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      Perceptions, attitudes and challenges about obesity and adopting a healthy lifestyle among health workers in Pietermaritzburg, KwaZulu-Natal province

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          Abstract

          Background

          The prevalence of obesity is reported to be high and increasing among health workers, in both high-income and low-income countries, which in turn is a common risk factor for all non-communicable diseases. This is alarming, as health workers not only serve the community’s health needs but should also serve as role models for a healthy lifestyle. It is therefore important that obesity among health workers is addressed and prevented.

          Objective

          The aim of the study was to explore perceptions and attitudes about obesity among health workers in three selected hospitals in Pietermaritzburg, and to identify the barriers to adopting a healthy lifestyle.

          Methods

          An explorative and descriptive qualitative study design was used, utilising in-depth interviews for data collection. A total of 18 health workers from the three selected hospitals in the metropolitan were individually interviewed. Thematic analysis was done, using a priori themes that were derived from the Health Belief Model.

          Results

          All health workers were aware of the negative consequences of being overweight or obese. However, only a few of the participants chose to adopt a healthy lifestyle. Barriers to adopting a healthy lifestyle included institutional as well as attitudinal factors.

          Conclusion

          Public healthcare facilities need to invest in their work force by giving health workers access to physical exercise facilities and affordable healthy food within the hospital. Health organisations should introduce health behaviour change programmes to combat negative established cultural norms among health staff.

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          Most cited references32

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          Physician disclosure of healthy personal behaviors improves credibility and ability to motivate.

          E. Frank (2000)
          While some studies have shown that physicians with healthy personal habits are especially likely to discuss prevention with their patients, to our knowledge no one has published information testing whether physician credibility and patient motivation to adopt healthier habits are enhanced by physician's disclosures of their own healthy behaviors. Two brief health education videos about improving diet and exercise were produced and shown to subjects (n1 = 66, n2 = 65) in an Emory University general medical clinic waiting room in Atlanta, Ga. In one video, the physician revealed an additional half minute of information about her personal healthy dietary and exercise practices and had a bike helmet and an apple visible on her desk (physician-disclosure video). In the other video, discussion of personal practices and the apple and bike helmet were not included (control video). Viewers of the physician-disclosure video considered the physician to be generally healthier, some-what more believable, and more motivating than did viewers of the control video. They also rated this physician to be specifically more believable and motivating regarding exercise and diet (P < or = .001). Physicians' abilities to motivate patients to adopt healthy habits can be enhanced by conveying their own healthy habits. Educational institutions should consider encouraging health professionals-in-training to practice and demonstrate healthy personal lifestyles.
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            Physicians' health practices strongly influence patient health practices.

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              Nurses’ lifestyle behaviours, health priorities and barriers to living a healthy lifestyle: a qualitative descriptive study

              Background Nurses have an increased risk for non-communicable diseases (NCDs), along with a high prevalence of obesity, poor eating habits and insufficient physical activity. The aim of this study was to determine the health concerns, health priorities and barriers to living a healthy lifestyle among nurses and hospital management staff from public hospitals in the Western Cape Metropole, South Africa. Methods Participants were purposively sampled (n = 103), and included management personnel (n = 9), night shift (n = 57) and day-shift nurses (n = 36). Twelve focus groups (FGDs) were conducted with nursing staff to obtain insight into nurses’ health concerns, lifestyle behaviours and worksite health promotion programmes (WHPPs). Seven key informant interviews (KII) were conducted with management personnel, to gain their perspective on health promotion in the worksite. Thematic analysis was used to analyse the data with the assistance of Atlas.ti Qualitative Data Analysis Software. Results Night shift nurses frequently identified weight gain and living with NCDs such as hypertension as their main health concerns. Being overweight was perceived to have a negative impact on work performance. All nurses identified backache and exposure to tuberculosis (TB) as occupation-related health concerns, and both management and nurses frequently reported a stressful working environment. Nurses frequently mentioned lack of time to prepare healthy meals due to long working hours and being overtired from work. The hospital environment was perceived to have a negative influence on the nurses’ lifestyle behaviours, including food service that offered predominantly unhealthy foods. The most commonly delivered WHPPs included independent counselling services, an online employee wellness programme offered by the Department of Health and wellness days in which clinical measures, such as blood glucose were measured. Nurses identified a preference for WHPPs that provided access to fitness facilities or support groups. Conclusions Public hospitals are a stressful work environment and shift work places an additional strain on nurses. The risk of NCDs and exposure to infectious disease remains a concern in this working population. Our findings highlight the need for WHPPs that support nurses in managing stress and transforming the work environment to facilitate healthy lifestyles.
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                Author and article information

                Journal
                Afr J Prim Health Care Fam Med
                Afr J Prim Health Care Fam Med
                PHCFM
                African Journal of Primary Health Care & Family Medicine
                AOSIS
                2071-2928
                2071-2936
                22 June 2017
                2017
                : 9
                : 1
                : 1276
                Affiliations
                [1 ]School of Public Health, Faculty of Community and Health Sciences, University of Western Cape, South Africa
                Author notes
                Corresponding author: Brian Van Wyk, bvanwyk@ 123456uwc.ac.za
                Author information
                http://orcid.org/0000-0003-1032-1847
                http://orcid.org/0000-0002-1471-072X
                Article
                PHCFM-9-1276
                10.4102/phcfm.v9i1.1276
                5506499
                28697616
                e5ab0d29-8106-4a6c-9d30-3969451350f5
                © 2017. The Authors

                Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.

                History
                : 12 August 2016
                : 21 January 2017
                Categories
                Original Research

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