Healthy Weight in Lesbian and Bisexual Women Aged 40 and Older: An Effective Intervention in 10 Cities Using Tailored Approaches

Autor: Jane A. McElroy, Michele J. Eliason, Susan F. Wood, Tess Gilbert, Linda Toms Barker, Suzanne G. Haynes, Alexandra M. Minnis
Rok vydání: 2016
Předmět:
Adult
medicine.medical_specialty
Health (social science)
Nutrition Education
Health Behavior
Population
Psychological intervention
Health Promotion
Overweight
Sexual and Gender Minorities
03 medical and health sciences
Social support
0302 clinical medicine
Quality of life
Surveys and Questionnaires
Outcome Assessment
Health Care
Maternity and Midwifery
medicine
Humans
Obesity
030212 general & internal medicine
education
Exercise
Life Style
education.field_of_study
030505 public health
Body Weight
Public Health
Environmental and Occupational Health
Homosexuality
Female
Social Support
Obstetrics and Gynecology
Middle Aged
United States
Relative risk
Pedometer
Quality of Life
Physical therapy
Bisexuality
Women's Health
Female
medicine.symptom
0305 other medical science
Psychology
Program Evaluation
Demography
Zdroj: Women's Health Issues. 26:S18-S35
ISSN: 1049-3867
Popis: Background Lesbian and bisexual women are more likely to be overweight or obese than heterosexual women, leading to increased weight-related health risks. Methods Overweight women aged 40 or older who self-identified as lesbian, bisexual, or "something else" participated in five pilot interventions of 12 or 16 weeks' duration. These tailored interventions took place at lesbian and bisexual community partner locations and incorporated weekly group meetings, nutrition education, and physical activity. Three sites had non-intervention comparison groups. Standardized questionnaires assessed consumption of fruits and vegetables, sugar-sweetened beverages, alcohol, physical activity, and quality of life. Weight and waist-to-height ratio were obtained through direct measurement or self-report. Analytical Plan Within-person changes from pre-intervention to post-intervention were measured using paired comparisons. Participant characteristics that influenced the achievement of nine health objectives were analyzed. Achievement of health objectives across three program components (mindfulness approach, gym membership, and pedometer use) was compared with the comparison group using generalized linear models. Results Of the 266 intervention participants, 95% achieved at least one of the health objectives, with 58% achieving three or more. Participants in the pedometer ( n = 43) and mindfulness ( n = 160) programs were more likely to increase total physical activity minutes (relative risk [RR], 1.67; 95% confidence interval [CI], 1.18–2.36; p = .004; RR, 1.38; 95% CI, 1.01–1.89; p = .042, respectively) and those in the gym program ( n = 63) were more likely to decrease their waist-to-height ratio (RR, 1.89; 95% CI, 0.97–3.68, p = .06) compared with the comparison group ( n = 67). Conclusion This effective multisite intervention improved several healthy behaviors in lesbian and bisexual women and showed that tailored approaches can work for this population.
Databáze: OpenAIRE
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