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Resilience to obesity amongst socioeconomically disadvantaged women: the READI study


Ball, K and Abbott, G and Cleland, V and Timperio, A and Thornton, L and Mishra, G and Jeffery, RW and Brug, J and King, A and Crawford, D, Resilience to obesity amongst socioeconomically disadvantaged women: the READI study, International Journal of Obesity, 36, (6) pp. 855-865. ISSN 0307-0565 (2012) [Refereed Article]

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© 2011 Nature Publishing Group

DOI: doi:10.1038/ijo.2011.183


Objective: This cross-sectional study aimed to identify sociodemographic and behavioural characteristics of 32 ‘overweight-resilient’ women, i.e., women who were in a healthy body weight range, despite living in 33 socioeconomically disadvantaged neighbourhoods that place them at increased risk of obesity. The study also 34 aimed to test a comprehensive theoretically-derived model of the associations between intrapersonal, social and 35 environmental factors and obesity amongst this target group. 36 Participants: 3 235 women aged 18-45 years from 80 urban and rural neighbourhoods throughout Victoria, 37 Australia, participating in the Resilience for Eating and Activity Despite Inequality (READI) study. 38 Measurements: Women reported height, weight, sociodemographic characteristics, leisure-time physical 39 activity, dietary behaviours, and a range of theoretically-derived cognitive, social and neighbourhood 40 environmental characteristics hypothesized to influence obesity risk. A theoretical model predicting body mass 41 index was tested using structural equation models. 42 Results: Women classified as ‘resilient’ to obesity tended to be younger, born overseas, more highly educated, 43 unmarried, and to have higher or undisclosed household incomes. They engaged in more leisure-time physical 44 activity, and consumed less fast foods and soft drinks than overweight/obese women. Neighbourhood 45 characteristics, social characteristics and cognitive characteristics all contributed to explaining variation in BMI in 46 the hypothesized directions. 47 Conclusions: These results demonstrate several characteristics of women appearing ‘resilient’ to obesity, despite 48 their increased risk conferred by residing in socioeconomically disadvantaged neighbourhoods. Acknowledging 49 the cross-sectional study design, the results advance theoretical frameworks aimed at investigating obesity risk 50 by providing evidence in support of a comprehensive model of direct and indirect effects on obesity of 51 neighbourhood as well as social, cognitive, and behavioural characteristics.

Item Details

Item Type:Refereed Article
Keywords:obesity risk factors, socioeconomic disadvantage, structural equation models
Research Division:Health Sciences
Research Group:Epidemiology
Research Field:Epidemiology not elsewhere classified
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Behaviour and health
UTAS Author:Cleland, V (Associate Professor Verity Cleland)
ID Code:72399
Year Published:2012 (online first 2011)
Web of Science® Times Cited:35
Deposited By:Menzies Institute for Medical Research
Deposited On:2011-08-26
Last Modified:2017-11-06
Downloads:3 View Download Statistics

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