Strategies used by overweight and obese low-income mothers to feed their families in urban Brazil

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dc.citation.volume111
dc.contributor.authorSato, Priscila de Morais [UNIFESP]
dc.contributor.authorUnsain, Ramiro Fernandes [UNIFESP]
dc.contributor.authorGittelsohn, Joel
dc.contributor.authorSilva, João Gabriel Sanchez Tavares da [UNIFESP]
dc.contributor.authorPerez, Isabel Cristina Gonçalves
dc.contributor.authorScagliusi, Fernanda Baeza
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.coverageLondon
dc.date.accessioned2020-07-17T14:02:36Z
dc.date.available2020-07-17T14:02:36Z
dc.date.issued2017
dc.description.abstractObjective: To describe and compare strategies adopted by overweight and obese low-income mothers living in different vulnerable contexts to deal with food constraints and feed their families. Design: Qualitative in-depth interviews. Data were analyzed with exploratory content analysis and the number of segments per theme was used to compare neighborhoods. Setting: Three low-income neighborhoods in Santos, Brazil. Participants: A purposive sample of 21 overweight or obese mothers. Results: We identified three main types of strategies, namely, food acquisition, cooking, and eating. Food acquisition included social support and food-sourcing strategies. Social support strategies ranged from macro (governmental programs) to micro (family) levels. Food-sourcing strategies involved price research and use of credit to buy foods. Cooking approaches included optimizing food (e.g., adding water to beans), avoiding wastefulness, and substitutions (e.g., using water instead of milk when making cakes). Eating themes ranged from lack of quantity to lack of quality. Strategies to deal with the lack of food were affected by family dynamics, such as prioritizing provision of fruits to children. Food choices (e.g., low consumption of fruits and high consumption of fatty meats) derived from strategies may help promote overweight and obesity. Furthermore, for participants, financial constraints were perceived as barriers to following nutritionists' recommendations and weight loss. Conclusions: This study highlights the barriers that low-income women face in adopting a healthy diet and sheds light on the importance of the symbolic value of food, even in the context of food insecurity. Finally, it suggests that environmental aspects could increase the accessibility to fruits and vegetables. These findings could be used to inform the planning and implementation of interventions. (C) 2016 Elsevier Ltd. All rights reserved.en
dc.description.affiliationUniv Fed Sao Paulo, Inst Hlth & Soc, Dept Hlth Clin & Inst, Campus Baixada Santista,Rua Silva Jardim 136, BR-11015020 Santos, SP, Brazil
dc.description.affiliationJohns Hopkins Univ Bloomberg, Sch Publ Hlth, Ctr Human Nutr Global Obes Prevent Hlth, 615 N Wolfe St,Room W2041A, Baltimore, MD 21205 USA
dc.description.affiliationUniv Fed Sao Paulo, Inst Hlth & Soc, Dept Publ Policies & Collect Hlth, Campus Baixada Santista,Rua Silva Jardim 136, BR-11015020 Santos, SP, Brazil
dc.description.affiliationUniv Sao Paulo, Sch Publ Hlth, Dept Nutr, Av Dr Arnaldo 715, BR-01255000 Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Inst Hlth & Soc, Dept Hlth Clin & Inst, Campus Baixada Santista,Rua Silva Jardim 136, BR-11015020 Santos, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Inst Hlth & Soc, Dept Publ Policies & Collect Hlth, Campus Baixada Santista,Rua Silva Jardim 136, BR-11015020 Santos, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)pt
dc.description.sponsorshipprogram REUNI
dc.description.sponsorshipIDCNPq: 487194/2013-6pt
dc.description.sponsorshipIDCNPq: 309121/2012-4pt
dc.description.sponsorshipIDCNPq: 311357/2015-6pt
dc.format.extent63-70
dc.identifierhttps://dx.doi.org/10.1016/j.appet.2016.12.033
dc.identifier.citationAppetite. London, v. 111, p. 63-70, 2017.
dc.identifier.doi10.1016/j.appet.2016.12.033
dc.identifier.issn0195-6663
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54888
dc.identifier.wosWOS:000394476200009
dc.language.isoeng
dc.publisherAcademic Press Ltd- Elsevier Science Ltd
dc.relation.ispartofAppetite
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectLow-incomeen
dc.subjectWomenen
dc.subjectObesityen
dc.subjectOverweighten
dc.subjectFood insecurityen
dc.subjectBrazilen
dc.titleStrategies used by overweight and obese low-income mothers to feed their families in urban Brazilen
dc.typeinfo:eu-repo/semantics/article
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