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黑人女性在新兴成年期的健康认知:与健康尺寸视角的一致性。

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

机构信息

School of Social Work, University of Maryland, Baltimore, MD.

Department of Family Medicine, School of Medicine, University of California Irvine, Irvine, CA.

出版信息

J Nutr Educ Behav. 2022 Oct;54(10):916-924. doi: 10.1016/j.jneb.2022.07.004. Epub 2022 Aug 30.

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.

摘要

目的

探讨成年早期黑人女性的健康观念,以及这些观念在何种程度上符合核心健康体质量范围(Health at Every Size,HAES)原则。

设计

对成年早期黑人女性进行半结构式访谈。数据于 2018 年 6 月至 7 月期间收集,作为一项更大规模混合方法研究的一部分。

地点

南加州。

参与者

通过便利抽样和应答者驱动抽样相结合的方式,招募了 41 名年龄在 18-24 岁之间的黑人女性。

感兴趣的现象

年轻黑人女性的健康观念以及与核心 HAES 原则的一致性。

分析

采用归纳主题分析的原则对数据进行分析。在分析之后,根据 HAES 框架进一步解释数据。

结果

参与者的观点产生了 3 个主要主题:(1)健康是多维度的,(2)健康意味着照顾好自己,(3)系统和环境差异影响黑人女性的健康。这些主题反映了 HAES 原则中的 3 个原则,即健康促进、体重包容性和为健康而进食。

结论和意义

研究结果初步支持将 HAES 原则和观念与成年早期黑人女性的健康联系起来。在努力改善这一年龄段人群的健康结果时,优先考虑整体健康、关注个体健康需求以及获取所需信息和资源,可能是有希望的。

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