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Social aspects of eating events among people with intellectual disability in community living
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.ORCID iD: 0000-0002-3882-2785
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
2010 (English)In: Journal of Intellectual & Developmental Disability, ISSN 1366-8250, E-ISSN 1469-9532, Vol. 35, no 4, 259-267 p.Article in journal (Refereed) Published
Abstract [en]

Background:

In Sweden, a process involving the deinstitutionalisation of services and the establishment of community-based settings for people with intellectual disability has meant changes in meal arrangements. In the present study, we focus on the social arrangements of meals in community-based settings.

Method:

Participant observations were used to study the meals as social events for 32 participants, 9 of whom lived in supported living and 23 in group homes.

Results:

Breakfast and dinner were often eaten alone, while lunch at the daily activity centre and the food eaten between meals snacks were mostly shared with other people. Meals for participants in supported living were seldom social, and meals for participants in the group homes often hierarchical.

Conclusion:

The participants were often limited in choosing their company at meals, which typically consisted of other people with intellectual disability and staff. If they made such choices, they were dependent upon staff support to realise them.

Place, publisher, year, edition, pages
2010. Vol. 35, no 4, 259-267 p.
Keyword [en]
Meals, intellectual disability, deinstitutionalisation commensality, community living, nutrition
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-131326DOI: 10.3109/13668250.2010.513329ISI: 000284764100005PubMedID: 20887234OAI: oai:DiVA.org:uu-131326DiVA: diva2:354090
Available from: 2010-09-29 Created: 2010-09-29 Last updated: 2017-12-12
In thesis
1. Food Related Activities and Food Intake in Everyday Life among People with Intellectual Disabilities
Open this publication in new window or tab >>Food Related Activities and Food Intake in Everyday Life among People with Intellectual Disabilities
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis was to study food, eating and meals in the everyday life of 32 women and men with intellectual disabilities (IDs) who require varying levels of supervision. They lived in supported living (rather independently) or group homes in community-based home-like settings. Observations during 3 days, assisted food records and anthropometric measurements were used to collect data. Dietary intake on the group level showed a varied diet and sufficient intake of all micronutrients, but a low dietary fibre intake. On the individual level, inadequate intake of micronutrients was observed, with many participants being obese, overweight or underweight. Everyday support with food, eating and meals was seen in four praxis: foodwork by oneself for oneself, foodwork in co-operation, foodwork disciplined by staff and foodwork by staff. These four practices resulted in large variations in dietary intake. The first praxis entailed more convenience food and less vitamins, the second and third, more fresh ingredients and high energy intake, and the fourth, low energy intake but rather high intake of vitamins. Sharing of meals was least common in supported living and more common in group homes and daily activity centres. The participants’ social eating spheres consisted mostly of other people with ID and staff members, and seldom other people. Whereas some preferred solitary eating, many participants considered eating together as important, but required staff support in establishing commensality. However, disturbing behaviour, as determined by the staff, could result in solitary eating. In conclusion, supporting the group rather than the individual sometimes created less favourable dietary, eating and meal outcomes. This problem needs to be addressed in order to establish food security at the individual level. In addition, actions should be taken to ensure that people with intellectual disabilities receive sufficient support to meet their individual needs and aspirations.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis., 2010. 65 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 64
Keyword
Nutrition, Intellectual disability, food security, community living
Research subject
Nutrition; Domestic Sciences
Identifiers
urn:nbn:se:uu:diva-131328 (URN)978-91-554-7904-6 (ISBN)
Public defence
2010-11-12, C8:305, BMC, Husargatan 3, Uppsala, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2010-10-22 Created: 2010-09-29 Last updated: 2011-01-13Bibliographically approved

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Adolfsson, PäiviMattsson Sydner, YlvaFjellström, Christina

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