Obesity in a life-course perspective: An exploration of lay explanations of weight gain

Abstract

Aim: The present study investigated the way in which people who had experienced medically defined obesity understood and explained the causes of the weight gains they had experienced during their life course and related such explanations to gender and social background. Method: The study was a qualitative in-depth interview study of 20 Danish middle-aged women and men with high and low levels of education who had experienced obesity. Results: Women mainly related weight gain to life-course transitions associated with the female biological lifecycle; to changes in social relations; or to personal problems connected with close social relationships and to side-effects of psycho-pharmaceuticals. Women with high levels of education tended more often to explain weight gain within a depth-psychological framework. Men related weight gain mainly to life-course transitions involving changing obligations connected with education, work, and family life; to periods of injury (sports or other) involving reduced levels of physical activity; and to personal problems connected with their work situation or financial troubles. Men with low levels of education tended to link weight gain directly to work environments, which were considered especially likely to lead to weight gain. Conclusions: The study highlights marked differences in the way individuals explain their own weight gain. These differences relate to gender and, to some degree, social background. The findings may both inform and challenge public health promotion.

Keywords

Denmark gender lay understanding obesity medical sociology qualitative research social class

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References

Sobal J. , Maurer D. Weighty issues. Fatness and thinness as social problems. New York: Aldine De Gruyter; 1999 .

Heitmann BL Ten-year trends in overweight and obesity among Danish men and women aged 30 to 60 years. Int J Obesity & Related Metabol Disorders 2000;24(10):1347.

Sabinsky MS , Toft U. , Raben A. , Holm L. Overweight men’s motivations and perceived barriers towards weight loss . Eur J Clin Nutr 2007;61(4):526-31.

Groth MV , Fagt S. , Matthiesen J. , Biltoft-Jensen A. Dimensions of socioeconomic position related to body mass index and obesity among Dansih women and men. Scand J Public Health 2009;37(4):418-26.

Watson J. Male bodies. Health, culture and identity. Buckingham : Open University Press; 2000.

Good B. Medicine, rationality, experience. An anthropological perspective . Cambridge: Cambridge University Press; 1994.

Bordo S. Unbearable weight: feminism, western culture, and the body. Berkley: University of California Press ; 1993.

Blaxter M. Health & lifestyles, 1stedn. London: Routledge; 1990.

Sarlio-Lähteenkorva S. Relapse stories in obesity. Eur J Public Health 1998;8(3):203-9.

10.

Wills W. , Backett-Milburn K. , Gregory S. , Lawton J. Young teenagers’ perceptions of their own and others’ bodies: a qualitative study of obese, overweight and ‘normal’ weight young people in Scotland. Soc Sci Med 2006;62(2):396-406.

11.

Coveney J. A qualitative study exploring socio-economic differences in parental lay knowledge of food and health: implications for public health nutrition. Public Health Nutr 2004;8(3):290-7.

12.

Malterud K. The art and science of clinical knowledge: evidence beyond measures and numbers. Lancet 2001;358(9279):397-400.

13.

Faltermaier T. Why public health research needs qualitative approaches: subjects and methods in change. Eur J Public Health 1997;7(4):357-63.

14.

Fagt S. , Matthiessen J. , Trolle E. , Lyhne N. , Christensen T. , Hinsch H-J. , et al. Danskernes kostvaner 2000-2001 [Dietary habits in Denmark 2000-2001] . Søborg: Fødevaredirektoratet; 2002.

15.

World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva 3-5 June 1997. Geneva: WHO Publications; 1997.

16.

Groth MV , Fagt S. , Brøndsted L. Social determinants of dietary habits in Denmark. Eur J Clin Nutr 2001;2001(55):959-66.

17.

Kvale S. , Brinkmann S. InterViews. Learning the craft of qualitative research interviewing , 2nd edn. London: Sage Publications; 2008.

18.

Atlas/ti. [Computer software] [computer program]. Version 4.2. Berlin: Scientific Software Development; 1999.

19.

Mishler EG Research interviewing. Context and narrative. Cambridge : Harvard University Press; 1986 .

20.

Blaxter M. The causes of disease. Women talking. Soc Sci Med 1983;17(2):59-69.

21.

Clarke LH Older women’s perceptions of ideal body weights: the tensions between health and appearance motivations for weight loss. Ageing & Soc 2002;22(06):751-73.

22.

Watkins ES The medicalisation of male menopause in America . Soc Hist Med 2007;20(2):369-88.

23.

Degher D. , Hughes G. The adoption and management of a ‘‘fat’’ identity . In: Sobal J , Maurer D , editors. Interpreting weight, 1stedn. New York: Aldine de Gruyter ; 1999. pp. 11-28.

24.

Throsby K. ‘‘How could you let yourself get like that?’’: Stories of the origins of obesity in accounts of weight loss surgery. Soc Sci Med 2007;65(8):1561-71.

25.

Jansson S. Food practices and division of domestic labour. A comparison between British and Swedish households. Soc Rev 1995;43(3):462-77.

26.

Brown JL , Miller D. Couples’ gender role preferences and management of family food preferences . J Nutr Educ Behavior 2002;34(4):215-23.

27.

Stenner PHD , Dancey CP , Watts S. The understanding of their illness amongst people with irritable bowel syndrome: a Q methodological study. Soc Sci Med 2000;51(3):439-52.

28.

29.

Bonke J. Forældres brug af tid og penge på deres børn [Parents’ use of time and money on children). Odense: Syddansk Universitetsforlag; 2009.

30.

Lupton D. Food, the body and the self. London: SAGE Publications; 1996.

31.

Nettleton S. The sociology of health and illness. Cambridge: Polity Press; 1995.

32.

Nielsen MW , Hansen EH , Rasmussen NK Patterns of psychotropic medicine use and related diseases across educational groups: national cross-sectional survey . Eur J Clin Pharmacol 2004;60(3):199-204.