No Research About Us Without Us. Using Feminist Participatory Action Research to set the Obesity Research Agenda with Pakistani Women Living in Bradford

Abstract

Background: Obesity disproportionately affects Pakistani women and rates of obesity related conditions are high in Bradford. Research priority setting can guide the development of policy and practice, resulting in more relevant research. There are no research prioritisation exercises targeted at obesity in Pakistani women. Aim: To develop an obesity research agenda with Pakistani women living in deprived inner-city areas of Bradford. Methods: Using a feminist participatory action research design, a five stage process was adopted involving the following: (i) A systematic review to identify the gaps in knowledge (ii) face-to-face interviews with 21 Pakistani women to generate their health concerns (iii) focus groups to explore the obesity concerns of 23 Pakistani women (iv) survey to identify unmet obesity needs of Pakistani women according to 160 local, multisectoral stakeholders (v) adapted consensus method involving 32 Pakistani women to rank their identified concerns and unmet needs in order of importance. Results: The study identified needs related to cultural and language constraints, including barriers in obtaining health promotion information and the social isolation of women. Education needs and misconceptions surrounding diet and physical activity were also identified. Highest rankings were given to concerns and needs surrounding the mental health of Pakistani women, education needs for a healthy diet, and the benefits of physical activity. Conclusion: Pakistani women’s unmet obesity needs highlight the existence of wider determinants of health that are structural in nature. Considering these barriers, a research agenda was developed from the findings and reflect the obesity health needs of this population.