title: The relationship between body esteem, exercise motivations, depression, and social support among female free clinic patients.
abstract: OBJECTIVE
  Obesity is a significant public health problem in women's health. This study examined relationship between body esteem, exercise motivations, depression, and social support among female free clinic patients. Low-income women who are at risk for obesity and other health concerns would benefit from health education efforts.
  
  
  METHODS
  We compared 299 female and 164 male free clinic patients 18 years or older using assessments for body esteem, motivation to exercise, depression, and social support.
  
  
  RESULTS
  Although female participants reported lower levels of body esteem and higher levels of depression compared with male participants (p < .01), female participants were more motivated to exercise for weight-related reasons than male participants (p < .05). U.S.-born female participants reported lower exercise motivations compared with non-U.S.-born female participants (p < .01). Social support might be an important factor to increase exercise motivation among female free clinic patients (p < .05); depression lowers levels of body esteem (p < .01).
  
  
  CONCLUSIONS
  The results of this study suggest that female free clinic patients should receive gender-specific interventions to promote positive body image and physical activity. It is important for health educators to engage a myriad of physical activity motives to increase the likelihood that clients will experience enjoyment and sustained adoption of exercise into their lifestyle. Future practice and research should warrant the implementation of body image and physical activity programs and the potential impact of using exercise to reducing depression among female patients at free clinics.
authors.affiliation: Department of Sociology, University of Utah, Salt Lake City, Utah. Electronic address: akiko.kamimura@utah.edu.
authors.forename: Akiko
authors.initials: A
authors.lastname: Kamimura
authors.affiliation: Maliheh Free Clinic, Salt Lake City, Utah.
authors.forename: Nancy
authors.initials: N
authors.lastname: Christensen
authors.affiliation: Department of Orthopedics at the University of Utah, Salt Lake City, Utah.
authors.forename: Sarah
authors.initials: S
authors.lastname: Al-Obaydi
authors.affiliation: Department of Education, Culture & Society, University of Utah, Salt Lake City, Utah.
authors.forename: Silvia Patricia
authors.initials: SP
authors.lastname: Solis
authors.affiliation: Maliheh Free Clinic, Salt Lake City, Utah.
authors.forename: Jeanie
authors.initials: J
authors.lastname: Ashby
authors.affiliation: Department of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah.
authors.forename: Jessica L J
authors.initials: JL
authors.lastname: Greenwood
authors.affiliation: College of Health and Human Services, University of North Carolina at Wilmington, Wilmington, North Carolina.
authors.forename: Justine J
authors.initials: JJ
authors.lastname: Reel
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D001828:Body Image / Q000523:psychology*; D055812:Community-Based Participatory Research; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data; D015444:Exercise / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009765:Obesity / Q000453:epidemiology* / Q000523:psychology; D012649:Self Concept; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D035862:Vulnerable Populations / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult