"I don't eat a hamburger and large chips every day!" A qualitative study of the impact of public health messages about obesity on obese adults.

"I don't eat a hamburger and large chips every day!" A qualitative study of the impact of public health messages about obesity on obese adults.
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DOI:
10.1186/1471-2458-10-309
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发表时间:
2010-06-04
期刊:
影响因子:
4.5
通讯作者:
Komesaroff PA
Komesaroff PA
中科院分区:
医学2区
文献类型:
--
作者:
Lewis S;Thomas SL;Hyde J;Castle D;Blood RW;Komesaroff PA

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我们的社会非常关注“肥胖”对健康的影响。公共卫生机构在“提醒”人们肥胖对个人和更广泛的社会造成的风险方面发挥着重要作用。定量研究表明,人们了解所涉及的身体健康风险,但低估了自己的风险,因为他们没有意识到自己肥胖。这项定性研究旨在通过探索肥胖个体对有关风险的公共卫生信息的看法、他们如何将这些信息应用到自己身上以及他们的个人和社会背景和经历如何影响这些看法来扩展现有研究。该研究对 142 名肥胖者的社区样本进行了深度访谈。采用不断比较的方法来分析数据。个人和背景因素影响个人解释和应用公共卫生信息的方式,包括他们自己的健康和福祉以及对耻辱的看法。人们认为,这些信息过于关注肥胖对身体健康的影响,而不是对情感健康的影响。许多人表示,由于信息过于简单且缺乏现实的解决方案,他们感到受到了侮辱和指责。参与者描述了需要传达与肥胖相关的风险的信息,同时尽量减少对肥胖个体可能的耻辱。这包括确保信息认识到肥胖的复杂性,并重点鼓励各种身材的人的健康行为。这项研究是探索如何了解有关肥胖的公共卫生信息如何与澳大利亚肥胖者产生共鸣的第一步。然而,需要进行更多的定性和定量研究来加深对肥胖信息对个人影响的了解。
We are a society that is fixated on the health consequences of 'being fat'. Public health agencies play an important role in 'alerting' people about the risks that obesity poses both to individuals and to the broader society. Quantitative studies suggest people comprehend the physical health risks involved but underestimate their own risk because they do not recognise that they are obese. This qualitative study seeks to expand on existing research by exploring obese individuals' perceptions of public health messages about risk, how they apply these messages to themselves and how their personal and social contexts and experiences may influence these perceptions. The study uses in depth interviews with a community sample of 142 obese individuals. A constant comparative method was employed to analyse the data. Personal and contextual factors influenced the ways in which individuals interpreted and applied public health messages, including their own health and wellbeing and perceptions of stigma. Individuals felt that messages were overly focused on the physical rather than emotional health consequences of obesity. Many described feeling stigmatised and blamed by the simplicity of messages and the lack of realistic solutions. Participants described the need for messages that convey the risks associated with obesity while minimising possible stigmatisation of obese individuals. This included ensuring that messages recognise the complexity of obesity and focus on encouraging healthy behaviours for individuals of all sizes. This study is the first step in exploring the ways in which we understand how public health messages about obesity resonate with obese individuals in Australia. However, much more research - both qualitative and quantitative - is needed to enhance understanding of the impact of obesity messages on individuals.
DOI: 10.3390/ijerph7020443
发表时间: 2010-02-01
影响因子: --
作者:
Lewis, Sophie;Thomas, Samantha L.;Komesaroff, Paul A.
通讯作者: Komesaroff, Paul A.
DOI: 10.1186/1748-5908-4-50
发表时间: 2009-08-07
期刊: Implementation science : IS
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发表时间: 2007-03-01
影响因子: 2.6
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发表时间: 2008-06-01
影响因子: 4.9
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DOI: 10.1038/oby.2008.22
发表时间: 2008-05-01
期刊: OBESITY
影响因子: 6.9
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通讯作者: Serdula, Mary K.