Rural obesity, healthy weight and perceptions of risk: struggles, strategies and motivation for change.

Objective: To explore risk logics, embodiment (the interplay between the physical, social and subjective body) and issues related to adult obesity in remote New South Wales.

Design: Qualitative multiple-method design using semistructured interviews and visual aids (food and exercise palm cards) to explore the saliency of food and exercise options. A one-page demographic survey incorporated self-reported body mass index.

Participants: A total of 19 rural adults (13 female; six male).

Setting: Community in remote New South Wales, Australia.

Results: Thematic analysis revealed 14 major weight-related themes. Respondents raised numerous explanations for their weight gain, reported struggles with weight loss, revealed a range of motivations for weight loss and a variety of approaches to risk, not all of which are aligned to dominant health discourse. The need for realistic interventions incorporating social meaning and pleasure seeking is revealed.

Conclusion: Obesity interventions promoting 'easy' healthy choices also need to acknowledge embodiment and social status linked to consumption. Interventions that ignore the complexity surrounding consumption (e.g. the interplay of social taste, group distinction and embodiment) will have lower relevance and effectiveness.