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Control Over Food and Autonomy in Life: A Qualitative Study With Low-Income Consumers.

Sara C Folta1, Norbert Wilson2, Jada Wensman1

  • 1Tufts University, Boston, MA, USA.

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|July 22, 2025
PubMed
Summary
This summary is machine-generated.

People with limited resources often lack control over their food, impacting their sense of autonomy. This study highlights the connection between food security and overall life control for vulnerable populations.

Keywords:
autonomyfood insecuritylow socio-economic statusqualitative

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Area of Science:

  • Social Sciences
  • Public Health
  • Psychology

Background:

  • Previous research indicates links between housing, autonomy, health behaviors, and overall health.
  • This study explores if similar interrelationships exist for food, a fundamental need.

Purpose of the Study:

  • To investigate the relationship between low perceived control over food (acquisition, preparation, consumption) and general life autonomy.
  • Focus on individuals experiencing resource constraints.

Main Methods:

  • Conducted qualitative interviews with 34 participants below the poverty level across four U.S. states (Northeast, South, West).
  • Explored ideal eating patterns, constraints, the role of food, and perceived control over food in relation to life autonomy.
  • Employed a directed qualitative content analysis approach for data interpretation.

Main Results:

  • Participants recognized food's crucial role in maintaining physical and mental health, aspiring to an ideal eating pattern.
  • Due to constraints, most participants reported a low sense of control over their food choices.
  • This lack of food control was strongly associated with a diminished sense of overall life autonomy.

Conclusions:

  • Findings suggest a significant link between perceived control over food and general life autonomy among resource-constrained individuals.
  • Understanding this relationship can inform the development of more effective food assistance programs and policies.
  • Further qualitative and quantitative research is recommended to validate and expand upon these insights.