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女性、体重、贫困与更年期:在慢性病预防背景下理解健康行为

Women, weight, poverty and menopause: understanding health practices in a context of chronic disease prevention.

作者信息

Audet Mélisa, Dumas Alex, Binette Rachelle, Dionne Isabelle J

机构信息

Faculté des sciences de l'activité physique, Université de Sherbrooke, Canada.

Centre de recherche sur le vieillissement, Sherbrooke, Canada.

出版信息

Sociol Health Illn. 2017 Nov;39(8):1412-1426. doi: 10.1111/1467-9566.12593. Epub 2017 Jun 10.

Abstract

Socioeconomic inequalities in health persist despite major investments in illness prevention campaigns and universal healthcare systems. In this context, the increased risks of chronic diseases of specific sub-groups of vulnerable populations should be further investigated. The objective of this qualitative study is to examine the interaction between socioeconomic status (SES) and body weight in order to understand underprivileged women's increased vulnerability to chronic diseases after menopause. By drawing specifically on Pierre Bourdieu's sociocultural theory of practice, 20 semi-structured interviews were conducted from May to December of 2013 to investigate the health practices of clinically overweight, postmenopausal women living an underprivileged life in Canada. Findings emphasise that poor life conditions undermine personal investment in preventive health and weight loss, showing the importance for policy makers to bring stronger consideration on upstream determinants of health.

摘要

尽管在疾病预防运动和全民医疗体系方面投入巨大,但健康方面的社会经济不平等现象依然存在。在此背景下,特定弱势群体慢性病风险增加的情况应进一步研究。这项定性研究的目的是考察社会经济地位(SES)与体重之间的相互作用,以了解贫困女性绝经后患慢性病的易感性增加的情况。具体借鉴皮埃尔·布迪厄的社会文化实践理论,于2013年5月至12月进行了20次半结构化访谈,以调查加拿大生活贫困、临床超重的绝经后女性的健康行为。研究结果强调,恶劣的生活条件会削弱个人在预防性健康和减肥方面的投入,这表明政策制定者更应重视健康的上游决定因素。

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