title: Clinical implications of body image among rural African-American women.
abstract: OBJECTIVE
  To increase understanding of body image among rural, African-American women through open-ended interviews.
  
  
  METHODS
  Individuals' perceptions of body image were investigated using open-ended, in-depth interviews that were tape-recorded, transcribed, and analyzed to identify common themes and to compare thematic data across three body mass index categories (obese, overweight, and normal).
  
  
  METHODS
  University-affiliated rural community health center.
  
  
  METHODS
  Twenty-four African-American women, aged 21 to 47 years.
  
  
  RESULTS
  Respondents reported the following common themes: dissatisfaction with current weight; fluctuating levels of dissatisfaction (including periods of satisfaction); family and social pressure to be self-accepting; and social and physical barriers to weight loss. The interviews revealed ambivalence and conflicts with regard to body image and weight. Among these women, there was strong cultural pressure to be self-accepting of their physical shape, to "be happy with what God gave you," and to make the most of their appearance.
  
  
  CONCLUSIONS
  The pressure to be self-accepting often conflicted with these obese women's dissatisfaction with their own appearance and weight. Although the respondents believed they could lose weight "if [they] put [their] mind to it," those women wanting to lose weight found that they lacked the necessary social support and resources to do so. The conflicts stemming from social pressures and their own ambivalence may result in additional barriers to the prevention of obesity, and an understanding of these issues can help health care providers better address the needs of their patients.
authors.affiliation: Office of Medical Education, University of Virginia Health Sciences Center, Charlottesville, VA 22908, USA.
authors.forename: N
authors.initials: N
authors.lastname: Baturka
authors.forename: P P
authors.initials: PP
authors.lastname: Hornsby
authors.forename: J B
authors.initials: JB
authors.lastname: Schorling
mesh_terms: D000328:Adult; D001741:Black or African American; D001828:Body Image; D003469:Culture; D015444:Exercise; D005260:Female; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000517:prevention & control; D012424:Rural Population; D014768:Virginia