Hunter-Adams Jo
a Health Economics Unit, School of Public Health and Family Medicine, Faculty of Health Sciences , University of Cape Town , Observatory , South Africa.
Health Care Women Int. 2019 Apr;40(4):347-364. doi: 10.1080/07399332.2018.1549044. Epub 2019 Feb 22.
Obesity among South African women represents an important dimension of noncommunicable disease (NCD) risk. Experiences of weight are an under-explored frame of reference for intervention. Using three-part in-depth interviews with 20 women and 9 focus groups with a total of 57 women ( = 77) in one low-income neighborhood, I relate women's positive perceptions of fatness to belonging and experiences of hunger. Aware of public health obesity messaging, participants tried to lose weight, yet stress and food scarcity impacted weight gain. Whereas public health interventions focus on behavior, responses to NCDs must recognize the role of food systems and poverty in shaping risk profiles.
南非女性肥胖是非传染性疾病（NCD）风险的一个重要方面。体重经历是一个尚未充分探索的干预参照框架。通过对一个低收入社区的20名女性进行三部分深入访谈以及对总共57名女性（共77人）进行9次焦点小组访谈，我将女性对肥胖的积极认知与归属感和饥饿经历联系起来。尽管参与者了解公共卫生领域关于肥胖的信息并试图减肥，但压力和食物短缺却导致了体重增加。公共卫生干预措施侧重于行为，然而应对非传染性疾病必须认识到食物系统和贫困在塑造风险状况方面所起的作用。
