‘An extra fight I didn't ask for’: A qualitative survey exploring the impact of calories on menus for people with experience of eating disorders

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2023-07-30 DOI:10.1111/bjhp.12685

Tanya Frances, Kel O'Neill, Kirsty Newman

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引用次数: 0

Abstract

Objectives

The UK government made it mandatory for large restaurants and cafes in England to display calorie labels on menus. Existing evidence identifies minimal potential for benefit, but significant potential for harm to those with eating disorders. To date, only one published study has directly explored the impact of this legislation on those with eating disorders. This study explores the impact of calorie labelling on menus on adults with experience of eating disorders in England.

Design

A qualitative online survey was designed and distributed, and 399 adults with current or past experience/s of eating disorders completed the survey.

Methods

Reflexive thematic analysis was used, informed by a critical realist approach.

Results

Six themes were developed: (1) impacts on relationships, (2) exclusion and increased isolation, (3) restricted freedom, (4) dis/embodiment, (5) anger and frustration at the perpetuation of diet culture and (6) we are all responsible for ourselves. Most participants felt calorie labels on menus is detrimental to their eating disorder and/or recovery. People are navigating multiple opposing cultural narratives around health, bodies and eating disorder recovery that can put additional barriers in place to developing a relationship with food and body that they would like.

Conclusions

Calorie labelling on menus is likely to adversely impact those with eating disorders. Menus with calories should be available separately but should not be the first or only one provided. People with experience of eating disorders should be directly involved in the development of public health legislation and policy that is likely to affect them.

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我没有要求的额外战斗"：一项定性调查，探讨菜单上的卡路里对饮食失调患者的影响。

目标：英国政府强制要求英格兰的大型餐馆和咖啡馆在菜单上显示卡路里标签。现有证据表明，这种做法对饮食失调患者的益处微乎其微，但对他们的伤害却很大。迄今为止，只有一项已发表的研究直接探讨了这项立法对饮食失调患者的影响。本研究探讨了菜单上的卡路里标签对英格兰有饮食失调经历的成年人的影响：设计：设计并分发了一份定性在线调查，399 名目前或过去有饮食失调经历的成年人完成了调查：方法：采用批判现实主义方法，进行反思性主题分析：形成了六个主题：(1) 对人际关系的影响，(2) 排斥和孤立的加剧，(3) 自由受限，(4) 失调/体现，(5) 对饮食文化长期存在的愤怒和沮丧，(6) 我们都要为自己负责。大多数参与者认为，菜单上的卡路里标签不利于他们的饮食失调和/或康复。人们在健康、身体和饮食失调康复的问题上正在经历多种对立的文化叙事，这可能会给他们与食物和身体建立一种他们所希望的关系设置额外的障碍：结论：菜单上的卡路里标签可能会对饮食失调患者产生不利影响。标注卡路里的菜单应单独提供，但不应是首先提供或唯一提供的菜单。有进食障碍经历的人应直接参与可能影响他们的公共卫生立法和政策的制定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.