Perceptions relating to body size, weight loss and weight-loss interventions in black South African women: a qualitative study

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dc.contributor.authorDraper, Catherine E
dc.contributor.authorDavidowitz, Kesiah J
dc.contributor.authorGoedecke, Julia H
dc.date.accessioned2021-10-08T07:15:59Z
dc.date.available2021-10-08T07:15:59Z
dc.date.issued2016
dc.description.abstractAbstract Objective A higher tolerance for a larger body size has been associated with obesity in black South African (SA) women. The aim of the present study was to explore perceptions regarding body size and weight loss in a sample of black women from a low-income community in Cape Town, SA. Design Qualitative pilot study including five focus groups. Data were analysed using thematic analysis. Setting Khayelitsha, Cape Town, SA. Subjects Twenty-one black SA women. Results The majority of participants had positive perceptions of overweight/obesity, which were influenced by community and cultural perceptions, but some inconsistencies were observed as overweight/obesity was also associated with ill health. Participants identified many benefits to weight loss, but due to the association with sickness, they were concerned about being stigmatised in their community. Although participants had knowledge about healthy eating, the main barrier to eating healthily included the perceived higher cost of healthier food and food insecurity. All participants saw exercise as a strategy to lose weight and improve health, and were interested in participating in a community-based exercise intervention, but negative community perceptions and conflicting views regarding who should lead the intervention were identified as barriers. Conclusions These findings highlight the complexities surrounding participants’ perceptions regarding body size, weight loss and weight-loss interventions, and emphasise low socio-economic status as a barrier to change. The study also highlights the strong influence of cultural ideals and community perceptions on personal perceptions. These findings underscore the necessity for culturally appropriate weight-loss interventions in low-income, transitioning communities.
dc.identifier.apacitationDraper, C. E., Davidowitz, K. J., & Goedecke, J. H. (2016). Perceptions relating to body size, weight loss and weight-loss interventions in black South African women: a qualitative study. <i>Public Health Nutrition</i>, 19(3), 548 - 556. http://hdl.handle.net/11427/34736en_ZA
dc.identifier.chicagocitationDraper, Catherine E, Kesiah J Davidowitz, and Julia H Goedecke "Perceptions relating to body size, weight loss and weight-loss interventions in black South African women: a qualitative study." <i>Public Health Nutrition</i> 19, 3. (2016): 548 - 556. http://hdl.handle.net/11427/34736en_ZA
dc.identifier.citationDraper, C.E., Davidowitz, K.J. & Goedecke, J.H. 2016. Perceptions relating to body size, weight loss and weight-loss interventions in black South African women: a qualitative study. <i>Public Health Nutrition.</i> 19(3):548 - 556. http://hdl.handle.net/11427/34736en_ZA
dc.identifier.issn1368-9800
dc.identifier.issn1475-2727
dc.identifier.ris TY - Journal Article AU - Draper, Catherine E AU - Davidowitz, Kesiah J AU - Goedecke, Julia H AB - Abstract Objective A higher tolerance for a larger body size has been associated with obesity in black South African (SA) women. The aim of the present study was to explore perceptions regarding body size and weight loss in a sample of black women from a low-income community in Cape Town, SA. Design Qualitative pilot study including five focus groups. Data were analysed using thematic analysis. Setting Khayelitsha, Cape Town, SA. Subjects Twenty-one black SA women. Results The majority of participants had positive perceptions of overweight/obesity, which were influenced by community and cultural perceptions, but some inconsistencies were observed as overweight/obesity was also associated with ill health. Participants identified many benefits to weight loss, but due to the association with sickness, they were concerned about being stigmatised in their community. Although participants had knowledge about healthy eating, the main barrier to eating healthily included the perceived higher cost of healthier food and food insecurity. All participants saw exercise as a strategy to lose weight and improve health, and were interested in participating in a community-based exercise intervention, but negative community perceptions and conflicting views regarding who should lead the intervention were identified as barriers. Conclusions These findings highlight the complexities surrounding participants’ perceptions regarding body size, weight loss and weight-loss interventions, and emphasise low socio-economic status as a barrier to change. The study also highlights the strong influence of cultural ideals and community perceptions on personal perceptions. These findings underscore the necessity for culturally appropriate weight-loss interventions in low-income, transitioning communities. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 3 J1 - Public Health Nutrition LK - https://open.uct.ac.za PY - 2016 SM - 1368-9800 SM - 1475-2727 T1 - Perceptions relating to body size, weight loss and weight-loss interventions in black South African women: a qualitative study TI - Perceptions relating to body size, weight loss and weight-loss interventions in black South African women: a qualitative study UR - http://hdl.handle.net/11427/34736 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34736
dc.identifier.vancouvercitationDraper CE, Davidowitz KJ, Goedecke JH. Perceptions relating to body size, weight loss and weight-loss interventions in black South African women: a qualitative study. Public Health Nutrition. 2016;19(3):548 - 556. http://hdl.handle.net/11427/34736.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Human Biology
dc.publisher.facultyFaculty of Health Sciences
dc.sourcePublic Health Nutrition
dc.source.journalissue3
dc.source.journalvolume19
dc.source.pagination548 - 556
dc.source.urihttps://dx.doi.org/10.1017/S1368980015001688
dc.subject.otherBody image
dc.subject.otherCulture
dc.subject.otherDiet
dc.subject.otherExercise
dc.subject.otherInterventions
dc.subject.otherObesity
dc.subject.otherSocio-economic status
dc.subject.otherAdult
dc.subject.otherBody Mass Index
dc.subject.otherBody Size
dc.subject.otherDiet
dc.subject.otherEvaluation Studies as Topic
dc.subject.otherExercise
dc.subject.otherFeeding Behavior
dc.subject.otherFemale
dc.subject.otherFocus Groups
dc.subject.otherHealth Knowledge, Attitudes, Practice
dc.subject.otherHumans
dc.subject.otherMiddle Aged
dc.subject.otherObesity
dc.subject.otherOverweight
dc.subject.otherPilot Projects
dc.subject.otherResidence Characteristics
dc.subject.otherSocial Stigma
dc.titlePerceptions relating to body size, weight loss and weight-loss interventions in black South African women: a qualitative study
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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