Category / Communities, Cultures and Conflicts

Management of male obesity: The qualitative evidence (BMJ Open)

BMJ Open 2015Yesterday BMJ Open published our latest article on the weight management in obese men, under the title A qualitative evidence synthesis on the management of male obesity.[1]  To the best of our knowledge, this is the first synthesis of qualitative studies investigating men’s perceptions and experiences of weight management services.  The interdisciplinary study was conducted between the three research centres at the University of Aberdeen, namely the Health Services Research Unit (HSRU), the Health Economics Research Unit (HERU) and the Rowett Institute of Health & Nutrition, the University of Stirling’s NMAHP Research Unit, the University of Edinburgh’s Scottish Collaboration for Public Health Research & Policy (SCPHRP) and Bournemouth University.

Studies published between 1990 and 2012 reporting qualitative research with obese men, or obese men in contrast to obese women and lifestyle or drug weight management were included. The studies included men aged 16 years or over, with no upper age limit, with a mean or median body mass index of 30 kg/m2 in all settings. In total 22 studies were identified.

Health concerns and the perception that certain programmes had ‘worked’ for other men were the key factors that motivated men to engage with weight management programmes. Barriers to engagement and adherence with programmes included: men not problematizing their weight until labelled ‘obese’; a lack of support for new food choices by friends and family, and reluctance to undertake extreme dieting. Retaining some autonomy over what is eaten; flexibility about treats and alcohol, and a focus on physical activity were attractive features of programmes. Group interventions, humour and social support facilitated attendance and adherence. Men were motivated to attend programmes in settings that were convenient, non-threatening and congruent with their masculine identities, but men were seldom involved in programme design.

The paper concluded that men’s perspectives and preferences within the wider context of family, work and pleasure should be sought when designing weight management services. Qualitative research is needed with men to inform all aspects of intervention design, including the setting, optimal recruitment processes and strategies to minimise attrition.  This paper grew out of the larger ROMEO study which was published in our full HTA (Health Technology Assessment) report, which is also freely available on line, click here! [2]

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Stewart, F., Robertson, C., Boyers, D., Avenell, A. (2015) A qualitative evidence synthesis on the management of male obesity. BMJ Open 5: e008372. doi:10.1136/bmjopen-2015-008372 http://bmjopen.bmj.com/content/5/10/e008372.full.pdf+html
  2. Robertson, C., Archibald, D., Avenell, A., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D., Stewart, F., Boachie, C., Fioratou, E., Wilkins, D., Street, T., Carroll, P., Fowler, C. (2014) Systematic reviews of & integrated report on the quantitative, qualitative & economic evidence base for the management of obesity in men. Health Technology Assessment 18(35): 1-424.  http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf

American Sociological Association Annual Conference in Chicago, Puts Romance, Internet Dating and Relationships Center-Stage

By Professor Ann Brooks

The American Sociological Association (ASA) Annual Conference in August, set against the stunning backdrop of the city of Chicago and Lake Ontario, and the socio-cultural earthquakes of Ashley Madison and the political challenges of Donald Trump proved to be even more dynamic than usual. The theme this year was Sexualities in the Social World and attracted hundreds of iconic figures from the sociological world and global sociologists more generally. Iconic figures such as Sasskia Sassen, Sylvia Walby, Anne Swidler, Eva Illouz, Judy Wajcman, Eric Kleinenberg, Robert Sampson, Lynne Jamieson and many many more ….. a veritable whos who in the contemporary world of sociology, presented and contributed enormously to this major conference in sociology.

sexualities in the social world

Plenary sessions included: The Politics of Same-Sex Marriage: Public Opinion and the Courts; Modern Romance: Dating, Mating and Marriage; The Rise of Nonmarital Births; Internet Dating; Abortion in America; and in addition a huge range of Presidental (ASA) Panels included : Birth Control in America; Women on the Battlefield: Integrating Women into the U.S. Military; Aging and Sexuality; Cohabitation; and many many more.

I chose sessions to reinforce the new undergraduate course I am offering in Sem 2, 2015-6 entitled Love and Intimacy in Contemporary Society and these major Plenary sessions did not disappoint. In fact they turned out to be real highpoints of the conference. A packed Saturday evening Plenary Panel entitled Romance Matters included Eric Kleinenberg (NYU), Azis Ansari (Comedian, Author, and TV Presenter), Helen Fisher (Rutgers, psychotherapist and Consultant to match.com), Christain Rudder (Ok Cupid) and Eli Finkel (Northwestern) enthralled the audience with serious and amusing presentations. This was followed by the signing of the Anzari and Kleinenberg new book …Romance Matters. I have to say the students will really enjoy this bringing together of research and teaching.

ASA Eric Kleinenberg       ASA Keynote Modern Romanceaziz

 

I convened a session on Gender, Sexuality and Work with 5 excellent papers, many of which are being published within books or journals.

The Presidential address by Paula England looked at the Changing Nature of Sexuality and and a further Presidential Panel looked at the advantages and disadvantages of Internet Dating also as an evening Keynote panel.

ASA Presidential addressASA Internet Dating

A truly inspiring conference with significant relevance for my new BU course. Thank you BU and HSS for supporting this.

Professor Ann Brooks September 7, 2015