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首页> 外文期刊>Public Health Nutrition >Social and cultural construction of obesity among Pakistani Muslim women in North West England
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Social and cultural construction of obesity among Pakistani Muslim women in North West England

机译：英格兰西北部巴基斯坦穆斯林妇女中肥胖的社会文化建构

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ObjectiveThe present qualitative study explored health perceptions, diet and the social construction of obesity and how this relates to the initiation and maintenance of a healthier diet in UK Pakistani women.DesignPakistani women in Greater Manchester participated in focus group and one-to-one discussions. Semi-structured interviews employing fictional vignettes and body shape images were used to explore the participantsa€? beliefs and practices regarding diet, overweight/obesity and the risk of type 2 diabetes. Transcripts were analysed using phenomenological and sociological approaches.SettingInterviews took place either in local community and Pakistani resource centres or in private homes.SubjectsFirst- and second-generation women who were both active in the community and housebound. The women spoke English and/or Urdu.ResultsThe fifty-five participants lacked the motivation to address weight gain and were unsure how to do so. There was a limited awareness of the link between weight gain and type 2 diabetes. Other barriers included the influence of Islam, culture and familial expectations on home cooking, perceptions that weight gain is inevitable (owing to ageing, childbirth or divine predestination) and the prioritisation of family concerns over individual lifestyle changes. As the findings of the present research did not correspond to existing educational and behaviour change models, a new Health Action Transition conceptual model is proposed.ConclusionsHealth education programmes that aim to address obesity and its associated risks in the South Asian community must take into account the complex beliefs and practices and the multiple dimensions of religion, ethnic and social identity within this population. The present study provides further insight into these factors and proposes a novel model for use in designing and implementing education interventions for British Pakistani women.
机译：目的本定性研究探讨了健康观念，饮食和肥胖的社会结构，以及这与英国巴基斯坦女性的饮食开始和维持健康饮食之间的关系。大曼彻斯特的DesignPakistani妇女参加了焦点小组讨论和一对一讨论。采用虚构的小插图和身体形状图像的半结构式访谈被用来探索参与者。有关饮食，超重/肥胖和2型糖尿病风险的信念和做法。使用现象学和社会学方法分析成绩单，在当地社区和巴基斯坦资源中心或私人住宅中进行访谈，对象是既活跃于社区又无家可归的第一代和第二代女性。这些妇女说英语和/或乌尔都语。结果五十五名参与者缺乏解决体重增加的动力，不确定如何做到。人们对体重增加与2型糖尿病之间的联系的认识有限。其他障碍包括伊斯兰教，文化和家庭期望对家庭烹饪的影响，人们认为体重增加是不可避免的（由于年龄，分娩或神圣的命运），以及家庭对个人生活方式的改变的重视。由于本研究的发现与现有的教育和行为改变模型不符，因此提出了一种新的健康行动过渡概念模型。结论旨在解决肥胖及其相关风险的南亚社区健康教育计划必须考虑以下因素：复杂的信仰和习俗，以及该人群中宗教，种族和社会认同的多个维度。本研究提供了对这些因素的进一步了解，并提出了一种用于设计和实施针对英属巴基斯坦妇女的教育干预措施的新颖模型。

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