Understanding social undermining of weight management behaviors in young adult African American women

项目总结/摘要 成年早期是肥胖和体重过度增加的重要风险期。性别 肥胖症患病率的种族差异在青春期和青春期之间的过渡中变得明显。 在成年期，年轻的成年非洲裔美国妇女表现出肥胖症的最高患病率。作为 在年轻人时期建立的行为可能会持续到成年，因为非洲裔美国人 女性肥胖的患病率最高，在这段时间里体重增加的风险最高， 成年是建立与体重管理相关的健康行为的主要干预目标， 防止该人群体重增加。 社会影响是影响体重管理行为的重要因素。体重对社会的破坏 管理行为可以定义为威胁体重目标实现的社会互动或事件 管理行为（即，某些饮食行为或身体活动），无论是有意还是无意。社会 破坏是普遍存在的，可能更普遍的年轻人，由于高度参与， 不同的社会环境和群体。 社会破坏是一个重要的干预目标，因为它可能导致饮食和运动失误， 造成能量不平衡并导致体重增加。然而，社会破坏仍然存在- 在体重管理干预措施中得到解决。破坏的特征在不同的 社区和非裔美国妇女可能会经历不同类型的破坏或回应 与由于各种文化因素而破坏不同（例如，身体意象，传统文化价值高 食物）。然而，很少有研究考察非洲人破坏行为的经历或影响， 美国女人 这些证据的结合表明，有必要更好地了解 与年轻成年非裔美国妇女的体重管理行为有关的社会破坏， 试图减肥或保持体重。这样做将是制定应对战略的必要的第一步 在未来的减肥或体重增加预防干预中的社会破坏。因此，目前 拟议的研究旨在描述非洲人的社会破坏经历和反应， 美国年轻女性，包括检查饮食和身体活动失误的关联，使用 生态瞬时评价（EMA）方法与个体评价方法相结合的混合方法 定性访谈。

Project Summary/Abstract Early adulthood is a significant period of risk for the development of obesity and excessive weight gain. Gender and race disparities in the prevalence of obesity become apparent in the transition between adolescence and adulthood, with young adult African American women exhibiting the highest prevalence of obesity. As behaviors established during young adult years are likely to persist in adulthood and because African American women have the highest prevalence of obesity and are at highest risk for weight gain during this time, young adulthood is a prime intervention target for establishing healthy behaviors related to weight management and preventing weight gain within this population. Social influences are an important factor in weight management behaviors. The social undermining of weight management behaviors can be defined as social interactions or events that threaten goal attainment of weight management behaviors (i.e., certain eating behaviors or physical activity), whether intentional or not. Social undermining is prevalent and may be more prevalent among young adults due to a heightened involvement in a variety of social environments and groups. Social undermining is an important intervention target as it may lead to dietary and exercise lapses, which may create energy imbalances and contribute to weight gain. However, social undermining remains under- addressed in weight management interventions. The characteristics of undermining may differ across communities, and African American women may experience different types of undermining or respond differently to undermining due to various cultural factors (e.g., body image, high cultural value of traditional foods). However, few studies have examined the experience or effects of undermining behaviors in African American women. The combination of this evidence suggests that there is a need to better understand the characteristics of social undermining related to weight management behaviors in young adult African American women who are trying to lose or maintain weight. Doing so will be a necessary first step for designing strategies for responding to social undermining in future weight loss or weight gain prevention interventions. Thus, the currently proposed study seeks to characterize the experience of and response to social undermining among African American young women, including examining associations with dietary and physical activity lapses, using a mixed-method approach combining ecological momentary assessment (EMA) methods with individual qualitative interviews.