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Health and Eating Behavior Differs Between Lean/Normal and Overweight/Obese Low-Income Women Living in Food-Insecure Environments.
MedLine Citation:
PMID:  23398131     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract 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.
Authors:
Heidi Dressler; Chery Smith
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-11
Journal Detail:
Title:  American journal of health promotion : AJHP     Volume:  -     ISSN:  0890-1171     ISO Abbreviation:  Am J Health Promot     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701680     Medline TA:  Am J Health Promot     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Heidi Dressler, RD, is a Graduate Student and Chery Smith, PhD, MPH, RD, is an Associate Professor at the Department of Food Science and Nutrition, University of Minnesota, St. Paul, Minnesota.
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