Health and eating behavior differs between lean/normal and overweight/obese low-income women living in food-insecure environments

Heidi Dressler, Chery Smith

Research output: Contribution to journalArticle

10 Citations (Scopus)

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/m2) and 65% were overweight/obese (body mass index >25 kg/m2). 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.

Original languageEnglish (US)
Pages (from-to)358-365
Number of pages8
JournalAmerican Journal of Health Promotion
Volume27
Issue number6
DOIs
StatePublished - Jul 1 2013

Fingerprint

Feeding Behavior
health behavior
eating behavior
low income
food
Food
Focus Groups
Health
Group
cognitive theory
Weights and Measures
Hyperphagia
Food Supply
North American Indians
influencing behavior
community center
Hispanic Americans
nutrition situation
African Americans
Libraries

Keywords

  • Food Environment
  • Food Insecurity
  • Lean
  • Low-Income
  • Obesity
  • Prevention Research
  • SCT

Cite this

Health and eating behavior differs between lean/normal and overweight/obese low-income women living in food-insecure environments. / Dressler, Heidi; Smith, Chery.

In: American Journal of Health Promotion, Vol. 27, No. 6, 01.07.2013, p. 358-365.

Research output: Contribution to journalArticle

@article{9e4a1909107b46a3a035555c45db9fec,
title = "Health and eating behavior differs between lean/normal and overweight/obese low-income women living in food-insecure environments",
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/m2) and 65{\%} were overweight/obese (body mass index >25 kg/m2). 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.",
keywords = "Food Environment, Food Insecurity, Lean, Low-Income, Obesity, Prevention Research, SCT",
author = "Heidi Dressler and Chery Smith",
year = "2013",
month = "7",
day = "1",
doi = "10.4278/ajhp.120119-QUAL-55",
language = "English (US)",
volume = "27",
pages = "358--365",
journal = "American Journal of Health Promotion",
issn = "0890-1171",
publisher = "American Journal of Health Promotion",
number = "6",

}

TY - JOUR

T1 - Health and eating behavior differs between lean/normal and overweight/obese low-income women living in food-insecure environments

AU - Dressler, Heidi

AU - Smith, Chery

PY - 2013/7/1

Y1 - 2013/7/1

N2 - 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/m2) and 65% were overweight/obese (body mass index >25 kg/m2). 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.

AB - 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/m2) and 65% were overweight/obese (body mass index >25 kg/m2). 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.

KW - Food Environment

KW - Food Insecurity

KW - Lean

KW - Low-Income

KW - Obesity

KW - Prevention Research

KW - SCT

UR - http://www.scopus.com/inward/record.url?scp=84882373638&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84882373638&partnerID=8YFLogxK

U2 - 10.4278/ajhp.120119-QUAL-55

DO - 10.4278/ajhp.120119-QUAL-55

M3 - Article

C2 - 23398131

AN - SCOPUS:84882373638

VL - 27

SP - 358

EP - 365

JO - American Journal of Health Promotion

JF - American Journal of Health Promotion

SN - 0890-1171

IS - 6

ER -