Food, eating and body image in the lives of low socioeconomic status rural Mexican women living in Queretaro State, Mexico.

Qualitative research using semi-structured interviews and key informant interviews were used to explore how women from low socioeconomic rural households in Queretaro State, Mexico perceived and reacted to their obesogenic environment. Reduced availability of healthy food options and household financial constraints along with reduced agency of women in this setting were factors that limited women's ability to access and consume diets consistent with the promotion of good health. The cultural values that emphasised obesity as a desirable state for women and the women's social networks that promoted these values were also identified as playing a role in reinforcing certain behaviours. Public health advocates wanting to design interventions in such settings need to be sensitive to the cultural as well as the environmental context described for rural Mexican women.

[1]  Abdesslam Boutayeb,et al.  International Journal for Equity in Health the Burden of Non Communicable Diseases in Developing Countries , 2005 .

[2]  B. Popkin,et al.  Obesity and inequities in health in the developing world , 2004, International Journal of Obesity.

[3]  A. Barabasi,et al.  Network medicine--from obesity to the "diseasome". , 2007, The New England journal of medicine.

[4]  N. Christakis,et al.  The Spread of Obesity in a Large Social Network Over 32 Years , 2007, The New England journal of medicine.

[5]  Claudio D. González,et al.  Obesity prevalence and trends in Latin‐American countries , 2001, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[6]  Taghreed Adam,et al.  The burden and costs of chronic diseases in low-income and middle-income countries , 2007, The Lancet.

[7]  T. Greiner,et al.  PERCEPTION OF FOOD AND BODY SHAPE AS DIMENSIONS OF WESTERN ACCULTURATION POTENTIALLY LINKED TO OVERWEIGHT IN TARAHUMARA WOMEN OF MEXICO , 2004 .

[8]  D Lee,et al.  The World Health Organisation , 2001, British journal of perioperative nursing : the journal of the National Association of Theatre Nurses.

[9]  B. Caballero A nutrition paradox--underweight and obesity in developing countries. , 2005, The New England journal of medicine.

[10]  G. García-García,et al.  Cardiovascular Risk Factors in the Mexican Population , 2006, Renal failure.

[11]  I. Darnton-Hill,et al.  A global response to a global problem: the epidemic of overnutrition. , 2002, Bulletin of the World Health Organization.

[12]  H. Boeije A Purposeful Approach to the Constant Comparative Method in the Analysis of Qualitative Interviews , 2002 .

[13]  Robin Kearns,et al.  From medical to health geography: novelty, place and theory after a decade of change , 2002 .

[14]  Patricia M Sheean,et al.  An introduction to qualitative research for food and nutrition professionals. , 2009, Journal of the American Dietetic Association.

[15]  B. Fraser Latin American countries crack down on junk food , 2013, The Lancet.

[16]  Sonia M. Frías Measuring Structural Gender Equality in Mexico: A State Level Analysis , 2008 .

[17]  T. Gill,et al.  Obesity: epidemiology and possible prevention. , 2002, Best practice & research. Clinical endocrinology & metabolism.

[18]  G. Nantel,et al.  Globalization of food systems in developing countries: impact on food security and nutrition. , 2004, FAO food and nutrition paper.

[19]  C. Aguilar-Salinas,et al.  Epidemiology of type 2 diabetes in Mexico. , 2005, Archives of medical research.

[20]  F. Hansford The nutrition transition: a gender perspective with reference to Brazil , 2010 .

[21]  Gösta Samuelson,et al.  Global strategy on diet, physical activity and health , 2004 .

[22]  I. Garine,et al.  Social Aspects of Obesity , 1997 .

[23]  Lars Bode,et al.  Poverty, obesity, and malnutrition: an international perspective recognizing the paradox. , 2007, Journal of the American Dietetic Association.

[24]  A. Karpati,et al.  Understanding the sociocultural roots of childhood obesity: food practices among Latino families of Bushwick, Brooklyn. , 2007, Social science & medicine.

[25]  Martha Leticia Cabello Garza,et al.  Aspectos intrapersonales y familiares asociados a la obesidad: un análisis fenomenológico , 2007 .

[26]  A. Renzaho Fat, rich and beautiful: changing socio-cultural paradigms associated with obesity risk, nutritional status and refugee children from sub-Saharan Africa. , 2004, Health & place.

[27]  C. Hawkes,et al.  Uneven dietary development: linking the policies and processes of globalization with the nutrition transition, obesity and diet-related chronic diseases , 2006, Globalization and health.

[28]  T. Penney,et al.  Characterizing the obesogenic environment: the state of the evidence with directions for future research , 2010, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[29]  Sarah Jane Marshall,et al.  Developing countries face double burden of disease. , 2004, Bulletin of the World Health Organization.

[30]  A. Drewnowski,et al.  The economics of obesity: dietary energy density and energy cost. , 2005, The American journal of clinical nutrition.

[31]  I. Dyck,et al.  Place, health and home: gender and migration in the constitution of healthy space. , 2007, Health & place.

[32]  L. Neufeld,et al.  Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors , 2007, European Journal of Clinical Nutrition.

[33]  B. Swinburn,et al.  Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. , 1999, Preventive medicine.

[34]  E. Berry,et al.  Diet and lifestyle in managing postmenopausal obesity , 2007, Climacteric : the journal of the International Menopause Society.