Obesity in low-income rural women: Qualitative insights about physical activity and eating patterns
Obesity in low-income rural women: Qualitative insights about physical activity and eating patterns
复制标题
DOI：
10.1300/j013v44n01_04
复制
发表时间：
2006-01-01
期刊：
影响因子：
1.6
通讯作者：
Olson, Christine M.
中科院分区：
文献类型：
--
作者：
Bove, Caron F.;Olson, Christine M.
美国女性的体重与社会经济地位(SES)呈负相关。人们对体重社会差异的原因知之甚少。这项调查试图从居住在纽约州农村的低收入母亲的角度来理解超重和肥胖，特别是关注保持健康体重的挑战，这可能是农村贫困所特有的。对28名女性进行了深度访谈，她们在三年的时间里接受了三次采访，并被录音、转录，并使用持续比较的方法进行分析。研究结果表明，交通困难使一些女性只能呆在家里，而这些环境几乎没有提供身体活动的机会。粮食不安全和相关的家庭粮食供应波动加剧了饮食模式的混乱和人们对饮食匮乏的看法，从而影响了食物的摄入量。农村与世隔绝导致了消极的情绪状态，一些女性通过进食缓解了这种情绪状态。这项研究阐明了农村、经济上处于不利地位的妇女肥胖的原因，强调了农村贫困施加的结构性限制与妇女的身体活动、饮食模式、身体形象和体重之间的相互作用。这些见解进一步加深了对健康方面的社会不平等的理解，并可为今后旨在改善低收入妇女和家庭健康状况的研究的设计提供参考。
Body weight is inversely related to socioeconomic status (SES) in women in the United States (U.S.). Reasons for the social differential in weight are poorly understood. This investigation sought to understand overweight and obesity from the perspective of low-income mothers living in rural New York State, focusing in particular on challenges to maintaining a healthy weight that may be unique to rural poverty. In-depth interviews with 28 women, who were interviewed 3 times over a 3-year period, were audiotaped, transcribed, and analyzed using the constant comparative method. Findings suggest that transportation difficulties confined some women to their homes, which were physical settings offering little opportunity for physical activity. Food insecurity and associated fluctuating household food supplies contributed to disordered eating patterns and to perceptions of dietary deprivation that affected food intake. Rural isolation contributed to negative emotional states that some women alleviated by eating. This research elucidates factors contributing to obesity among rural, economically disadvantaged women, highlighting the interplay between the structural constraints imposed by rural poverty and women's physical activity, eating patterns, body image, and weight. These insights further the understanding of social inequalities in health and could inform the design of future research aimed at improving the health status of low-income women and families.