Using the Health Belief Model to Develop Culturally Appropriate Weight-Management Materials for African-American Women

James, Delores C.S.; Pobee, Joseph W.; Oxidine, D'lauren; Brown, Latonya; Joshi, Gungeet

doi:10.1016/j.jand.2012.02.003

Cited by 78 publications

(82 citation statements)

References 21 publications

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“…The authors identified concerns surrounding social support and a lack of time as self-reported barriers. 9 Additionally, in a review article, Mauro and others highlighted the importance of addressing medical comorbidities, failure to self-identify as obese, and the lack of training for health care providers to appropriately address obesity. 10 Appropriate training for health care providers included understanding barriers to obesity prevention during medical school and residency training, recognizing obesity as a precursor to numerous chronic conditions, and identifying long-term strategies for weight loss and the prevention of weight regain.…”

Section: Methodsmentioning

confidence: 99%

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Walker¹,

Kusch²,

Fink³

et al. 2018

Journal of Patient-Centered Research and Reviews

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Journal of Patient-Centered Research and Reviews ( JPCRR) is a peerreviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality of human health, the care of the individual patient, and the care of populations. Recommended CitationWalker RE, Kusch J, Fink JT, Nelson DA, Morris G 3rd, Skalla J, Cisler RA. Facilitating factors and barriers to weight management in women: physician perspectives. J Patient Cent Res Rev. 2018;5:18-27. doi: 10.17294/2330-0698 4,5 For women, prevalence of overweight and obesity has varied from 64.1% to 65.8% to 63.7% in 2007-2008, 2009-2010, and 2011-2012, respectively. 4-6 Addressing overweight and obesity in both men and women has been a challenge for medical and public health practice, but perhaps more so in women given the race-by-sex differences observed for these conditions. 5,6 Using national data from 2011-2012, Ogden and colleagues reported age-adjusted overweight and obesity prevalence of 69.2%, 78.6%, PurposeThe complexity of addressing overweight and obesity in women has been an ongoing public health and health care challenge. While the mechanism for addressing overweight and obesity in women remains unclear, it has been speculated that disparities in overweight and obesity by race and gender contribute to the complexity. The purpose of the present study was to examine perceptions of primary care physicians when discussing weight management with their patients. MethodsWe conducted focus group discussions exploring facilitators and barriers to discussing weight management and weight loss among women patients. Participants included 18 family medicine and internal medicine physicians who were recruited using a snowball sampling technique from two large urban institutions. Focus group discussions were transcribed verbatim. Responses were then codified and analyzed in frequency of occurrence using specialized computer software. ResultsNine themes emerged from group discussions. These recurring themes reflected three overarching critical points: 1) potential utility of the primary care setting to address weight management; 2) the importance of positive patient-provider communication in supporting weight loss efforts; and 3) acknowledgement of motivation as intrinsic or extrinsic, and its role in obesity treatment. ConclusionsPhysician perceptions of their own lack of education or training and their inability to influence patient behaviors play crucial roles in discussing weight management with patients. (J Patient Cent Res Rev.

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Section: Methodsmentioning

confidence: 99%

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Walker¹,

Kusch²,

Fink³

et al. 2018

Journal of Patient-Centered Research and Reviews

View full text Add to dashboard Cite

show abstract

“…Possibly due to cultural differences (2)(3)(4)(5) and social norm that have higher tolerance toward larger body sizes, obesity is associated with lower body-image dissatisfaction for Blacks particularly Black women (6)(7)(8). While White women describe large BMI as less attractive, intelligent, successful, happy, and popular (9), Black women do not show the same denigration toward large body sizes (9).…”

Section: Introductionmentioning

confidence: 99%

“…In the United States, according to the NHANES 2003 -2006 data, among women who are overweight or obese, Blacks less likely fulfil recommended criteria for physical activity compared to any other racial groups, a difference which is mediated by more liberal body weight perceptions (16). Despite high awareness of health risks associated with obesity 142, Black women's health concerns are jeopardized by their cultural beliefs that are more tolerant of large body size (5). Black women involved in weight control programs have described social pressures such as "not to lose too much weight" (17).…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms and Well-being of Individuals with Obesity; Race and Gender Differences

Assari

Rothberg

Evans

et al. 2017

Int J Endocrinol Metab

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Background: Although obesity increases depressive symptoms and reduces health-related quality-of-life (HRQoL), the magnitude of these effects may vary across populations. This study tested if the links between body mass index (BMI), depressive symptoms, and HRQoL of individuals with obesity depend on the intersection of race and gender. For this purpose, we compared Black and White men and women with obesity at the time of enrollment into an intensive behavioral weight management program (WMP). Methods: This cross-sectional study utilized baseline data from the University of Michigan WMP, in which 801 (295 men and 506 women, 697 Whites and 104 Blacks) obese individuals were enrolled. Baseline socio-demographic factors, BMI, medical comorbidity, health-related quality-of-life: [EuroQol (EQ-5D) and impact of weight on quality-of-life-lite (IWQOL-lite©, Duke University)] and depressive symptoms [inventory of depressive symptomatology-self report (IDS-SR)] were obtained. We used linear regression models for data analysis. Results: High BMI was associated with low EQ-5D, IWQOL-lite, and IDS-SR scores. We found significant race by BMI interactions on EQ-5D index, IWQOL-lite (self-esteem, sexual life, public distress, and work), and depressive symptoms for women but not for men. These interactions suggested that the effect of BMI on these outcomes is greater is larger for White than Black women. Conclusions: How BMI influences depressive symptoms and HRQoL in individuals with obesity at WMP entry depends on the intersection of race and gender. BMI has a larger effect on depressive symptoms and HRQoL of Black women compared to White women with obesity. These findings advocate for tailoring of weight management programs based on the intersection of race and gender.

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“…As global obesity trends and obesityrelated co-morbidities such as type 2 diabetes mellitus, hypertension, cardiovascular disease, stroke, and some cancers continue to increase unabated (Ng et al, 2014;World Health Organization, 2016b), global public policies and awareness campaigns have prompted calls from the WHO for action to reduce obesogenic environments and promote beliefs and attitudes that could support healthy dietary patterns and encourage physical activity (World Health Organization, 2016a). Recent studies have placed an emphasis on the importance of health strategies and interventions that are culturally-relevant and tailored to various respective populations and communities (Bender, Nader, Kennedy, & Gahagan, 2013;Bertran et al, 2015;James, Pobee, Oxidine, Brown, & Joshi, 2012;Kim, Song, Han, Kim, & Kim, 2013). Additionally, theoretical frameworks that incorporate aspects of faith and religion within culturally-tailored interventions have been previously proposed and continue to gain growing recognition for their potential to influence health beliefs and behaviors (Grundmann, 2014;Lancaster, Carter-Edwards, Grilo, Shen, & Schoenthaler, 2014;Opalinski, Dyess, & Grooper, 2015;Sattin et al, 2016;Yeary et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

‘The Quranic Garden’: Consumption of Fruits, Vegetables, and Whole Grains from an Islamic Perspective

Aboul‐Enein¹

2017

IJMMU

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The increasing global prevalence of obesity and obesity-related co-morbidities has prompted calls for culturally-congruent dietary patterns and health-promoting strategies and interventions appropriate for specific populations and communities. The Holy Quran is viewed as the primary behavioral and religious guidance for all Muslims around the world. Diets rich in plant-based foods and its protective role in the reduction and prevention of obesity-related diseases have been established. The purpose of this study is to examine passages cited in the Holy Quran with particular reference given to plant foods cited and features of a plant-based diet. A narrative review of the Holy Quran in two formats was conducted to identify plant-based foods. A total of 36 passages were identified in this review with a considerable focus on the consumption of dates, olives, grapes, whole grains, pomegranates, and other plant-based foods. This review supports the Holy Quran as an authoritative culturally-relevant faith-based resource for dietitians, public health educators, and other health professionals operating in Muslim populations and communities around the world to promote dietary patterns rich in fruits, vegetables, and whole grains.

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Using the Health Belief Model to Develop Culturally Appropriate Weight-Management Materials for African-American Women

Cited by 78 publications

References 21 publications

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Depressive Symptoms and Well-being of Individuals with Obesity; Race and Gender Differences

‘The Quranic Garden’: Consumption of Fruits, Vegetables, and Whole Grains from an Islamic Perspective

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