macro- and microlevel processes affect food choice and nutritional status in the Republic of the Marshall Islands
Macro- and microlevel processes affect food choice and nutritional status in the Republic of the Marshall Islands
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DOI：
10.1093/jn/133.1.310s
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发表时间：
2003-01-01
影响因子：
4.2
通讯作者：
Palafox, NA
中科院分区：
文献类型：
--
作者：
Gittelsohn, J;Haberle, H;Palafox, NA
尽管马歇尔群岛与世界舞台相对隔绝，而且缺乏资源，但它是全球政治力量、宏观经济力量和当地文化因素之间相互作用的一个例子。在国家一级，食品进口模式和政府计划鼓励消费高脂肪食品。这些因素助长了对西方食物的依赖，并使传统的饮食习惯丧失。信念作为影响食物选择和生活方式的微观因素发挥作用。在这种情况下，近四分之三的女性超重或肥胖。女性肥胖与年龄较大、受教育程度较高和进口食品消费较多有关。超过三分之一的1-5岁儿童发育不良，发育不良与经济状况差、喂养不积极、进口食品消费增加和城市居住有关。在微观一级可以做的事情受到宏观一级权力丧失因素的制约。通过这种方式，权力和信仰的问题在个人的身体中发挥作用。
Despite its relative isolation from the world stage and lack of resources, the Marshall Islands serve as an example of the interaction between global political power, macroeconomic forces and local cultural factors. At the national level, patterns of food importation and government programs encourage the consumption of high fat foods. These factors have fostered dependency on Western foods and a loss of traditional food practices. Beliefs come into play as microlevel factors that influence food choice and aspects of lifestyle. Nearly three quarters of women are overweight or obese in this setting. Obesity in women is associated with greater age, higher education and more imported food consumption. Over a third of children ages 1-5 y are stunted, with stunting associated with worse economic status, less active feeding, increased consumption of imported foods and urban residence. What can be done at the microlevel is constrained by macrolevel factors of disempowerment. In this way, issues of power and belief are played out in the bodies of individuals.