Johns Hopkins School of Medicine, 733 North Broadway, Baltimore, MD, USA.
Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe, Baltimore, MD, USA.
J Natl Med Assoc. 2017;109(2):79-85. doi: 10.1016/j.jnma.2017.01.006. Epub 2017 Feb 28.
African American adults achieve smaller amounts of weight loss than their white counterparts when exposed to the same intervention and are more likely to regain weight during long-term follow-up.
To identify perceived motivators, barriers, and facilitators to weight loss and behavior change among African American adults.
Two focus groups were conducted between April and May 2015 at an urban community health center in Baltimore City, Maryland. A total of 13 participants took part in the discussions. Eligible participants were obese (BMI 30+) African American adults aged 21-70 who had at least one obesity-related comorbidity. Discussion questions were designed to identify the personal, social, and environmental factors that influence weight loss and behavior change among urban minority populations.
Statements were first classified as a motivator, barrier, or facilitator, then divided further as a personal, social, or environmental factor influencing weight loss and behavior change. Among the findings, several novel motivators (reducing or eliminating medication, improving physical intimacy) and barriers (personal transportation, lack of access to scales) emerged that were not previously characterized in the existing literature.
This study was intended to provide preliminary evidence that may be used to guide the development of innovative and culturally relevant weight-loss interventions in the future. Results are applicable to similar urban minority populations.
与接受相同干预的白人成年人相比，非裔美国成年人的体重减轻量较少，并且在长期随访期间更有可能体重反弹。
确定非裔美国成年人在减肥和行为改变方面的感知动机、障碍和促进因素。
2015 年 4 月至 5 月期间，在马里兰州巴尔的摩市的一家城市社区健康中心进行了两次焦点小组讨论。共有 13 名参与者参加了讨论。符合条件的参与者是肥胖（BMI 30+）的非裔美国成年人，年龄在 21-70 岁之间，至少有一种肥胖相关的合并症。讨论问题旨在确定影响城市少数族裔减肥和行为改变的个人、社会和环境因素。
首先将陈述分类为动机、障碍或促进因素，然后进一步分为影响减肥和行为改变的个人、社会或环境因素。在研究结果中，出现了一些新的动机（减少或消除药物治疗、改善身体亲密关系）和障碍（个人交通、缺乏秤的使用），这些在现有文献中没有被描述过。
本研究旨在提供初步证据，可能用于指导未来创新和文化相关的减肥干预措施的制定。研究结果适用于类似的城市少数族裔群体。
