Women Weigh In: Obese African American and White Women's Perspectives on Physicians' Roles in Weight Management
Autor: | Asia Friedman, Monica Chugh, Jeanne M. Ferrante, Lynn Clemow |
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Rok vydání: | 2013 |
Předmět: |
Adult
Pride media_common.quotation_subject Article White People Grounded theory Weight loss Weight Loss Weight management Humans Medicine Obesity Physician's Role Qualitative Research Aged media_common Motivation Physician-Patient Relations Narration New Jersey Primary Health Care business.industry Public Health Environmental and Occupational Health Patient Preference Middle Aged medicine.disease Black or African American Feeling Weight stigma Female medicine.symptom Family Practice business Qualitative research Clinical psychology |
Zdroj: | The Journal of the American Board of Family Medicine. 26:421-428 |
ISSN: | 1558-7118 1557-2625 |
DOI: | 10.3122/jabfm.2013.04.120350 |
Popis: | Background: There is little qualitative research on the type of weight loss counseling patients prefer from their physicians and whether preferences differ by race. Methods: This qualitative study used semistructured, in-depth interviews of 33 moderately to severely obese white and African American women to elucidate and compare their perceptions regarding their primary care physician9s approach to weight loss counseling. Data were analyzed using a grounded theory approach and a series of immersion/crystallization cycles. Results: White and African American women seemed to internalize weight stigma differently. African American participants spoke about their pride and positive body image, whereas white women more frequently expressed self-deprecation and feelings of depression. Despite these differences, both groups of women desired similar physician interactions and weight management counseling, including (1) giving specific weight loss advice and individualized plans for weight management; (2) addressing weight in an empathetic, compassionate, nonjudgmental, and respectful manner; and (3) providing encouragement to foster self-motivation for weight loss. Conclusion: While both African American and white women desired specific strategies from physicians in weight management, some white women may first need assistance in overcoming their stigma, depression, and low self-esteem before attempting weight loss. |
Databáze: | OpenAIRE |
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