The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
University of Michigan, Ann Arbor, MI, USA.
Health Educ Behav. 2023 Feb;50(1):97-106. doi: 10.1177/10901981221129182. Epub 2022 Oct 15.
Black men and women have the highest rates of obesity in the United States. Behavioral weight loss programs incorporating intimate partners may be effective in combating obesity among this population. Yet, current participation in these programs is low. Identifying motivations and triggers to weight loss may provide insight in designing programs to increase participation.
To determine triggers and motivations for weight loss among Black men and women in committed relationships to inform development of weight loss interventions.
Twenty semi-structured interviews, based on an integrated theoretical framework of interdependence and communal coping and the social cognitive theory, were conducted among Black heterosexual couples where one or both individuals intentionally lost ≥5% of their body weight in the last 6 months in a metropolitan region in a southern state. Interviews were transcribed and coded. Themes were identified following multi-rater coding and direct and conventional content analysis. Recommendations were developed from emergent themes.
Among individuals with recent weight loss, personal relevancy and awareness (health awareness and self-awareness) were identified as personal triggers for weight loss initiation. Health concerns and appearance were general motivations among the total sample.
Emphasizing the impact of weight on daily functioning and quality of life, and increasing awareness of personal weight status and health consequences, may increase weight loss initiation and participation in weight loss programs among Black men and women in committed relationships. Findings also highlight strategies to improve recruitment and retention and guide intervention development and implementation for this population.
在美国，黑人和女性的肥胖率最高。将亲密伴侣纳入行为减肥计划可能有助于对抗这一人群的肥胖问题。然而，目前这些计划的参与度很低。确定减肥的动机和触发因素可能有助于设计提高参与度的计划。
确定有伴侣的黑人群体中减肥的动机和触发因素，为减肥干预措施的制定提供信息。
在南部一个州的大都市区，对 20 对黑人异性伴侣进行了 20 次半结构化访谈，这些伴侣中的一方或双方在过去 6 个月内有意减掉了≥5%的体重。访谈内容被转录并进行编码。通过多位编码员的编码和直接及常规内容分析，确定了主题。根据新出现的主题提出了建议。
在最近减肥的个体中，个人相关性和意识（健康意识和自我意识）被确定为减肥启动的个人触发因素。健康问题和外表是整个样本的一般动机。
强调体重对日常生活功能和生活质量的影响，提高个人体重状况和健康后果的意识，可能会增加有伴侣的黑人群体减肥的启动和参与减肥计划的意愿。研究结果还强调了改善该人群的招募和保留率的策略，并为该人群的干预措施的开发和实施提供了指导。
