Fogel Sarah C, McElroy Jane A, Garbers Samantha, McDonnell Cheryl, Brooks Jacquetta, Eliason Michele J, Ingraham Natalie, Osborn Ann, Rayyes Nada, Redman Sarah Davis, Wood Susan F, Haynes Suzanne G
School of Nursing, Vanderbilt University, Nashville, Tennessee.
Department of Family & Community Medicine, University of Missouri, Columbia, Missouri.
Womens Health Issues. 2016 Jul 7;26 Suppl 1:S7-S17. doi: 10.1016/j.whi.2015.10.005.
Adult lesbian and bisexual (LB) women are more likely to be obese than adult heterosexual women. To address weight- and fitness-related health disparities among older LB women using culturally appropriate interventions, the Office on Women's Health (OWH) provided funding for the program, Healthy Weight in Lesbian and Bisexual Women (HWLB): Striving for a Healthy Community. This paper provides a description of the interventions that were implemented.
Five research organizations partnered with lesbian, gay, bisexual, and transgender community organizations to implement healthy weight interventions addressing the needs of LB women 40 years and older. The interventions incorporated evidence-based recommendations related to physical activity and nutrition. Each group intervention developed site-specific primary objectives related to the overall goal of improving the health of LB women and included weight and waist circumference reduction as secondary objectives. A 57-item core health survey was administered across the five sites. At a minimum, each program obtained pre- and post-program assessments.
Each program included the OWH-required common elements of exercise, social support, and education on nutrition and physical activity, but adopted a unique approach to deliver intervention content.
This is the first time a multisite intervention has been conducted to promote healthy weight in older LB women. Core measurements across the HWLB programs will allow for pooled analyses, and differences in study design will permit analysis of site-specific elements. The documentation and analysis of the effectiveness of these five projects will provide guidance for model programs and future research on LB populations.
成年女同性恋者和双性恋女性比成年异性恋女性更易肥胖。为了通过采用文化上适宜的干预措施来解决老年女同性恋者和双性恋女性在体重及健康相关方面的差异问题，妇女健康办公室（OWH）为“女同性恋者和双性恋女性的健康体重（HWLB）：努力打造健康社区”项目提供了资金。本文介绍了所实施的干预措施。
五个研究机构与女同性恋、男同性恋、双性恋和跨性别社区组织合作，实施针对40岁及以上女同性恋者和双性恋女性需求的健康体重干预措施。这些干预措施纳入了与体育活动和营养相关的循证建议。每个小组干预都制定了与改善女同性恋者和双性恋女性健康这一总体目标相关的特定场所主要目标，并将体重减轻和腰围缩小作为次要目标。在五个场所进行了一项包含57个项目的核心健康调查。每个项目至少都进行了项目前和项目后的评估。
每个项目都包含了妇女健康办公室要求的运动、社会支持以及营养和体育活动教育等共同要素，但采用了独特的方式来提供干预内容。
这是首次针对老年女同性恋者和双性恋女性开展多场所干预以促进健康体重。“女同性恋者和双性恋女性的健康体重”项目的核心测量将允许进行汇总分析，而研究设计的差异将允许对特定场所要素进行分析。这五个项目有效性的记录和分析将为示范项目以及未来针对女同性恋者和双性恋人群的研究提供指导。
