Reflections on obesity-related health behaviors over time and suggestions for health promotion programs from African American women.
Reflections on obesity-related health behaviors over time and suggestions for health promotion programs from African American women.
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随着时间的流逝，对肥胖相关的健康行为的思考和非裔美国妇女的健康促进计划的建议。
DOI：
10.1080/08952841.2021.1974268
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发表时间：
2022-07
影响因子：
1.5
通讯作者：
Nam S
中科院分区：
文献类型：
--
作者：
Min SH;Whittemore R;Kennedy HP;Nam S
非裔美国人(AA)女性的肥胖率是美国最高的。到目前为止，关于AA女性对肥胖的看法以及她们感知到的健康行为随着时间的推移而发生的变化，可能是导致肥胖的原因，研究结果褒贬不一。因此，本次定性描述性研究的目的是探索：1)AA女性对肥胖的认知以及通过对生活的反思而感知到的与肥胖相关的健康行为的变化；2)AA女性对维持健康行为的促进者和障碍；以及3)AA女性对未来管理肥胖的健康促进计划的建议。对21名AA妇女进行了开放式问题的半结构化访谈。采用卢博斯基的主题分析方法对数据进行分析。确定了三个有分主题的主要主题。第一个主要主题是戒酒协会文化，它是从儿童到成年保持健康生活方式的促进者和障碍。第二个主题是从青壮年到中年，由于社会和物理环境的影响，他们的健康生活方式逐渐发生了变化。第三个主题是AA妇女对未来健康促进计划的各种建议。这项研究发现，肥胖是一种多因素现象，是文化、环境和社会网络复杂交互作用的结果。因此，临床医生需要从整体的角度来解决肥胖问题，让再生障碍性贫血妇女积极参与到她们的初级保健中来。未来的健康促进计划应该纳入文化定制的生活方式成分，并通过基于社区的计划增加关于健康生活方式与肥胖的知识。
African American (AA) women have the highest rate of obesity in the United States. To date, there are mixed findings on AA women’s perception on obesity and their perceived changes in health behaviors over time that may have contributed to obesity. Therefore, the aims of this current qualitative descriptive study were to explore: 1) AA women’s perception on obesity and perceived changes in health behaviors related to obesity through their reflection on life; 2) AA women’s perceived facilitators and barriers to maintaining healthy behaviors; and 3) AA women’s suggestions for future health promotion programs to manage obesity. Semi-structured interviews with open-ended questions were conducted with 21 AA women. Luborsky’s method for thematic analysis was used to analyze data. Three main themes with subthemes were identified. First main theme was the AA culture that served as a facilitator and barrier to maintaining healthy lifestyle from childhood to young adulthood. Second main theme was gradual changes in their healthy lifestyle due to social and physical environment from young adulthood to middle adulthood. Third main theme was AA women’s various suggestions for future health promotion programs. This study found obesity to be a multifactorial phenomenon that is a result of complex interaction of culture, environment, and social networks. Therefore, clinicians need to address the issue of obesity from a holistic perspective for AA women to actively engage with their primary health care. Future health promotion programs should incorporate culturally tailored lifestyle components and increase knowledge on healthy lifestyle against obesity through community-based programs.
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影响因子：
2
作者：
Jung S;Whittemore R;Jeon S;Nam S
通讯作者：
Nam S
DOI：
10.2147/dmsott.s7384
发表时间：
2010-08-30
期刊：
Diabetes, metabolic syndrome and obesity : targets and therapy
影响因子：
--
作者：
Hammond RA;Levine R
通讯作者：
Levine R
影响因子：
5.5
作者：
Pekmezi DW;Neighbors CJ;Lee CS;Gans KM;Bock BC;Morrow KM;Marquez B;Dunsiger S;Marcus BH
通讯作者：
Marcus BH
影响因子：
1.9
作者：
Murrock, Carolyn J.;Gary, Faye A.
通讯作者：
Gary, Faye A.
影响因子：
1.6
作者：
Joseph, Rodney P.;Ainsworth, Barbara E.;Dodgson, Joan E.
通讯作者：
Dodgson, Joan E.