Emic Perspectives of Body Weight in Overweight and Obese White Women with Limited Income

Abstract

Objective The purpose of this study was to develop an understanding of body weight from emic perspectives of limited-income overweight and obese white women. Design In-depth individual interviews, including the use of contour drawings and body dissatisfaction parameters. Setting All methods were conducted in the homes of the research participants. Participants A purposeful sample of limited-income white women (N = 25), ages 19 to 44 years. Phenomena of Interest Personal perceptions of attractiveness, health, body weight, and body dissatisfaction. Analysis Transcripts were analyzed using content analysis. Triangulation of data was achieved by comparing data elicited by different methods in different sections of the interview. Results Disordered eating habits were common and considered consequences of social, economic, and familial pressures. Food was often used as a means of coping with life pressures. Social and economic barriers were identified as impeding the adoption of more healthful lifestyles. Weight loss was a low priority owing to financial, emotional, familial, and health care constraints. Conclusions and Implications Multidisciplinary programs addressing financial, emotional, and nutritional concerns may be the most effective for weight management among white limited-income women. Additional research is necessary to verify the results of this study with larger samples.