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http://dx.doi.org/10.4040/jkan.2012.42.5.759

Patterns of Health Behavior for Weight Loss among Adults Using Obesity Clinics  

Yang, Jin-Hyang (Department of Nursing, Institute for Health Science Research, Inje University)
Cho, Myung-Ok (Department of Nursing, Dongeui University)
Lee, Kayoung (Department of Family Medicine, Inje University Pusan Paik Hospital, College of Medicine, Inje University)
Publication Information
Journal of Korean Academy of Nursing / v.42, no.5, 2012 , pp. 759-770 More about this Journal
Abstract
Purpose: This ethnography was done to explore patterns of weight management behavior among adults using obesity clinics. Methods: The participants were 12 adults who were overweight or obese and 2 family members. Data were collected from iterative fieldwork in the obesity clinics of two hospitals. Data were analyzed using text analysis and taxonomic methods. Results: Weight management behaviors among participants varied according to the recognition of the body and motivation for weight control, Participants' behavior was discussed in the socio-cultural context of obesity. Patterns of weight management behavior among participants were categorized by focus: strategic self-oriented type including managements for the body as a social asset and for health, selective neglect type, and passive group value-oriented type including type dependent on others and managements for beauty. Conclusion: Participants' weight management behavior was guided by folk concepts of body and health. and constructed within the socio-cultural context. It is necessary for health care providers to understand physical and psychological problems arising from the repeated trials, excessive control of weight, and Western cultural discourse on beauty ideals among adults who are overweight or obese. Therefore, interventions should be tailored to address individual and community needs.
Keywords
Ethnography; Health behavior; Weight loss; Obesity;
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1 Amiri, P., Ghofranipour, F., Ahmadi, F., Hosseinpanah, F., Montazeri, A., Jalali-Farahani, S., et al. (2011). Barriers to a healthy lifestyle among obese adolescents: A qualitative study from Iran. International Journal of Public Health, 56, 181-189. http://dx.doi.org/10.1007/s00038-010-0119-6   DOI
2 Bordo, S. (1993). Unbearable weight: Feminism, Western culture, and the body. Los Angeles, CA: University of California Press.
3 Cassidy, C. (1991). The good body: When big is better. Medicine Anthropology, 13, 181-213. http://dx.doi.org/10.1080/01459740.1991.9966048   DOI
4 Castro, L. C., & Avina, R. L. (2002). Maternal obesity and pregnancy outcomes. Current Opinion in Obstetrics & Gynecology, 14, 601-606. http://dx.doi.org/10.1097/00001703-200212000-00005   DOI
5 Cha, E., Park, M., & Kim, G. (2008). A comparison analysis of somatotype, physical activity, mental health, healthy behavior between normal weight and overweight college students in Korea. Korean Journal of Health Promotion, 8, 245-255.
6 Chaung, S. (2001). Weight control practices and body image of female college students. Journal of Korean Society for Health Education and Promotion, 18, 163-175.
7 Cho, M. O. (2010). Decision on treatment modality among the middle-aged in the weight control program. Qualitative Research, 11, 1-12.
8 Diaz, V. A., Mainous III, A. G., & Pope, C. (2007). Cultural conflicts in the weight loss experience of overweight Latinos. International Journal of Obesity, 31, 328-333. http://dx.doi.org/10.1038/sj.ijo.0803387   DOI
9 Galani, C., Al, M., Schneider, H., & Rutten, F. F. (2008). Uncertainty in decision-making: Value of additional information in the cost-effectiveness of lifestyle intervention in overweight and obese people. Value in Health, 11, 424-434. http://dx.doi.org/10.1111/j.1524-4733.2007.00284.x   DOI
10 Hong, D. S., & Park, G. H. (2010). Body and culture. Seoul: Sungkyunkwan University Press.
11 Hughner, R. S., & Kleine, S. S. (2008). Variations in lay health theories: Implications for consumer health care decision making. Qualitative Health Research, 18, 1687-1703. http://dx.doi.org/10.1177/1049732308 327354   DOI
12 Kim, Y., & Kim, E. H. (2009). Phenomenological research on the experience of weight control among nursing students. Journal of Korean Academy of Adult Nursing, 21, 718-732.
13 Korea National Health and Nutrition Examination Survey. (2010). 2009 Korea national health and nutrition examination survey. Retrieved December 28, 2011, from http://knhanes.cdc.go.kr/
14 Puhl, R. M., Moss-Racusin, C. A., Schwartz, M. B., & Brownell, K. D. (2008). Weight stigmatization and bias reduction: Perspectives of overweight and obese adults. Health Education Research, 23, 347-358. http://dx.doi.org/10.1093/her/cym052
15 Nettleton, S. (1997). The sociology of health and illness (H. J. Cho, Trans.). Seoul: Hanul Academy. (Original work published 1995).
16 Nyman, V. M., Prebensen, A. K., & Flensner, G. E. (2010). Obese women's experiences of encounters with midwives and physicians during pregnancy and childbirth. Midwifery, 26, 424-429. http://dx.doi.org/10.1016/j.midw.2008.10.008   DOI
17 Posch, W. (2001). Korper machen leute (W. G. Cho, Trans.). Seoul: Women's News. (Original work published 1999).
18 Spradley, J. P. (1990). Participant observation (H. B. Lee, Trans.). Seoul: Korea National Book Company. (Original work published 1980)
19 Thomas, S. L., Hyde, J., Karunaratne, A., Herbert, D., & Komesaroff, P. A. (2008). Being 'fat' in today's world: A qualitative study of the lived experiences of people with obesity in Australia. Health Expectations, 11, 321-330. http://dx.doi.org/10.1111/j.1369-7625.2008.00490.x   DOI
20 Turner, S. L., Thomas, A. M., Wagner, P. J., & Moseley, G. C. (2008). A collaborative approach to wellness: Diet, exercise, and education to impact behavior change. Journal of the American Academy of Nurse Practitioners, 20, 339-344. http://dx.doi.org/10.1111/j.1745-7599.2008.00325.x   DOI
21 Wolcott, H. F. (1994). Transforming qualitative data: Description, analysis, and interpretation. Thousand Oaks: SAGE Publications.
22 Lim, Y. T., Park, Y. W., Kim, C. H., Shin, H. C., & Kim, J. W. (2001). Effect of weight loss on health-related quality of life in obese patients. The Journal of the Korean Academy of Family Medicine, 22, 556-564.
23 Korean Society for the Study of Obesity. (2010). Obesity, a barometer of all diseases. Retrieved January 10, 2011, from http://www.kosso.or.kr/board/download.php?code=general&comm=&num=778&field=data_file
24 Kwan, S. (2009). Competing motivational discourses for weight loss: Means to ends and the nexus of beauty and health. Qualitative Health Research, 19, 1223-1233. http://dx.doi.org/10.1177/1049732309343952   DOI
25 Lee, M. R., & Kim, W. S. (2006). Effects of brisk walking and brisk walking plus diet on c-reactive protein in obese women with hypertriglycemia. Journal of Korean Academy of Adult Nursing, 18, 660-667.
26 Loustaunau, M. O., & Sobo, E. J. (2002). The cultural context of health, illness, and medicine (J. S. Kim, Trans.). Seoul: Hanul Academy. (Original work published 1997)
27 Lupton, D. (2009). Medicine as culture: Illness, disease and the body in western societies (J. S. Kim, Trans.). Seoul: Hanul Academy. (Original work published 2003)
28 Meadows, L. M., & Morse, J. M. (2001). Constructing evidence within the qualitative project. In J. M. Morse, J. M. Swansen, & A. Kuzel (Eds.), The nature of evidence in qualitative inquiry. (pp. 187-200). Newbury Park, CA: Sage.
29 Ministry of Health and Welfare. (2012). Statistics on community health. Retrieved May 28, 2012, from http://www.mw.go.kr/front/al/sal0301 vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=270709&page=1
30 National Health Insurance Corporation. (2010). Obesity, one in three subjects of health examination. Retrieved November 15, 2011, from http://hi.nhic.or.kr/ggpj005_r01_01.do?cid=3696