Resilience to obesity among socioeconomically disadvantaged women: The READI study

Ball, K., Abbott, G., Cleland, V., Timperio, A., Thornton, L., Mishra, G., Jeffery, R. W., Brug, J., King, A. and Crawford, D. (2012) Resilience to obesity among socioeconomically disadvantaged women: The READI study. International Journal of Obesity, 36 6: 855-865. doi:10.1038/ijo.2011.183

Author Ball, K.
Abbott, G.
Cleland, V.
Timperio, A.
Thornton, L.
Mishra, G.
Jeffery, R. W.
Brug, J.
King, A.
Crawford, D.
Title Resilience to obesity among socioeconomically disadvantaged women: The READI study
Journal name International Journal of Obesity   Check publisher's open access policy
ISSN 0307-0565
Publication date 2012-06
Year available 2011
Sub-type Article (original research)
DOI 10.1038/ijo.2011.183
Volume 36
Issue 6
Start page 855
End page 865
Total pages 11
Place of publication London, United Kingdom
Publisher Nature Publishing Group
Collection year 2012
Language eng
Formatted abstract
Objective: This cross-sectional study aimed to identify sociodemographic and behavioural characteristics of ‘overweightresilient’ women, that is, women who were in a healthy body weight range, despite living in socioeconomically disadvantaged
neighbourhoods that place them at increased risk of obesity. The study also aimed to test a comprehensive theoretically derived model of the associations between intrapersonal, social and environmental factors and obesity among this target group.

Participants: A total of 3235 women aged 18–45 years from 80 urban and rural neighbourhoods throughout Victoria, Australia, participated in the Resilience for Eating and Activity Despite Inequality study. 

Measurements: Women reported height, weight, sociodemographic characteristics, leisure-time physical activity, dietary behaviours and a range of theoretically derived cognitive, social and neighbourhood environmental characteristics hypothesized to influence obesity risk. A theoretical model predicting body mass index (BMI) was tested using structural equation models.

Results: Women classified as ‘resilient’ to obesity tended to be younger, born overseas, more highly educated, unmarried and to have higher or undisclosed household incomes. They engaged in more leisure-time physical activity and consumed less fast foods and soft drinks than overweight/obese women. Neighbourhood characteristics, social characteristics and cognitive
characteristics all contributed to explaining variation in BMI in the hypothesized directions.

Conclusions: These results demonstrate several characteristics of women appearing ‘resilient’ to obesity, despite their increased risk conferred by residing in socioeconomically disadvantaged neighbourhoods. Acknowledging the cross-sectional study design, the results advance theoretical frameworks aimed at investigating obesity risk by providing evidence in support of a comprehensive
model of direct and indirect effects on obesity of neighbourhood, as well as social, cognitive and behavioural characteristics.
Keyword Obesity risk factors
Socioeconomic disadvantage
Structural equation models
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Advance online publication: 20 September 2011.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 19 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 16 Mar 2012, 13:52:30 EST by Geraldine Fitzgerald on behalf of School of Public Health