Obesity Among Women Living in Appalachia: A Dimensional Analysis
Tara O’Brien PhD, RN, CNE
Carolyn Jenkins, DrPH, APRN-BC-ADM, RD, LD, FAAN
Elaine Amella PhD, RN, FAAN
Martina Mueller, PhD
Laura Talbot PhD, RN
Meredith Troutman-Jordan PhD, RN

Use this link to download article: http://ojccnh.org/v5n1a9

Suggested APA 6th Edition Formatted Reference
O’Brien, T., Jenkins, C., Amella, E., Mueller, M., Talbot, L., & Troutman-Jordan, M. (2015). Obesity among women living in Appalachia: A dimensional analysis. Online Journal of Cultural Competence in Nursing and Healthcare, 5(1), 118-140. doi: 10.9730/ojccnh.org/v5n1a9


The concept of obesity varies among individuals, cultures, localities, and populations. Clarication of the concept of obesity is needed for research and theory development for Appalachian women.

Caron and Bower’s dimensional analysis was used to clarify the concept. CINAHL, ERIC, PscyINFO, Pub Med, MEDLINE, Cochrane Library, and Academic Search Premier Databases were searched using keywords: “obesity,” “women,” and “Appalachian region” for the years 2000-2013.

Three dimensions (poverty, access to care, and educational attainment) and four sub-dimensions (diet, physical inactivity, health status, and trust) were identified in the analysis. Substantial differences were found between the perspectives and assumptions of women living in the Appalachian region.

The environment in which Appalachian women live plays a significant role in how obesity is experienced and understood by these women.

Implications for Practice
Understanding Appalachian women’s perspectives on obesity can lead to culturally tailored weight loss interventions that take a broader social view of the problem.

Keywords: Obesity, Women, and Appalachian

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