Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Now showing 1 - 5 of 5
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    Social Influences on Self-Reported Physical Activity in Overweight Latino Children
    (2008) Gesell, S. B.; Reynolds, E. B.; Ip, E. H.; Fenlason, L. C.; Pont, S. J.; Poe, E. K.; Barkin, S. L.
    Abstract available at publisher's web site.
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    Accuracy of Perception of Body Size Among Overweight Latino Preadolescents After a 6-Month Physical Activity Skills Building Intervention
    (2010) Gesell, S. B.; Scott, T. A.; Barkin, S. L.
    Abstact available at the publsiher's web site.
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    Ethnic and Gender Disparities in Adolescent Obesity and Elevated Systolic Blood Pressure in a Rural US Population
    (2010) Rodriguez, R.; Mowrer, J.; Romo, J.; Aleman, A.; Weffer, S. E.; Ortiz, R. M.
    Abstract available at publisher's web site.
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    A systematic review of fast food access studies
    (2010) Fleischhacker, S. E.; Evenson, K. R.; Rodriguez, D. A.; Ammerman, A. S.
    The frequent consumption of energy-dense fast food is associated with increased body mass index. This systematic review aims to examine the methodology and current evidence on fast food access and its associations with outcomes. Six databases were searched using terms relating to fast food. Only peer-reviewed studies published in English during a 10-year period, with data collection and analysis regarding fast food access were included. Forty articles met the aforementioned criteria. Nearly half of the studies (n = 16) used their own set of features to define fast food. Studies predominantly examined the relationship between fast food access and socioeconomic factors (n = 21) and 76% indicated fast food restaurants were more prevalent in low-income areas compared with middle- to higher-income areas. Ten of 12 studies found fast food restaurants were more prevalent in areas with higher concentrations of ethnic minority groups in comparison with Caucasians. Six adult studies found higher body mass index was associated with living in areas with increased exposure to fast food; four studies, however, did not find associations. Further work is needed to understand if and how fast food access impacts dietary intake and health outcomes; and if fast food access has disparate socioeconomic, race/ethnicity and age associations.
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    Obese African-American Women’s Perspectives on Weight Loss and Bariatric Surgery
    (2007) Lynch, Cheryl Sterling; Chang, Judy C.; Ford, Angela F.; Ibrahim, Said A.
    BACKGROUND: African-American (AA) women have higher rates of obesity and obesity-related diseases but are less likely than other women to undergo bariatric surgery or have success with conventional weight loss methods. OBJECTIVE: To explore obese AA women’s perceptions regarding barriers to weight loss and bariatric surgery. DESIGN: Focus groups to stimulate interactive dialogueabout beliefs and attitudes concerning weight management. PARTICIPANTS AND APPROACH: We partnered with acommunity organization to recruit women who were AA, were ≥18 years old, and had a body mass index (BMI) of ≥30 kg/m2. We audiotaped the 90-minute focus groups and used content analysis for generating and coding recurring themes. RESULTS: In our sample of 41 participants, the mean age was 48.8 years and mean BMI was 36.3. Most participants were unmarried, had some postsecondary education, and reported good or fair health. About 85% knew someone who had undergone bariatric surgery. Qualitative analysis of 6 focus group sessions revealed that the most common barriers to weight loss were lack of time and access to resources; issues regarding selfcontrol and extrinsic control; and identification with a larger body size. Common barriers to bariatric surgery were fears and concerns about treatment effects and perceptions that surgery was too extreme or was a method of last resort. CONCLUSIONS: Only through the elimination of barriers can AA women receive the care needed to eliminate excess weight and prevent obesity-related morbidity and mortality.