Systematic Observation: A Method for Measuring Health Related Culture & Obesity

系统观察：一种衡量健康相关文化的方法

• 批准号: 8095072
• 负责人: Andrew Jonathan Perrin
• 金额: $ 7.4万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-03-09 至 2013-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8095072
• 关键词: Adult; Affect; Behavior; Behavioral; Belief; Cataloging; Catalogs; Childhood; County; Eating; Epidemic; Exercise; Focus Groups; Food; Health; Health behavior; Individual; Intergenerational transfer; Measurement; Measures; Mediating; Methodology; Methods; North Carolina; Obesity; Outcome; Pattern; Phase; Physical activity; Physical environment; Protocols documentation; Proxy; Research; Research Personnel; Social Environment; base; behavior influence; diet and exercise; health belief; interest; member; novel; novel strategies; response; social; sociologist; theories

DESCRIPTION (provided by applicant): Numerous studies have suggested and found that culture affects a wide variety of health outcomes. Of particular interest given the rising obesity epidemic are health outcomes that may result, in part, from cultural phenomena influencing behavioral patterns such as diet and exercise. To the extent that culture affects individuals' health behaviors, this class of health conditions is ripe for rigorous cultural analysis. However, most studies of cultural effects on health outcomes have used proxies for culture that fail to approximate a sociologically valid conceptualization of culture. The research proposed here would bring together a team of sociologists expert in the theory and measurement of culture with health researchers expert in the theory and measurement of obesity -a key health outcome with behavioral antecedents. Two specific aims will bring systematic observational methods to the measurement of place-based culture: Specific Aim 1: to assess health-related messages prevalent in the place-based culture of Lenoir County, North Carolina, through a new methodological approach: Systematic Cultural Observation. Specific Aim 2: to catalogue the repertoire of interpretations used by Lenoir County residents to understand the messages identified in Specific Aim 1. We propose to adapt the existing Systematic Social Observation (SSO) methodology into a novel approach to measuring culture: Systematic Cultural Observation (SCO). The SCO protocol will involve a four-day, intensive stay by a five-member research team in Lenoir County, NC. We will gather geocoded information about media messages, physical environment, display and availability of healthy food, uses of available physical activity facilities; and social environments for eating and exercise related culture. We will then present observations from the observations to focus groups constituted to evaluate the repertoire of interpretations county residents bring to understanding these cultural messages. This two-phase approach to measuring place-based culture offers the possibility for understanding the ways in which culture moderates and mediates the effects of other individual and social factors on health outcomes, particularly obesity and the intergenerational transfer of obesity. PUBLIC HEALTH RELEVANCE: Numerous studies have suggested and found that culture affects a wide variety of health outcomes, including the burgeoning epidemic of childhood and adult obesity. We propose a novel method for measuring place-based culture with respect to patterns of health beliefs and behaviors related to obesity. This may be useful in understanding and targeting responses to obesogenic beliefs and behaviors.

描述（由申请人提供）：大量研究表明并发现文化会影响多种健康结果。鉴于肥胖流行率不断上升，特别令人感兴趣的是健康结果，其部分原因可能是影响饮食和锻炼等行为模式的文化现象。就文化影响个人健康行为的程度而言，对这类健康状况进行严格的文化分析已经成熟。然而，大多数关于文化对健康结果影响的研究都使用了文化代理，但未能近似社会学上有效的文化概念。这里提出的研究将汇集文化理论和测量专家的社会学家团队和肥胖理论和测量专家的健康研究人员——肥胖是一种与行为因素相关的关键健康结果。两个具体目标将为地方文化的测量带来系统的观察方法： 具体目标 1：通过一种新的方法：系统文化观察，评估北卡罗来纳州勒努瓦县地方文化中普遍存在的与健康相关的信息。 具体目标 2：对勒努瓦县居民用于理解具体目标 1 中确定的信息的所有解释进行分类。我们建议将现有的系统社会观察 (SSO) 方法改编为一种测量文化的新方法：系统文化观察 (SCO)。 SCO协议将包括由五名成员组成的研究小组在北卡罗来纳州勒努瓦县进行为期四天的集中停留。我们将收集有关媒体消息、物理环境、健康食品的展示和可用性、可用体育活动设施的使用的地理编码信息；以及饮食和运动相关文化的社会环境。然后，我们将向焦点小组提出观察结果，以评估县居民为理解这些文化信息而做出的各种解释。这种衡量地方文化的两阶段方法为了解文化如何调节和调节其他个人和社会因素对健康结果的影响提供了可能性，特别是肥胖和肥胖的代际传递。 公共卫生相关性：大量研究表明并发现文化会影响多种健康结果，包括迅速流行的儿童和成人肥胖症。我们提出了一种新方法来衡量与肥胖相关的健康信念和行为模式的地方文化。这可能有助于理解和针对肥胖信念和行为的反应。