Obese African-American Women’s Perspectives on Weight Loss and Bariatric Surgery
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African-American (AA) women have higher rates of obesity and obesity-related diseases but are less likely than other women to undergo bariatric surgery or have success with conventional weight loss methods.
To explore obese AA women’s perceptions regarding barriers to weight loss and bariatric surgery.
Focus groups to stimulate interactive dialogue about beliefs and attitudes concerning weight management.
Participants and Approach
We partnered with a community organization to recruit women who were AA, were ≥18 years old, and had a body mass index (BMI) of ≥30 kg/m2. We audiotaped the 90-minute focus groups and used content analysis for generating and coding recurring themes.
In our sample of 41 participants, the mean age was 48.8 years and mean BMI was 36.3. Most participants were unmarried, had some postsecondary education, and reported good or fair health. About 85% knew someone who had undergone bariatric surgery. Qualitative analysis of 6 focus group sessions revealed that the most common barriers to weight loss were lack of time and access to resources; issues regarding self-control and extrinsic control; and identification with a larger body size. Common barriers to bariatric surgery were fears and concerns about treatment effects and perceptions that surgery was too extreme or was a method of last resort.
Only through the elimination of barriers can AA women receive the care needed to eliminate excess weight and prevent obesity-related morbidity and mortality.
KEY WORDSAfrican American obesity body mass index weight loss bariatric surgery
This research was supported by the EXPORT Health Project at the Center for Minority Health (CMH), Graduate School of Public Health, University of Pittsburgh, NIH/NCMHD Grant No. P60 MD-000-207-03 and the Division of General Internal Medicine, School of Medicine, University of Pittsburgh. Sincerest thanks to our collaborating partners for their efforts with recruitment and data management and analysis—CMH and Black Women’s Health and Outreach for Longer Life and Empowerment (BWHOLE) and University Center for Survey and Urban Research, University of Pittsburgh—R. Schulz, S. Shulman. Finally, we express our gratitude to Laurel Person, Natalie Solomon, and Andrea Arrington who assisted in data collection and analysis.
Conflict of Interest
- 12.Avenell A, Brown TJ, McGee MA, et al. What interventions should we add to weight reducing diets in adults with obesity? A systematic review of randomized controlled trials of adding drug therapy, exercise, behaviour therapy or combinations of these interventions. J Hum Nutr Diet. 2004;17(4):293–316.PubMedGoogle Scholar
- 16.Cachelin FM, Rebeck RM, Chung GH, Pelayo E. Does ethnicity influence body-size preference? A comparison of body image and body size. Obesity Res. 2002;10(3):158–66.Google Scholar
- 24.Encinosa WE, Bernard DM, Steiner CA, Chen CC. Use and costs of bariatric surgery and prescription weight-loss medications. Health Aff (Millwood, Va.). 2005;24(4):1039–46.Google Scholar
- 31.[computer program]. Version 3rd Edition. Berlin, Germany; 2005.Google Scholar
- 33.Krueger RA, Casey MA. Focus groups: a practical guide for applied research. 3rd ed. Thousand Oaks: Sage Publications; 2000.Google Scholar
- 37.Walcott-McQuigg JA, Sullivan J, Dan A, Logan B. Psychosocial factors influencing weight control behavior of African American women. West J Nursing Res. 1995;17(5):502–20.Google Scholar
- 47.von Soest T, Kvalem IL, Skolleborg KC, Roald HE. Psychosocial factors predicting the motivation to undergo cosmetic surgery. Plast Reconstr Surg. 2006;117(1):51–62; Discussion 63–54.Google Scholar