Sheehan Lindsay, Sayer Janis, Siddiqi Mariyam, Qin Sang, Glover LaToya
Illinois Institute of Technology.
Advocates for Human Potential (United States).
J Hum Serv (Portland). 2023 Spring;42(1):5-21. doi: 10.52678/001c.74364. Epub 2023 Apr 14.
African Americans have a higher prevalence of obesity and obesity-related diseases than other racial/ethnic groups; among persons with serious mental illness (SMI), African Americans fare worse as well. This qualitative study focused on the perceptions of African Americans with SMI in regard to 1) their experiences with diet and exercise behaviors post trauma and 2) how diet and exercise programming can address trauma. A community-based participatory research (CBPR) team developed the interview guide, research protocols, and conducted three focus groups. The team used thematic analysis to analyze the data. Participant ( = 27) responses on the experience of trauma were coded into the following themes: 1) emotional eating, 2) appetite loss, 3) hesitancy to exercise due to community violence, 4) staying home due to mental health symptoms, and 5) substance use. Themes around how programming can address trauma included: 1) support, 2) communication, 3) strategies to avoid trauma, and 4) engagement in programming. Findings suggest the need for human service professionals to infuse trauma-informed communications and practices throughout programming, incorporate peer-led services and address concerns related to community violence.
非裔美国人比其他种族/族裔群体有更高的肥胖率和与肥胖相关的疾病；在患有严重精神疾病（SMI）的人群中，非裔美国人的情况也更糟。这项定性研究聚焦于患有严重精神疾病的非裔美国人对以下两方面的看法：1）他们在创伤后饮食和运动行为方面的经历，以及2）饮食和运动规划如何应对创伤。一个基于社区的参与性研究（CBPR）团队制定了访谈指南、研究方案，并开展了三个焦点小组。该团队使用主题分析法对数据进行分析。参与者（n = 27）关于创伤经历的回答被编码为以下主题：1）情绪化进食，2）食欲减退，3）因社区暴力而对运动犹豫不决，4）因心理健康症状而居家，以及5）物质使用。关于规划如何应对创伤的主题包括：1）支持，2）沟通，3）避免创伤的策略，以及4）参与规划。研究结果表明，人类服务专业人员需要在整个规划过程中融入创伤知情的沟通和实践，纳入同伴主导的服务，并解决与社区暴力相关的问题。
