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Journal of Transcultural Nursing
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Values and Beliefs About Obesity and Weight Reduction Among African American and Caucasian Women

Carol E. Blixen, PhD, RN

The Cleveland Clinic Foundation

Anisha Singh, MD

Jewish Hospital

Holly Thacker, MD

The Cleveland Clinic Foundation

Designing culturally relevant weight-reduction programs requires understanding of ethnic variations and illness beliefs. Preliminary data on the values and beliefs about obesity and weight reduction were obtained from women of different ethnic/racial backgrounds. Purposive sampling was used to recruit African American (AA) and Caucasian (C) women with a body mass index (BMI)[.greaterequal] 30 from the general internal medicine clinics of a large tertiary care facility. Four focus groups (2 with AA women and 2 with C women) consisting of a total of 20 subjects were conducted in a 2-month period. AA women cited culture specific barriers to weight loss more so than did C women. AA women and C women also differed on how health care professionals could help them with weight loss. These findings have implications for nursing's role in the design of culturally relevant weight-loss programs.

Key Words: weight reduction • African American women • Caucasian women • transcultural health • women's health

Journal of Transcultural Nursing, Vol. 17, No. 3, 290-297 (2006)
DOI: 10.1177/1043659606288375


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