scholarly journals “I feel like less of a mom.” Experiences of Weight Stigma by Association among Mothers of Children with Overweight and Obesity

2020 ◽  
Author(s):  
Jenna Gorlick ◽  
Claire Gorman ◽  
Heidi M. Weeks ◽  
Arielle Pearlman ◽  
Natasha Schvey ◽  
...  

Background: Parents of children with high weight are often the target of blame and shaming. However, this form of stigma, termed weight stigma by association, is poorly understood.Objective: To investigate the sources, forms, and impacts of weight stigma by association among mothers of children with overweight or obesity. Methods: Mothers of 5 to 16-year-old children (N=34; 54% non-Hispanic White) participated in semi-structured interviews. A coding scheme was developed using the constant comparative method and reliably applied to interview transcripts. Mothers’ self-reported sociodemographic information, and height and weight were measured.Results: Family members were a common source of negative comments to parents about children’s weight; these comments were often critical of mothers’ parenting and caused hurt feelings and family estrangement. Many mothers also reported negative feelings about their children’s physicians due to interactions about their children’s weight. Almost all mothers expressed guilt and sadness for not parenting differently; many internalized beliefs that they were bad parents because of their children’s weight. Conclusion: Mothers of children with overweight and obesity are frequently the target of weight stigma by association. Additional research is needed to elucidate the impacts of this form of stigma on parents’ health, the parent/child relationship, and children’s health.

2021 ◽  
pp. 101269022110568
Author(s):  
David Argüelles ◽  
Víctor Pérez-Samaniego ◽  
Elena López-Cañada

Weight stigma is a negative social process that involves discrimination against overweight and obese people. Gyms are important environments to promote exercise where weight stigma can be a hindrance for obese exercise practitioners. This critical-oriented study provides evidence-based answers to this question: How do obese users experience weight stigma in gyms? Six obese gym users (BMI >30) participated in semi-structured interviews and provided visual data for photo-elicitation. A thematic analysis enabled the grouping of their experiences around weight stigma into three forms of discrimination: 1) direct: negative comments about body weight and body size; 2) indirect: internalization of negative stereotypes on weight, ability or appearance; 3) structural: explicit or symbolic rejection related with weight-centric exercise, equipment and recommendations implicit in marketing and advertising. The results provide evidence and interpretations of different forms of discrimination and inequality that operate in gyms, and how they affect obese users’ experiences. Based on these results, we compile a list of measures to prevent weight stigma and recommendations for exercise professionals to relate with obese users.


2020 ◽  
Author(s):  
Jenna C. Gorlick ◽  
Claire V. Gorman ◽  
Heidi M. Weeks ◽  
Arielle T. Pearlman ◽  
Natasha A. Schvey ◽  
...  

Author(s):  
Kristen Simonds ◽  
Lucy Yixuan Zhang ◽  
June I. Matthews

Purpose: This descriptive qualitative study explored young males’ perceptions of food skills in 3 domains: food selection and planning, food preparation, and food safety and storage. Methods: Semi-structured interviews were audio-recorded and transcribed verbatim. Data were analyzed using the constant comparative method. Results: Forty-four young men (aged 17–35) reported varying levels of food skills, from little/no confidence to very confident and skilled. Most participants learned food skills from their mothers. Greater involvement in food selection and planning at a young age appeared to be related to parental influence and encouragement, exposure to food skills at school, and interest in food-related activities, which, in turn, provided a solid foundation for being confident cooks as young adults. Most notable was the lack of knowledge about, or confidence in, food safety and storage. Young men with low self-perceived food skills were deeply embarrassed about this deficiency in front of peers who had higher levels of confidence and skills. Conclusions: Future interventions or curricula should emphasize food safety and storage. This research also illustrates the importance of the home environment in teaching food skills to youth and ensuring that food skills are taught well before young adults begin living independently.


2021 ◽  
pp. 1-21
Author(s):  
Payge Lindow ◽  
Irene H. Yen ◽  
Mingyu Xiao ◽  
Cindy W. Leung

ABSTRACT Objective: Using an adaption of the Photovoice method, this study explored how food insecurity affected parents’ ability to provide food for their family, their strategies for managing household food insecurity, and the impact of food insecurity on their well-being. Design: Parents submitted photos around their families’ experiences with food insecurity. Afterwards, they completed in-depth, semi-structured interviews about their photos. The interviews were transcribed and analyzed for thematic content using the constant comparative method. Setting: San Francisco Bay Area, California, USA. Subjects: 17 parents (14 mothers and 3 fathers) were recruited from a broader qualitative study on understanding the experiences of food insecurity in low-income families. Results: Four themes were identified from the parents’ photos and interviews. First, parents described multiple aspects of their food environment that promoted unhealthy eating behaviors. Second, parents shared strategies they employed to acquire food with limited resources. Third, parents expressed feelings of shame, guilt, and distress resulting from their experience of food insecurity. And finally, parents described treating their children to special foods to cultivate a sense of normalcy. Conclusions: Parents highlighted the external contributors and internal struggles of their experiences of food insecurity. Additional research to understand the experiences of the food-insecure families may help to improve nutrition interventions targeting this structurally vulnerable population.


Journalism ◽  
2021 ◽  
pp. 146488492110070
Author(s):  
Kathryn Shine

Numerous quantitative studies from around the world have found that women are under-represented as sources in news content. This study aims to add to the existing quantitative research by describing female experts’ attitudes about being interviewed as news sources, and their experiences of interacting with journalists. It reports the findings of semi-structured interviews with 30 Australian female academic experts from a broad range of disciplines. Almost all of the women experts in the group were willing to be interviewed by a journalist, and reported that their experiences with the news media had generally been positive. However, they referred to various factors that may act as deterrents. These included a lack of confidence, a reluctance to appear on camera, time constraints and a lack of understanding about how the news media operates. This research provides valuable insights for journalists and editors, and outlines recommendations about how to encourage female participation in the news.


Author(s):  
Anne Kelemen ◽  
Clara Van Gerven ◽  
Katherine Mullins ◽  
Hunter Groninger

Background: Palliative care (PC) clinicians are well trained to address physical, psychosocial and spiritual needs of patients who have a serious illness. However, one area that is often overlooked is intimacy and sexuality. Objective: To explore patient concerns regarding intimacy as it relates to illness, family reactions, physician conversations, and coping strategies and challenges. Methods: Eligible subjects (at least 18 years old, capacitated, receiving PC consultation at the lead author’s institution) participated in semi-structured interviews between November and December 2017. Transcripts were open-coded and analyzed using Dedoose 3.5.35 software. A constant comparative method was used to identify patterns in the data. Results: 21 interviews were analyzed and several themes emerged. Participants described the effect of physical and mental/emotional changes on their relationships. Family relationships, romantic relationships, and sexuality were prominent in patients’ experiences of intimacy and how it changed as the illness progressed. Relationships were often noted to strengthen during the course of illness, while sexual activity was frequently reported to be negatively impacted. Patients consistently reported little provider communication on the impact of illness on intimacy beyond instructions about what sexual activities they could or could not engage in. Conclusion: This study underlines the significant impact of serious, progressive illness on relationships, sexuality, and physical and emotional intimacy. It highlights that these topics continue to be priorities for patients with serious illness, and that medical teams frequently fail to address them at all. Future research should further explore these issues across diverse patient populations.


2018 ◽  
Vol 33 (1) ◽  
Author(s):  
Andrew C. Pickett ◽  
George B. Cunningham

Given societal body ideals praising thinness and muscularity, physical activity spaces can bedifficult to navigate for those in larger bodies. Thus, stigma serves as a strong barrier to participation. Inthis study, the authors explore ways that body stigma affects larger individuals’ participation in physicalactivity. This authors employed qualitative, semi-structured interviews (N = 9), regarding personal experi-ences of body weight stigma. Results suggest that body stigma is common and that various discriminatoryexperiences led participants away from participating. Given the prevalence of prejudicial behaviors, whichexclude larger individuals, the authors argue for more inclusive physical activity spaces and practices.


2018 ◽  
Vol 6 (2) ◽  
pp. 112
Author(s):  
Fitrah Bintan Harisma ◽  
Fariani Syahrul ◽  
Teguh Mubawadi ◽  
Yudied Agung Mirasa

Background: Hepatitis A outbreaks were reported by the Lamongan District Health Office to the Surabaya Center for Environmental Health and Disease Control Engineering on January 16, 2018, indicated by an increase in hepatitis A cases in of G and S areas, B village. One of initial sufferer was students in High School X.. Purpose: This study aims to identify the epidemiological characteristics of hepatitis A outbreaks that occur in High School X and the risk factors. Methods: The investigation was carried out in an observational manner with a cross sectional approach. Data were collected by structured interviews, hepatitis A antibodies in blood samples assay, environmental observation, and water samples assay. Data were collected with purposive determination of respondents. Results: Hepatitis A outbreaks at High School X in Lamongan District take place from November 2017 to january 2018, with a target group of 33 students. The epidemic cased tends to be extend common source. Risk factors are contact history with patients, eating habits together in same place, mutual exchange and sharing same eating utensils, the lack of hygiene habit (such as washing hands with soap for students and food handlers), lack of hand washing facilities, bad sanitation, bad food hygiene management, and inadequate clean and hygienis water source. Conclusion: The outbreaks of hepatitis A was extended with the most important risk factors, i.e. lack of personal hygiene and sanitation of water sources.


Author(s):  
Supriya Shore ◽  
P. Michael Ho ◽  
Anne Lambert-Kerzner ◽  
Fran Cunningham ◽  
Madeline McCarren ◽  
...  

Background: Patients on target specific anticoagulants (TSOACs) such as dabigatran do not require routine laboratory testing and dose adjustment. In the Veterans Health Administration (VHA), anticoagulation clinics (ACCs) may elect to follow and manage patients on TSOACs, but whether it is needed or the optimal duration of follow-up is unknown. Our objective was to assess the perspective of anticoagulation clinic providers on follow-up care for dabigatran patients and to identify site-level practices associated with improved adherence to dabigatran. Methods: We ascertained ACC providers’ perspectives through semi-structured interviews by a single, trained internist. Purposive sampling was utilized to recruit senior ACC providers or supervisors at VHA sites with over 20 patients on dabigatran. We stratified sites into high and low performing sites based on whether sites had ≥ 75% of their patients adherent, based on a proportion-of-days-covered calculation. Data from the interviews was analyzed by 2 reviewers in an iterative process to identify recurrent and unifying themes. Constant comparative method of qualitative data analysis was used to identify best practices across various sites. Results: We interviewed ACC providers from 39 sites - including 18 providers at 16 high-performing sites and 25 providers at 23 low-performing sites. Follow-up practices for dabigatran varied across sites, with 6 sites not providing any follow-up, 14 sites following-up patients for less than 3 months, 9 sites following-up patients for 6 months, and 10 sites following-up patients indefinitely. During these follow-up visits, patients were contacted at regular intervals, mostly via telephone, by ACC providers to provide education, assess side-effects and adherence. Key strategies implemented at high-performing sites compared to low-performing sites included (1) examining adherence to other twice daily medications prior to approving dabigatran (2) education of patients by ACC providers prior to dabigatran initiation (3) continued telephone follow up by ACC staff despite no need for INR checks. Over a third of ACC providers expressed concerns regarding patient adherence to dabigatran. Most common reasons for this concern included its special storage requirements and high incidence of gastrointestinal side effects leading to high discontinuation rates. Conclusion: Dedicated follow-up of patients on dabigatran is associated with improved adherence. A multi-disciplinary approach involving anti-coagulation clinic providers to provide education and follow-up may be beneficial in management of TSOACs. Future work should compare the apparent benefit of this strategy with its non-trivial cost.


2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Sara Hosseini-Nezhad ◽  
Saba Safdar ◽  
Lan Anh Nguyen Luu

This longitudinal qualitative research aimed to investigate the psychosocial adaptation trajectory of Iranian international students in Hungary and the challenges they encountered. Semi-structured interviews were conducted at seven-month to one-year intervals with 20 Iranian students; inductive content analysis was utilized to analyze the interview transcripts. Three topics were identified: (1) visa and banking challenges, (2) the impact of the currency crisis in Iran on mental health, and (3) positive and negative changes in psychological well-being over time. The results revealed that almost all students’ well-being improved over time, despite facing challenges related to visas, banking, and Iran’s recent economic crisis (specifically, the drastic plunge of the Iranian currency).


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