Hunger of the body and hunger of the mind: African American women's perceptions of food insecurity, health and violence

Hunger of the body and hunger of the mind: African American women's perceptions of food insecurity, health and violence
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DOI:
10.1016/j.jneb.2006.11.005
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发表时间:
2007-05-01
影响因子:
2.6
通讯作者:
Booth, Sue
Booth, Sue
中科院分区:
医学3区
文献类型:
--
作者:
Chilton, Mariana;Booth, Sue

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目的:这项定性研究考察了费城非裔美国女性的健康、饥饿和食物不安全之间的关系。设计:4个焦点小组和12个个人居家半结构访谈。设置:宾夕法尼亚州费城的3个食品储藏室。参与者:从3个食物储藏室招募的34名妇女。感兴趣的现象:访谈主题包括参与者的食物不安全、食物来源以及食物、饥饿和健康之间的关系。分析:根据定性数据中出现的主题,制定了现象学编码方案和网络分析。结果:食物不安全的经历与暴力和心理健康不良有关。女性描述了两种饥饿:“身体的饥饿”和“精神的饥饿”。身体饥饿指的是由于资金不足而产生的彻头彻尾的饥饿感。精神饥饿与创伤有关,包括沮丧和绝望的感觉。这两种形式的饥饿都可能是结构性和个人间暴力的身体表现。结论和影响:需要一个更广泛的框架来审查粮食不安全对健康的影响,以解决妇女的安全、经济独立以及身体和情感健康问题。
Objective: This qualitative study examined the relationship between health, hunger, and food insecurity among African American women in Philadelphia.Design: Four focus groups and 12 individual in-home, semistructured interviews were conducted.Setting: 3 food pantries in Philadelphia, Pennsylvania.Participants: 34 women recruited from 3 food pantries.Phenomenon of Interest: Interview topics included participants' experiences of food insecurity, food sources, and the relationship between food, hunger, and health.Analysis: A phenomenological coding scheme and network analysis was developed based on themes emerging from qualitative data.Results: The experience of food insecurity was related to violence and poor mental health. Women described 2 kinds of hunger: "hunger of the body" and "hunger of the mind." Hunger of the body referred to the outright painful sensation of hunger caused by insufficient funds. Hunger of the mind was related to trauma, encompassing feelings of depression and hopelessness. Both forms of hunger may be a physical manifestation of structural and inter-personal violence.Conclusions and implications: There is a need for a broader framework to examine the health effects of food insecurity that addresses women's safety, economic independence, and physical and emotional well-being.