title: Identifying Contextual and Emotional Factors to Explore Weight Disparities between Obese Black and White Women.
abstract: BACKGROUND
  Obese black women enrolled in weight loss interventions experience 50% less weight reduction than obese white women. This suggests that current weight loss strategies may increase health disparities.
  
  
  OBJECTIVE
  We evaluated the feasibility of identifying daily contextual factors that may influence obesity.
  
  
  METHODS
  In-home interviews with 16 obese (body mass index ≥ 30) black and white urban poor women were performed. For 14 days, ecological momentary assessment (EMA) was used to capture emotion and social interactions every other day, and day reconstruction method surveys were used the following day to reconstruct the context of the prior day's EMA.
  
  
  RESULTS
  Factors included percentage of participants without weight scales (43.8%) or fitness equipment (68.8%) in the home and exposed to food at work (55.6%). The most frequently reported location, activity, and emotion were home (19.4 ± 8.53), working (7.1 ± 8.80), and happy (6.9 ± 10.03), respectively.
  
  
  CONCLUSIONS
  Identifying individual contexts may lead to valuable insights about obesogenic behaviors and new interventions to improve weight management.
authors.affiliation: Research Scientist, Indiana University Center for Aging Research; Investigator, Regenstrief Institute, Inc.; Professor, School of Physical Education and Tourism Management.
authors.forename: NiCole R
authors.initials: NR
authors.lastname: Keith
authors.affiliation: Assistant Professor, Division of Biostatistics, Indiana University School of Medicine.
authors.forename: Huiping
authors.initials: H
authors.lastname: Xu
authors.affiliation: Associate Professor, Diabetes Translational Research Center, Indiana University School of Medicine.
authors.forename: Mary
authors.initials: M
authors.lastname: de Groot
authors.affiliation: Research Coordinator, Indiana University Center for Aging Research.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Hemmerlein
authors.affiliation: Research Scientist, Indiana University Center for Aging Research; Investigator, Regenstrief Institute, Inc.; Associate Professor, Division of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Daniel O
authors.initials: DO
authors.lastname: Clark
keywords: contextual factors; health disparities; obesity