Rural African American Women With Severe Obesity: A Cross-Sectional Analysis of Lifestyle Behaviors and Psychosocial Characteristics
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Alick, Candice L, et al. Rural African American Women With Severe Obesity: A Cross-sectional Analysis of Lifestyle Behaviors and Psychosocial Characteristics. SAGE Publications, 2023. https://doi.org/10.17615/q74g-sf42APA
Alick, C., Braxton, D., Skinner, H., Alexander, R., Ammerman, A., Keyserling, T., & Samuel Hodge, C. (2023). Rural African American Women With Severe Obesity: A Cross-Sectional Analysis of Lifestyle Behaviors and Psychosocial Characteristics. SAGE Publications. https://doi.org/10.17615/q74g-sf42Chicago
Alick, Candice L., Danielle Braxton, Harlyn Skinner, Ramine Alexander, Alice S Ammerman, Thomas C Keyserling, and Carmen D Samuel Hodge. 2023. Rural African American Women With Severe Obesity: A Cross-Sectional Analysis of Lifestyle Behaviors and Psychosocial Characteristics. SAGE Publications. https://doi.org/10.17615/q74g-sf42- Creator
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Alick, Candice L.
- ORCID: https://orcid.org/0000-0002-6026-4281
- Affiliation: UNC Center for Health Promotion and Disease Prevention
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Braxton, Danielle
- Other Affiliation: Department of Health Promotion, North Carolina Wesleyan College, Rocky Mount, NC, USA
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Skinner, Harlyn
- ORCID: https://orcid.org/0000-0003-1378-7968
- Other Affiliation: Department of Biological Science, Center for Human Health and the Environment, North Carolina State University, Chapel Hill, NC, USA
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Alexander, Ramine
- Other Affiliation: Department of Family and Consumer Sciences, Food and Nutritional Sciences, North Carolina Agricultural & Technical State University, Greensboro, NC, USA
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Ammerman, Alice S.
- Affiliation: Gillings School of Global Public Health, Department of Nutrition
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Keyserling, Thomas C.
- Affiliation: School of Medicine
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Samuel-Hodge, Carmen D.
- Affiliation: Gillings School of Global Public Health, Department of Nutrition
- Abstract
- PurposeTo examine differences in lifestyle behavioral and psychosocial factors between rural African American women with Class 3 obesity and those with overweight, and Class 1-2 obesity.DesignCross-sectional study.SettingRural Southeastern United States.SubjectsParticipants included 289 African American women with a mean age of 56 years, 66% with a high school education or less, and a mean body mass index (BMI) of 38.6 kg/m2; 35% (n = 102) were classified with Class 3 obesity.MeasuresWe objectively measured height, weight, and physical activity steps/day. Self-reported dietary and physical activity behaviors, general health-related quality of life, mental health, and social support were measured with validated surveys.AnalysisChi-Square analysis for categorical variables and analysis of variance (ANOVA) – via multiple linear regression – for continuous variables.ResultsThere were no significant demographic differences between BMI groups, except for age, where women with Class 3 obesity were on average younger (51 vs 58 y, P < .001). Although dietary behaviors did not differ significantly between groups, we observed significant group differences in self-reported and objective measures of physical activity. The age-adjusted difference in means for self-reported total physical activity minutes/wk. was 91 minutes, with women categorized with Class 3 obesity reporting significantly fewer weekly minutes than those with overweight/Class 1-2 obesity (64.3 vs 156.4 min/wk. respectively, P < .01). Among psychosocial variables, only in the physical component scores of health-related quality of life did we find significant group differences – lower physical well-being among women with Class 3 obesity compared to those with overweight/Class 1-2 obesity (P = .02).ConclusionFor African American women with Class 3 obesity living in rural setting, these findings suggest behavioral weight loss interventions may need to target physical activity strategies that address physical, psychosocial, and environmental barriers.
- Date of publication
- November 2023
- Keyword
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- SAGE Publications
- License
- Attribution-NonCommercial 4.0 International
- Journal title
- American Journal of Health Promotion
- Journal volume
- 37
- Journal issue
- 8
- Page start
- 1060
- Page end
- 1069
- Funder
- National Institute of Health
- Center for Health Promotion and Disease Prevention
- ISSN
- 2168-6602
- 0890-1171
- Copyright date
- 2023
- Publisher
- SAGE Publications
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