“解决方案需要复杂一些。”肥胖成年人对个体和基于人群的肥胖干预措施有效性的看法。
"The solution needs to be complex." Obese adults' attitudes about the effectiveness of individual and population based interventions for obesity.
机构信息
Consumer Health Research Group (CHaRGe), Primary Care Research Unit, Monash University, Melbourne, Australia.
出版信息
BMC Public Health. 2010 Jul 15;10:420. doi: 10.1186/1471-2458-10-420.
BACKGROUND
Previous studies of public perceptions of obesity interventions have been quantitative and based on general population surveys. This study aims to explore the opinions and attitudes of obese individuals towards population and individual interventions for obesity in Australia.
METHODS
Qualitative methods using in-depth semi-structured telephone interviews with a community sample of obese adults (Body Mass Index >or=30). Theoretical, purposive and strategic recruitment techniques were used to ensure a broad sample of obese individuals with different types of experiences with their obesity. Participants were asked about their attitudes towards three population based interventions (regulation, media campaigns, and public health initiatives) and three individual interventions (tailored fitness programs, commercial dieting, and gastric banding surgery), and the effectiveness of these interventions.
RESULTS
One hundred and forty two individuals (19-75 years) were interviewed. Participants strongly supported non-commercial interventions that were focused on encouraging individuals to make healthy lifestyle changes (regulation, physical activity programs, and public health initiatives). There was less support for interventions perceived to be invasive or high risk (gastric band surgery), stigmatising (media campaigns), or commercially motivated and promoting weight loss techniques (commercial diets and gastric banding surgery).
CONCLUSION
Obese adults support non-commercial, non-stigmatising interventions which are designed to improve lifestyles, rather than promote weight loss.
背景
之前对公众对肥胖干预措施的看法的研究都是定量的，并基于一般人群调查。本研究旨在探讨澳大利亚肥胖人群对肥胖人群和个体干预措施的看法和态度。
方法
使用定性方法，对社区中肥胖成年人（体重指数≥30）进行深入的半结构式电话访谈。采用理论、有目的和战略招募技术，以确保有广泛的肥胖个体样本，具有不同类型的肥胖经历。参与者被问及他们对三种基于人群的干预措施（监管、媒体宣传和公共卫生倡议）和三种个体干预措施（量身定制的健身计划、商业节食和胃带手术）的态度，以及这些干预措施的有效性。
结果
共采访了 142 名（19-75 岁）个体。参与者强烈支持非商业干预措施，这些措施旨在鼓励个人做出健康的生活方式改变（监管、体育活动项目和公共卫生倡议）。对被认为具有侵入性或高风险（胃带手术）、有污名化（媒体宣传）、或商业动机以及促进减肥技术（商业节食和胃带手术）的干预措施的支持较少。
结论
肥胖成年人支持非商业、非污名化的干预措施，这些干预措施旨在改善生活方式，而不是促进减肥。
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