Vesnaver Elisabeth, Keller Heather H, Sutherland Olga, Maitland Scott B, Locher J L
Department of Family Relations & Applied Human Nutrition, University of Guelph, 50 Stone Road E, Guelph, Ontario, N1G 2W1, Canada.
Schlegel-UW Research Institute for Aging, Applied Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L 3G1, Canada.
Appetite. 2015 Dec;95:399-407. doi: 10.1016/j.appet.2015.07.027. Epub 2015 Jul 29.
Widowhood is a common life event for married older women. Prior research has found disruptions in eating behaviors to be common among widows. Little is known about the process underlying these disruptions. The aim of this study was to generate a theoretical understanding of the changing food behaviors of older women during the transition of widowhood. Qualitative methods based on constructivist grounded theory guided by a critical realist worldview were used. Individual active interviews were conducted with 15 community-living women, aged 71-86 years, living alone, and widowed six months to 15 years at the time of the interview. Participants described a variety of educational backgrounds and levels of health, were mainly white and of Canadian or European descent, and reported sufficient income to meet their needs. The loss of regular shared meals initiated a two-stage process whereby women first fall into new patterns and then re-establish the personal food system, thus enabling women to redirect their food system from one that satisfied the couple to one that satisfied their personal food needs. Influences on the trajectory of the change process included the couple's food system, experience with nutritional care, food-related values, and food-related resources. Implications for research and practice are discussed.
寡居是老年已婚女性常见的生活经历。先前的研究发现,饮食行为紊乱在寡妇中很常见。对于这些紊乱背后的过程知之甚少。本研究的目的是从理论上理解老年女性在寡居过渡期间饮食行为的变化。采用了基于建构主义扎根理论并以批判现实主义世界观为指导的定性方法。对15名社区居住的女性进行了个体访谈,她们年龄在71至86岁之间,独居,在访谈时已寡居6个月至15年。参与者描述了各种教育背景和健康水平,主要是白人,具有加拿大或欧洲血统,并且报告有足够的收入来满足其需求。失去规律的共同进餐引发了一个两阶段的过程,在此过程中,女性首先陷入新的模式,然后重新建立个人饮食体系,从而使女性能够将其饮食体系从满足夫妻双方的体系转变为满足个人饮食需求的体系。对变化过程轨迹的影响包括夫妻的饮食体系、营养护理经验、与食物相关的价值观以及与食物相关的资源。讨论了对研究和实践的启示。