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Research Article| Volume 54, ISSUE 10, P916-924, October 2022

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Perceptions of Health Among Black Women in Emerging Adulthood: Alignment With a Health at Every Size Perspective

Published:August 30, 2022DOI:https://doi.org/10.1016/j.jneb.2022.07.004

      Abstract

      Objective

      To explore the health perceptions of Black women in emerging adulthood and the degree to which perceptions align with core Health at Every Size (HAES) principles.

      Design

      Semistructured interviews with Black women in emerging adulthood. Data were collected between June and July 2018 as part of a larger, mixed-methods study.

      Setting

      Southern California.

      Participants

      Forty-one Black women aged 18–24 years were recruited via a combination of convenience and respondent-drive sampling.

      Phenomenon of Interest

      Health perceptions of young Black women and alignment with core HAES principles.

      Analysis

      Data were analyzed using principles of inductive thematic analysis. Following analysis, data were further interpreted within the HAES framework.

      Results

      Participants’ insights resulted in 3 main themes: (1) health is multidimensional, (2) good health means taking care of yourself, and (3) systemic and environmental disparities affect Black women's health. These themes reflect 3 HAES principles of health enhancement, weight inclusivity, and eating for well-being.

      Conclusions and Implications

      Findings provide preliminary support for aligning HAES principles and perceptions and health for Black women in emerging adulthood. Prioritizing holistic well-being, attention to individualized health needs and access to needed information and resources in efforts to improve health outcomes among members of this demographic may be promising.

      Key Words

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      REFERENCES

        • Chinn JJ
        • Martin IK
        • Redmond N.
        Health equity among Black women in the United States.
        J Womens Health (Larchmt). 2021; 30: 212-219
        • Hamman RF
        • Wing RR
        • Edelstein SL
        • et al.
        Effect of weight loss with lifestyle intervention on risk of diabetes.
        Diabetes Care. 2006; 29: 2102-2107
        • Preventive Services Task Force US
        • Curry SJ
        • Krist AH
        • et al.
        Behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults: US Preventive Services Task Force recommendation statement.
        JAMA. 2018; 320: 1163-1171
        • Brown JD
        • Buscemi J
        • Milsom V
        • Malcolm R
        • O'Neil PM
        Effects on cardiovascular risk factors of weight losses limited to 5–10.
        Transl Behav Med. 2016; 6: 339-346
        • Dodgen L
        • Spence-Almaguer E.
        Beyond body mass index: are weight-loss programs the best way to improve the health of African American women?.
        Prev Chronic Dis. 2017; 14: E48
        • Rothblum ED.
        Slim chance for permanent weight loss.
        Arch Sci Psychol. 2018; 6: 63-69
        • Ikeda J
        • Amy NK
        • Ernsberger P
        • et al.
        The national weight control registry: A critique.
        J Nutr Educ Behav. 2005; 37: 203-205
        • Dugmore JA
        • Winten CG
        • Niven HE
        • Bauer J.
        Effects of weight-neutral approaches compared with traditional weight-loss approaches on behavioral, physical, and psychological health outcomes: a systematic review and meta-analysis.
        Nutr Rev. 2020; 78: 39-55
        • Mensinger JL
        • Calogero RM
        • Stranges S
        • Tylka TL.
        A weight-neutral versus weight-loss approach for health promotion in women with high BMI: a randomized-controlled trial.
        Appetite. 2016; 105: 364-374
      1. Association for Size Diversity and Health. The health at every size (HAES) approach. https://asdah.org/health-at-every-size-haes-approach/. Accessed January 22, 2022.

        • Tylka TL
        • Annunziato RA
        • Burgard D
        • et al.
        The weight-inclusive versus weight-normative approach to health: evaluating the evidence for prioritizing well-being over weight loss.
        J Obes. 2014; 2014983495
        • Ulian MD
        • Aburad L
        • da Silva
        • Oliveira MS
        • et al.
        Effects of Health at Every Size® interventions on health-related outcomes of people with overweight and obesity: a systematic review.
        Obes Rev. 2018; 19: 1659-1666
        • Borkoles E
        • Carroll S
        • Clough P
        • Polman RCJ.
        Effect of a non-dieting lifestyle randomised control trial on psychological well-being and weight management in morbidly obese pre-menopausal women.
        Maturitas. 2016; 83: 51-58
        • Clifford D
        • Ozier A
        • Bundros J
        • Moore J
        • Kreiser A
        • Morris MN.
        Impact of non-diet approaches on attitudes, behaviors, and health outcomes: a systematic review.
        J Nutr Educ Behav. 2015; 47: 143-155.e1
        • Rauchwerk A
        • Vipperman-Cohen A
        • Padmanabhan S
        • Parasram W
        • Burt KG.
        The case for a Health at Every Size approach for chronic disease risk reduction in women of color.
        J Nutr Educ Behav. 2020; 52: 1066-1072
        • Cotter EW
        • Hamilton NS
        • Kelly NR
        • et al.
        A qualitative examination of health barriers and facilitators among African American mothers in a subsidized housing community.
        Health Promot Pract. 2016; 17: 682-692
        • Fraser MW
        Intervention Research: Developing Social Programs.
        University Press, Oxford2009
        • Brooks JE
        • Moore DD.
        The impact of childhood experiences on perceptions of health and wellness in African American young adults.
        J Afr Am Stud. 2016; 20: 183-201
        • Cameron NO
        • Muldrow AF
        • Stefani W.
        The weight of things: understanding African American women's perceptions of health, body image, and attractiveness.
        Qual Health Res. 2018; 28: 1242-1254
        • Rowe J.
        Voices from the inside: African American women's perspectives on healthy lifestyles.
        Health Educ Behav. 2010; 37: 789-800
        • Burk BN.
        Black girls’ perceptions of health and ideal body types.
        J Gend Stud. 2015; 24: 496-511
        • Dietz WH.
        Obesity and excessive weight gain in young adults: new targets for prevention.
        JAMA. 2017; 318: 241-242
        • Kelly TA
        • Kral TVE
        • Teitelman AM
        • Deatrick JA
        • Lewis LM.
        Predicting intentions to meet fruit & vegetable recommendations among Black emerging adult women.
        J Am Coll Health. 2022; 70: 956-961
        • Merriam SB.
        Introduction to qualitative research.
        Qualitative Research in Practice: Examples for Discussion and Analysis. 1st ed. Jossey-Bass Publishers, 2002: 1-17
        • Craddock JB.
        Sexual health communication among young Black women and their social network members.
        J Soc Soc Work Res. 2020; 11: 569-589
        • Braun V
        • Clarke V.
        Using thematic analysis in psychology.
        Qual Res Psychol. 2006; 3: 77-101
        • Hennink MM
        • Kaiser BN
        • Marconi VC.
        Code saturation versus meaning saturation: how many interviews are enough?.
        Qual Health Res. 2017; 27: 591-608
        • Lincoln YS
        • Guba EG.
        Naturalistic Inquiry.
        Sage, 1985
        • Mama SK
        • Bhuiyan N
        • Chaoul A
        • et al.
        Feasibility and acceptability of a faith-based mind-body intervention among African American adults.
        Transl Behav Med. 2020; 10: 928-937
        • Thompson WM
        • Berry D
        • Hu J.
        A church-based intervention to change attitudes about physical activity among black adolescent girls: a feasibility study.
        Public Health Nurs. 2013; 30: 221-230
        • Tylka TL
        • Wood-Barcalow NL.
        What is and what is not positive body image? Conceptual foundations and construct definition.
        Body Image. 2015; 14: 118-129
        • Befort CA
        • Thomas JL
        • Daley CM
        • Rhode PC
        • Ahluwalia JS.
        Perceptions and beliefs about body size, weight, and weight loss among obese African American women: a qualitative inquiry.
        Health Educ Behav. 2008; 35: 410-426
        • Justin TA
        • Jette S.
        “That chart ain't for us”: how Black women understand “obesity,” health, and physical activity.
        Health (London). 2021; 13634593211046844
        • Ferrari RM
        • Siega-Riz AM
        • Evenson KR
        • Moos MK
        • Carrier KS.
        A qualitative study of women's perceptions of provider advice about diet and physical activity during pregnancy.
        Patient Educ Couns. 2013; 91: 372-377
        • Murrock CJ
        • Taylor E
        • Marino D.
        Dietary challenges of managing type 2 diabetes in African-American women.
        Women Health. 2013; 53: 173-184
      2. US Department of Agriculture, Human Nutrition Information Service. USDA's Food Guide Pyramid. USDA; 1992.

        • Cousineau TM
        • Franko DL
        • Ciccazzo M
        • Goldstein M
        • Rosenthal E.
        Web-based nutrition education for college students: is it feasible?.
        Eval Program Plann. 2006; 29: 23-33
        • Sumlin LL
        • Brown SA.
        Culture and food practices of African American women with type 2 diabetes.
        Diabetes Educ. 2017; 43: 565-575
        • Swierad EM
        • Vartanian LR
        • King M.
        The influence of ethnic and mainstream cultures on African Americans’ health behaviors: A qualitative study.
        Behav Sci (Basel). 2017; 7: 49
        • Talleyrand RM
        • Gordon AD
        • Daquin JV
        • Johnson AJ.
        Expanding our understanding of eating practices, body image, and appearance in African American women: a qualitative study.
        J Black Psychol. 2017; 43: 464-492
        • Young PA.
        Perceptions of obese African American women regarding altering traditional soul food preparation.
        J Soc Behav Health Sci. 2018; 12: 84-99
        • Muvuka B
        • Combs RM
        • Ayangeakaa SD
        • Ali NM
        • Wendel ML
        • Jackson T.
        Health literacy in African-American communities: barriers and strategies.
        Health Lit Res Pract. 2020; 4: e138-e143
        • Eberth JM
        • Hung P
        • Benavidez GA
        • et al.
        The problem of the color line: spatial access to hospital services for minoritized racial and ethnic groups.
        Health Aff (Millwood). 2022; 41: 237-246
        • Thompson TM
        • Young YY
        • Bass TM
        • et al.
        Racism runs through it: examining the sexual and reproductive health experience of Black women in the south.
        Health Aff (Millwood). 2022; 41: 195-202
        • Yearby R
        • Clark B
        • Figueroa JF.
        Structural racism in historical and modern US health care policy.
        Health Aff (Millwood). 2022; 41: 187-194
        • Linardon J
        • Mitchell S
        Rigid dietary control, flexible dietary control, and intuitive eating: Evidence for their differential relationship to disordered eating and body image concerns.
        Eat Behav. 2017; 26: 16-22
        • Humphrey L
        • Clifford D
        • Morris MN.
        Health at Every Size college course reduces dieting behaviors and improves intuitive eating, body esteem, and anti-fat attitudes.
        J Nutr Educ Behav. 2015; 47: 354-360.e1

      Linked Article

      • Making sure to keep the person in personalized nutrition
        Journal of Nutrition Education and BehaviorVol. 54Issue 10
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          Personalized nutrition focuses on the concept that individuals may respond very differently to foods and may require different dietary patterns to achieve the best health. Personalized or precision nutrition falls under the umbrella of personalized medicine, a medical model that calls for medical practices, interventions, and products to be customized to the individual based on their risk of disease. Personalized medicine relies upon an individual's genetic profile to identify the most appropriate path forward for disease prevention and treatment.
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