Health and Eating Behavior Differs Between Lean/Normal and Overweight/Obese Low-Income Women Living in Food-Insecure Environments
Health and Eating Behavior Differs Between Lean/Normal and Overweight/Obese Low-Income Women Living in Food-Insecure Environments
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DOI：
10.4278/ajhp.120119-qual-55
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发表时间：
2013-07-01
影响因子：
2.7
通讯作者：
Smith, Chery
中科院分区：
文献类型：
--
作者：
Dressler, Heidi;Smith, Chery
目的.探讨不同体重状况的低收入妇女在影响饮食行为的环境、个人和行为因素方面的差异和相似性。焦点小组（n = 16）用于收集定性数据。收集的定量数据包括人口统计学、生活方式和人体测量（身高和体重）。低收入社区的社区中心、图书馆和无家可归者收容所。在83名参与者中，58%是非洲裔美国人，28%是白色人，其余是美国印第安人，西班牙裔或混血儿。总共有35%的参与者是瘦/正常（体重指数< 25 kg/m2），65%是超重/肥胖（体重指数> 25 kg/m2）。焦点小组方法被用来收集83名参与者的数据。社会认知理论（SCT）提供了理论基础。使用开放编码方法分析转录本，并系统比较瘦/正常和超重/肥胖女性之间的评论。焦点小组的主题是食品环境，异常饮食行为，健康价值观和信仰。超重/肥胖和瘦/正常女性之间的个人和行为因素的差异是明显的，前一组经常讨论情绪化饮食，暴饮暴食和储存食物，后一组交流更多的营养知识和描述定期的体育活动。这两个群体同样表达了粮食不安全和生活在低收入环境中的经历。对于低收入女性，个人和行为因素可能会改变其致胖食物环境的影响。SCT背景下的进一步研究应检查生活在同一环境中的瘦/正常和超重/肥胖妇女之间的差异。
Purpose. To explore differences and similarities in environmental, personal, and behavioral factors influencing eating behavior among low-income women of varying weight status.Design. Focus groups (n = 16) were used to collect qualitative data. Quantitative data collected included demographic, lifestyle, and anthropometric (heights and weights).Setting. Community centers, libraries, and homeless shelters in low-income neighborhoods.Participants. Of the 83 participants, 58% were African-American, 28% were white, and the remainder were American Indian, Hispanic, or mixed race. A total of 35% of participants were lean/normal (body mass index < 25 kg/m(2)) and 65% were overweight/obese (body mass index > 25 kg/m(2)).Method. Focus group methodology was used to collect data on 83 participants. Social Cognitive Theory (SCT) provided the theoretical basis. Transcripts were analyzed using the open-coding method and comments between lean/normal and overweight/obese women were systematically compared.Results. Focus group themes were food environment, aberrant eating behavior, health values, and beliefs. Differences in personal and behavioral factors were apparent between overweight/ obese and lean/normal women, with the former group frequently discussing emotional eating, overeating, and stashing food, and the latter group communicating greater nutrition knowledge and describing regular physical activity. Both groups similarly expressed experiences with food insecurity and lived in low-income environments.Conclusion. For low-income women, personal and behavioral factors may modify the influence of their obesogenic food environment. Further research within the context of SCT should examine differences between lean/normal and overweight/obese women living in the same environment.