Perceptions and beliefs about body size, weight, and weight loss among obese African American women: A qualitative inquiry

Perceptions and beliefs about body size, weight, and weight loss among obese African American women: A qualitative inquiry
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DOI:
10.1177/1090198106290398
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发表时间:
2008-06-01
影响因子:
4.2
通讯作者:
Ahluwalia, Jasjit S.
Ahluwalia, Jasjit S.
中科院分区:
医学3区
文献类型:
--
作者:
Befort, Christie A.;Thomas, Janet L.;Ahluwalia, Jasjit S.

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这项定性研究的目的是探讨肥胖的非洲裔美国妇女的身体大小,体重和减肥的看法和信念,以形成一个设计的减肥干预与此目标人群。在一个社区卫生诊所进行了六个重点小组的工作。参与者主要是中年人,平均体重指数为40.3 +/- 9.2 kg/m(2)。调查结果表明,参与者(a)相信人可以在更大的尺寸有吸引力和健康;(B)仍然对自己的体重感到不满,对自己的身体感到不安;(c)强调饮食行为是体重增加的主要原因;(d)认为怀孕,母亲和生育是体重增加的主要前兆;(e)认为健康是减肥的最重要原因;(f)对减肥的社会支持有不同的经历和期望;(g)更喜欢结合长期生活方式改变的治疗,而不是流行的饮食或药物。
The purpose of this qualitative study was to explore perceptions and beliefs about body size, weight, and weight loss among obese African American women in order to form a design of weight loss intervention with this target population. Six focus groups were conducted at a community health clinic. Participants were predominantly middle-aged with a mean Body Mass Index of 40.3 +/- 9.2 kg/m(2). Findings suggest that participants (a) believe that people can be attractive and healthy at larger sizes; (b) still feel dissatisfied with their weight and self-conscious about their bodies; (c) emphasize eating behavior as the primary cause for weight gain; (d) view pregnancy, motherhood, and caregiving as major precursors to weight gain; (e) view health as the most important reason to lose weight; (f) have mixed experiences and expectations for social support for weight loss; and (g) prefer treatments that incorporate long-term lifestyle modification rather than fad diets or medication.