title: Higher Motivation for Weight Loss in African American than Caucasian Rural Patients with Hypertension and/or Diabetes.
abstract: OBJECTIVE
  To examine the relationship between race/ethnicity and motivation for weight loss and motivation for exercise among patients with chronic disease.
  
  
  METHODS
  Cross-sectional.
  
  
  METHODS
  Our study took place within a network of federally qualified health centers (FQHCs) in the rural southern United States.
  
  
  METHODS
  463 active FQHC patients with diabetes and/or hypertension identifying as African American, White Hispanic, or non-Hispanic White participated in our study.
  
  
  METHODS
  Primary outcomes were assessed using standardized measures of motivation for a) weight loss; and b) hypertension per the Transtheoretical Model.
  
  
  RESULTS
  Multivariate logistic regression revealed that, when controlling for age, sex, education status, employment status, poverty, comorbidity, and weight status, there were no significant differences in motivation for exercise among the different racial/ethnic groups (P=.361). However, when controlling for the same factors, there was a significant difference in motivation for weight loss, with African American participants more than twice as likely as non-Hispanic White participants to be motivated to lose weight (ORADJ = 2.430, P=.002).
  
  
  CONCLUSIONS
  Our study suggests that, among rural patients with obesity-related chronic disease, there is a significant variation in motivation to lose weight between racial/ethnic groups. This underscores the importance of culturally tailoring interventions and in considering motivation for change when promoting weight loss behaviors. Additional implications for intervention development and delivery are discussed.
authors: Mercer University School of Medicine, Center for Rural Health and Health Disparities.
authors: Jacob
authors: J
authors: Warren
authors: Georgia Southern University, Rural Health Research Institute.
authors: Bryant
authors: B
authors: Smalley
authors: Georgia Southern University, Rural Health Research Institute.
authors: Nikki
authors: N
authors: Barefoot
mesh_terms: D001741:Black or African American; D001835:Body Weight; D002908:Chronic Disease; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000208:ethnology; D005006:Ethnicity; D015444:Exercise; D006630:Hispanic or Latino; D006801:Humans; D006973:Hypertension / Q000208:ethnology; D016015:Logistic Models; D009042:Motivation; D009765:Obesity / Q000208:ethnology; D044469:Racial Groups; D012424:Rural Population; D014481:United States; D015431:Weight Loss / Q000208:ethnology*; D044465:White People / Q000523:psychology*
keywords: African American; Ethnicity; Exercise; Hispanic; Motivation; Obesity; Race; Rural; Weight Loss