Department of Biological Sciences, University of Chester, Parkgate Road, Chester CH1 4BJ, UK.
Public Health Nutr. 2011 Oct;14(10):1842-50. doi: 10.1017/S1368980010003472. Epub 2011 Jan 4.
The 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.
Pakistani 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 participants' beliefs and practices regarding diet, overweight/obesity and the risk of type 2 diabetes. Transcripts were analysed using phenomenological and sociological approaches.
Interviews took place either in local community and Pakistani resource centres or in private homes.
First- and second-generation women who were both active in the community and housebound. The women spoke English and/or Urdu.
The 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.
Health 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.
本定性研究探讨了英国巴基斯坦女性的健康感知、饮食以及肥胖的社会建构，以及这如何与更健康饮食的启动和维持相关。
大曼彻斯特的巴基斯坦女性参加了焦点小组和一对一的讨论。采用虚构情节和体型图像的半结构式访谈，探讨了参与者关于饮食、超重/肥胖和 2 型糖尿病风险的信念和实践。使用现象学和社会学方法分析转录本。
访谈要么在当地社区和巴基斯坦资源中心进行，要么在私人住宅进行。
第一代和第二代在社区中活跃且足不出户的女性。这些女性会说英语和/或乌尔都语。
55 名参与者缺乏解决体重增加问题的动力，也不确定如何解决。他们对体重增加与 2 型糖尿病之间的联系认识有限。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、对体重增加是不可避免的看法（由于衰老、分娩或神圣宿命）以及将家庭问题置于个人生活方式改变之上的优先级。由于本研究的结果与现有的教育和行为改变模型不符，因此提出了一个新的健康行动过渡概念模型。
旨在解决南亚社区肥胖及其相关风险的健康教育计划必须考虑到这一人群中复杂的信仰和实践以及宗教、族裔和社会认同的多个维度。本研究进一步深入探讨了这些因素，并提出了一个新的模型，用于为英国巴基斯坦女性设计和实施教育干预措施。
