Cultural adaptation of an integrated eating disorders prevention and healthy weight management program.
Cultural adaptation of an integrated eating disorders prevention and healthy weight management program.
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DOI：
10.1186/s40337-023-00950-5
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发表时间：
2023-12-20
影响因子：
4.1
通讯作者：
Mazzeo, Suzanne E.
中科院分区：
文献类型：
--
作者：
Simpson, Courtney C.;Boutte, Rachel L.;Burnette, C. Blair;Weinstock, Madison;Goel, Neha;Mazzeo, Suzanne E.
饮食失调（艾德）预防和体重管理干预通常都集中在理想的瘦。然而，许多黑人和拉丁裔女性并不认为苗条是她们的理想身材。本研究使用焦点小组调查种族，民族和文化对外观理想的影响，并告知文化适应和整合两个既定的计划解决ED和体重管理：身体项目和健康体重干预。白色（n = 10），黑人（n = 14）和拉丁裔（n = 6）妇女参加了种族和民族同质的焦点小组。专题分析确定了若干专题，包括：（1）不同群体的美容标准不同，（2）在预防和文化挪用方面缺乏对种族化美容标准的承认，（3）标准的文化特定影响，（4）与外观相关的评论的伤害，（5）可用资源的限制，（6）心理健康的耻辱化/最小化，（7）包容性规划的障碍，以及（8）包容性规划的促进者。结果表明，目前的计划对瘦的强调限制了他们对有色人种女性的相关性，并延续了ED主要影响白色女性的误解。调查结果强调了文化上敏感的预防的必要性。饮食失调（艾德）预防和体重管理干预措施通常都以瘦为理想。然而，许多黑人和拉丁裔女性并不认为苗条是她们理想的体型。本研究采访了焦点小组中的女性，以调查种族，民族和文化对外观理想的影响，并告知文化适应和整合两个既定的计划解决ED和体重管理：身体项目和健康体重干预。白色（n = 10），黑人（n = 14）和拉丁裔（n = 6）妇女参加了种族和民族同质的焦点小组。会上提出了若干主题，包括：（1）不同群体的美容标准不同，（2）在预防和文化挪用方面缺乏对种族化美容标准的承认，（3）标准的文化特定影响，（4）与外观相关的评论的伤害，（5）可用资源的限制，（6）心理健康的耻辱化/最小化，（7）包容性规划的障碍，以及（8）包容性规划的促进者。结果表明，目前的干预措施过于强调瘦，限制其相关性的颜色的妇女，并延续了错误的观念，即ED主要影响白色妇女。调查结果强调，需要采取更符合文化的预防方法。
Both eating disorder (ED) prevention and weight management interventions often focus on the thin ideal. Yet, many Black and Latina women do not view thinness as their body ideal. This study used focus groups to investigate the influence of race, ethnicity, and culture on appearance ideals and inform the cultural adaptation and integration of two established programs addressing EDs and weight management: the Body Project, and Healthy Weight Interventions. White (n = 10), Black (n = 14), and Latina (n = 6) women participated in racially and ethnically homogenous focus groups. Thematic analysis identified several themes, including: (1) diverse beauty standards across groups, (2) lack of acknowledgement of racialized beauty standards in prevention and cultural appropriation, (3) culturally-specific impacts of standards, (4) harm of appearance-related comments, (5) limitations of available resources, (6) stigma/minimization of mental health, (7) barriers to inclusive programming, and (8) facilitators of inclusive programming. Results suggested that current programs’ emphasis on thinness limit their relevance for women of color, and perpetuate the misconception that EDs primarily affect White women. Findings highlight the need for culturally responsive prevention. Both eating disorder (ED) prevention and weight management interventions often focus on thinness as the ideal. Yet, many Black and Latina women do not view thinness as their ideal body shape. This study interviewed women in focus groups to investigate the influence of race, ethnicity, and culture on appearance ideals and inform the cultural adaptation and integration of two established programs addressing EDs and weight management: the Body Project, and Healthy Weight Interventions. White (n = 10), Black (n = 14), and Latina (n = 6) women participated in racially and ethnically homogenous focus groups. Several themes emerged, including: (1) diverse beauty standards across groups, (2) lack of acknowledgement of racialized beauty standards in prevention and cultural appropriation, (3) culturally-specific impacts of standards, (4) harm of appearance-related comments, (5) limitations of available resources, (6) stigma/minimization of mental health, (7) barriers to inclusive programming, and (8) facilitators of inclusive programming. Results suggested that current interventions over-emphasize thinness, limiting their relevance for women of color, and perpetuate the misconception that EDs primarily affect White women. Findings highlight the need for more culturally responsive approaches to prevention.
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影响因子：
4
作者：
Greenwood N;Ellmers T;Holley J
通讯作者：
Holley J
影响因子：
3.2
作者：
Creswell, JW;Miller, DL
通讯作者：
Miller, DL
影响因子：
3.1
作者：
HUGHES, D;DUMONT, K
通讯作者：
DUMONT, K
影响因子：
5.9
作者：
Becker CB;Stice E
通讯作者：
Stice E
影响因子：
3.8
作者：
Elo, Satu;Kyngaes, Helvi
通讯作者：
Kyngaes, Helvi