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African American clergy and religious leaders may play an important role towards improving willingness to donate among African American parishioners, but more education and advocacy is needed to prepare them for this role.

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Unhealthy diet is one of the leading contributors for chronic disease related morbidity and mortality in African-American (AA) women living in the USA. The purpose of this study was to describe eating habits and intention to change using the stages of change (SOC) model in a sample of AA women. A cross-sectional population-based study was conducted in Florida with AA women. A total of 292 AA women participated. Outcome variables were eating breakfast, foods having low to no fat, fruits and vegetables, whole grain products, foods with low to no salt, and few to no snacks. SOC was the main independent variable. Almost half (48 %) seldom added salt to meals, 45 % consumed low-fat foods, 32 % consumed breakfast every day, and 32 % consumed primarily whole grain products. Women in action and maintenance SOC were significantly more likely to eat breakfast (odds ratio (OR)=1.50, 95 % confidence interval (CI): 1.10-2.03), mostly or only low-fat foods (OR=4.11, 95 % CI: 2.59-6.51), ≥4 servings of fruits and vegetables (OR=1.75, 95 % CI: 1.09-2.83), and whole grain products (OR=2.05, 95 % CI: 1.42-2.97). AA women want to eat healthier but do not always practice healthy diets. Understanding SOC can be essential to develop interventions for improving AA women's eating habits.

Lack of physical activity is a leading contributor to obesity in the US. The unusually high rates of obesity in African-American (AA) women corroborate with lack of recommended levels of exercise in this population. The purpose of this study was to describe exercise behaviors and intention to change using the stages of change (SOC) model in a sample of AA women. A population-based observational study was conducted with 292 AA women in Florida. Outcome variables were engaging in aerobic, strength-based, and stretching exercise. More than half (61.25 %) did not engage in strength-based exercise, more than a third (37.7 %) did not engage in aerobic exercise, and a little less than half (45.9 %) did not participate in stretching exercise. SOC was the main independent variable. Women in action and maintenance SOC were significantly more likely to engage in aerobic exercise (OR 16.1, 95 % CI 7.09-25.7), strength-based exercise (OR 15.4, 95 % CI 6.58-22.7), and stretching exercise (OR 3.80, 95 % CI 1.91-7.52). The SOC is reflective of actual exercise behavior in AA women. A large number of AA women do not engage in regular recommended levels of exercise. Understanding SOC can be essential to developing culturally appropriate and motivation matched interventions for improving AA women's exercise habits.