亮面的耻辱:加拿大大西洋地区的老年人经历了更高的体重
Andrea E Bombak1, Norma Chinho1, Lisa Thomson1
1University of New Brunswick, Canada.
Health (London, England : 1997)
|March 19, 2024
概括
体重较高的老年人内化了减肥的社会压力和积极的态度来应对耻辱感. 这种个人主义的方法可能会阻碍更广泛的结构性变化,以解决医疗保健中的体重耻辱.
科学领域:
- 老年学是指老年学的学科.
- 健康和疾病的社会学
- 公共卫生 公共卫生
背景情况:
- 同质样本可能无法捕捉高重量类别个体的多样化生活经历.
- 了解体重较高的老年人的观点对于制定包容性健康和社会政策至关重要.
研究的目的:
- 探索加拿大大西洋省份高体重老年人 (BMI ≥30,年龄 ≥60) 的生活经历.
- 了解社会和医疗保健互动如何影响他们的健康,生活方式和寻求医疗保健的行为.
- 收集改善患者体验,获取和包容性的建议.
主要方法:
- 与11名参与者进行了两次面对面的半结构面试.
- 用专题内容分析来分析采访数据.
- 在社会和健康环境中探索对待的感知.
主要成果:
- 参与者很少报告明显的负面经历,但他们的观点是由关于体重和健康的新自由主义话语所塑造的.
- 两个主要主题出现了:"积极的公民身份" (内化减肥和健康生活方式的需要) 和"明亮的一面" (使用积极的态度来应对耻辱).
- 参与者的应对机制反映了采用个人主义解决方案而不是集体行动.
结论:
- 在这个加拿大省份,体重较高的老年人采用个人主义策略来应对社会期望和耻辱.
- 这种对个人责任的内化可能无意中阻碍了朝着解决体重偏差的系统性改革的进展.
- 未来的干预措施应该考虑支持集体行动和挑战结构性耻辱,除了个人应对策略.
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