Simpson Courtney C, Boutté Rachel L, Burnette C Blair, Weinstock Madison, Goel Neha, Mazzeo Suzanne E
Department of Psychiatry, University of California, San Diego, CA, USA.
Department of Family and Preventive Medicine, Rush Medical College, Chicago, IL, USA.
J Eat Disord. 2023 Dec 20;11(1):232. doi: 10.1186/s40337-023-00950-5.
Both eating disorder (ED) prevention and weight management interventions often focus on the thin ideal. Yet, many Black and Latina women do not view thinness as their body ideal. This study used focus groups to investigate the influence of race, ethnicity, and culture on appearance ideals and inform the cultural adaptation and integration of two established programs addressing EDs and weight management: the Body Project, and Healthy Weight Interventions.
White (n = 10), Black (n = 14), and Latina (n = 6) women participated in racially and ethnically homogenous focus groups.
Thematic analysis identified several themes, including: (1) diverse beauty standards across groups, (2) lack of acknowledgement of racialized beauty standards in prevention and cultural appropriation, (3) culturally-specific impacts of standards, (4) harm of appearance-related comments, (5) limitations of available resources, (6) stigma/minimization of mental health, (7) barriers to inclusive programming, and (8) facilitators of inclusive programming.
Results suggested that current programs' emphasis on thinness limit their relevance for women of color, and perpetuate the misconception that EDs primarily affect White women. Findings highlight the need for culturally responsive prevention.
饮食失调（ED）预防和体重管理干预措施通常都聚焦于瘦理想。然而，许多黑人女性和拉丁裔女性并不将瘦视为她们的身体理想状态。本研究采用焦点小组来调查种族、族裔和文化对外表理想的影响，并为两项针对饮食失调和体重管理的既定项目（身体计划和健康体重干预）的文化适应与整合提供信息。
白人（n = 10）、黑人（n = 14）和拉丁裔（n = 6）女性参与了种族和族裔单一的焦点小组。
主题分析确定了几个主题，包括：（1）各群体之间不同的美丽标准，（2）预防中对种族化美丽标准的忽视以及文化挪用，（3）标准的文化特定影响，（4）与外表相关评论的危害，（5）可用资源的局限性，（6）心理健康的污名化/轻视，（7）包容性项目的障碍，以及（8）包容性项目的促进因素。
结果表明，当前项目对瘦的强调限制了它们对有色人种女性的相关性，并使饮食失调主要影响白人女性这一误解长期存在。研究结果凸显了文化响应性预防的必要性。
