TY - JOUR
T1 - “We’re Changing Our Ways”
T2 - Women’s Coping Strategies for Obesity Risk-reducing Behaviors in American Indian Households
AU - Gadhoke, Preety
AU - Christiansen, Karina
AU - Pardilla, Marla
AU - Frick, Kevin
AU - Gittelsohn, Joel
N1 - Publisher Copyright:
Copyright © Taylor & Francis Group, LLC.
PY - 2015/11/2
Y1 - 2015/11/2
N2 - This article reveals women caregivers’ perceptions and coping strategies to improve households’ food and physical activity habits. Results emerged from the pre-intervention formative research phase of a multi-site, multi-level obesity prevention pilot intervention on American Indian (AI) reservations. Using purposive sampling, 250 adults and children participated in qualitative research. Results reveal that having local institutional support was a key structural facilitator. ‘Family connectedness’ emerged as a key relational facilitator. Hegemony of systems, food deserts, transportation, and weather were key structural barriers; Childcare needs and time constraints were key relational barriers. Women’s coping strategies included planning ahead, maximizing, apportioning, tempting healthy, and social support. Findings informed the development and implementation of a novel obesity prevention pilot intervention tailored for each participating AI community addressing culturally relevant messages, institutional policies, and programs. We conclude with future consideration for comparative, ethnicity-based, class-based, and gender-specific studies on women’s coping strategies for household health behaviors.
AB - This article reveals women caregivers’ perceptions and coping strategies to improve households’ food and physical activity habits. Results emerged from the pre-intervention formative research phase of a multi-site, multi-level obesity prevention pilot intervention on American Indian (AI) reservations. Using purposive sampling, 250 adults and children participated in qualitative research. Results reveal that having local institutional support was a key structural facilitator. ‘Family connectedness’ emerged as a key relational facilitator. Hegemony of systems, food deserts, transportation, and weather were key structural barriers; Childcare needs and time constraints were key relational barriers. Women’s coping strategies included planning ahead, maximizing, apportioning, tempting healthy, and social support. Findings informed the development and implementation of a novel obesity prevention pilot intervention tailored for each participating AI community addressing culturally relevant messages, institutional policies, and programs. We conclude with future consideration for comparative, ethnicity-based, class-based, and gender-specific studies on women’s coping strategies for household health behaviors.
KW - American Indian
KW - coping strategies
KW - households
KW - obesity prevention
KW - women
UR - http://www.scopus.com/inward/record.url?scp=84946494690&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84946494690&partnerID=8YFLogxK
U2 - 10.1080/03670244.2014.947402
DO - 10.1080/03670244.2014.947402
M3 - Article
C2 - 25402721
AN - SCOPUS:84946494690
SN - 0367-0244
VL - 54
SP - 583
EP - 602
JO - Ecology of Food and Nutrition
JF - Ecology of Food and Nutrition
IS - 6
ER -