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Cancer Causes & Control

, Volume 17, Issue 1, pp 95–101 | Cite as

Attitudes Regarding Overweight, Exercise, and Health among Blacks (United States)

  • Gary G. Bennett
  • Kathleen Y. Wolin
  • Melody Goodman
  • Michelle Samplin-Salgado
  • Patricia Carter
  • Sarah Dutton
  • Retha Hill
  • Karen Emmons
Original Paper

Abstract

Objective To investigate Blacks’views regarding the connections among overweight, exercise, and health.

Methods A national randomized telephone survey of 986 US Blacks, conducted between 6 July 2004 and 15 July 2004.

Results The majority (65%) of respondents reported their weight as average or underweight. Most participants also reported being regularly physically active in the last month (84.5%). The majority of participants reported believing that it is possible to be overweight and healthy. Most acknowledged the connection between exercise and health, and just over half of respondents identified the association between overweight and cancer risk. There was little sociodemographic variation in responses, although findings differed by self-reported overweight and physical activity.

Conclusions Some Blacks may underestimate the extent of their overweight, perhaps resulting from the high prevalence of the condition in the population. Gaps exist in Blacks’ recognition of the connection between weight and health, although the importance of exercise for health promotion was widely acknowledged. These data may highlight an important target for intervention attention.

Keywords

Blacks/African Americans Body weight  Physical activity Risk reduction behavior 

Notes

Acknowledgements

We gratefully acknowledge the efforts of Sandy Askew and Jodi Anna Saia-Witte for their assistance with the preparation of this manuscript. This research was supported by Grant #5 P01 CA75308 from the National Institutes of Health and support to the Dana-Farber Cancer Institute by Liberty Mutual, National Grid, and the Patterson Fellowship Fund. G.G. Bennett is also supported by an award from the Dana-Farber/Harvard Cancer Center. K.Y. Wolin was supported, in part, by a National Cancer Institute training grant (5 T32 CA09001-28).

References

  1. 1.
    Vainio, HBF 2002IARC Handbooks of Cancer Prevention. Weight Control and Physical ActivityIARC PressLyon, FranceGoogle Scholar
  2. 2.
    Hedley, AA, Ogden, CL, Johnson, CL,  et al. 2004Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002JAMA29128472850PubMedCrossRefGoogle Scholar
  3. 3.
    Flegal, KM, Carroll, MD, Ogden, CL,  et al. 2002Prevalence and trends in obesity among US adults, 1999–2000JAMA28817231727PubMedCrossRefGoogle Scholar
  4. 4.
    Shankar, S, Nanda, JP, Bonney, G, Kofie, V 2000Obesity differences between African-American men and womenJ Natl Med Assoc922228PubMedGoogle Scholar
  5. 5.
    Clark, JM, Bone, LR, Stallings, R,  et al. 2001Obesity and approaches to weight in an urban African-American communityEthn Dis11676686PubMedGoogle Scholar
  6. 6.
    Basiotis, PP, Carlson, A, Gerrior, SA,  et al. 2004The Healthy Eating Index, 1999–2000: charting dietary patterns of AmericansFamily Econom Nutrit Rev163948Google Scholar
  7. 7.
    Variyam JN, Blaylock J, Smallwood D, et al. (1998) USDA’s Healthy Eating Index and Nutrition Information. U.S. Department of Agriculture.Google Scholar
  8. 8.
    U.S. Department of Health and Human Services1996Physical activity and health: a report of the Surgeon GeneralCenters for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health PromotionAtlanta, GAGoogle Scholar
  9. 9.
    Washburn, RA, Kline, G, Lackland, DT, Wheeler, FC 1992Leisure time physical activity: are there black/white differences?Prev Med21127135PubMedCrossRefGoogle Scholar
  10. 10.
    Caspersen, CJ, Merritt, RK 1995Physical activity trends among 26 states, 1986–1990Med Sci Sports Exerc27713720PubMedGoogle Scholar
  11. 11.
    Centers for Disease Control and Prevention (CDC) (2003) Behavioral Risk Factor Surveillance System Survey Data. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.Google Scholar
  12. 12.
    Kumanyika, S, Wilson, JF, Guilford-Davenport, M 1993Weight-related attitudes and behaviors of black womenJ Am Diet Assoc93416422PubMedCrossRefGoogle Scholar
  13. 13.
    Striegel-Moore, RH, Wilfley, DE, Caldwell, MB,  et al. 1996Weight-related attitudes and behaviors of women who diet to lose weight: a comparison of black dieters and white dietersObes Res4109116PubMedGoogle Scholar
  14. 14.
    Stevens, J, Kumanyika, SK, Keil, JE 1994Attitudes toward body size and dieting: differences between elderly black and white womenAm J Public Health8413221325PubMedGoogle Scholar
  15. 15.
    Smith, DE, Thompson, JK, Raczynski, JM,  et al. 1999Body image among men and women in a biracial cohort: the CARDIA StudyInt J Eat Disord257182PubMedCrossRefGoogle Scholar
  16. 16.
    Powell, AD, Kahn, AS 1995Racial differences in women’s desires to be thinInt J Eat Disord17191195PubMedGoogle Scholar
  17. 17.
    Altabe, M 1998Ethnicity and body image: quantitative and qualitative analysisInt J Eat Disord23153159PubMedCrossRefGoogle Scholar
  18. 18.
    Katz, ML, Gordon-Larsen, P, Bentley, ME,  et al. 2004“Does skinny mean healthy?” Perceived ideal, current, and healthy body sizes among African-American girls and their female caregiversEthn Dis14533541PubMedGoogle Scholar
  19. 19.
    Kennen, EM, Davis, TC, Huang, J,  et al. 2005Tipping the scales: the effect of literacy on obese patients’ knowledge and readiness to lose weightSouth Med J981518PubMedGoogle Scholar
  20. 20.
    Kish, L 1965Survey SamplingJohn WileyNew YorkGoogle Scholar
  21. 21.
    NHS Health Scotland (2003) Health Education Population Survey. Date Accessed: June 2004.Google Scholar
  22. 22.
    Burns, CM, Tijhuis, MA, Seidell, JC 2001The relationship between quality of life and perceived body weight and dieting history in Dutch men and womenInt J Obes Relat Metab Disord2513861392PubMedCrossRefGoogle Scholar
  23. 23.
    Anonymous (2004) Prevalence of no leisure-time physical activity – 35 States and the District of Columbia, 1988–2002. MMWR Morb Mortal Wkly Rep 53(4):82–86.Google Scholar
  24. 24.
    Villanueva, EV 2001The validity of self-reported weight in US adults: a population based cross-sectional studyBMC Public Health111PubMedCrossRefGoogle Scholar
  25. 25.
    Rowland, ML 1990Self-reported weight and heightAm J Clin Nutr5211251133PubMedGoogle Scholar
  26. 26.
    Kuchler, F, Variyam, JN 2003Mistakes were made: misperception as a barrier to reducing overweightInt J Obes Relat Metab Disord27856861PubMedCrossRefGoogle Scholar
  27. 27.
    Paeratakul, S, White, MA, Williamson, DA,  et al. 2002Sex, race/ethnicity, socioeconomic status, and BMI in relation to self- perception of overweightObes Res10345350PubMedGoogle Scholar
  28. 28.
    Jain, A, Sherman, SN, Chamberlin, LA,  et al. 2001Why don’t low-income mothers worry about their preschoolers being overweight?Pediatrics10711381146PubMedCrossRefGoogle Scholar
  29. 29.
    Calle, EE, Thun, MJ, Petrelli, JM,  et al. 1999Body–mass index and mortality in a prospective cohort of US adultsN Engl J Med34110971105PubMedCrossRefGoogle Scholar
  30. 30.
    Fontaine, KR, Redden, DT, Wang, C,  et al. 2003Years of life lost due to obesityJAMA289187193PubMedCrossRefGoogle Scholar
  31. 31.
    Stevens, J 2000Obesity and mortality in Africans-AmericansNutr Rev58346353PubMedGoogle Scholar
  32. 32.
    Wilcox, S, Richter, DL, Henderson, KA,  et al. 2002Perceptions of physical activity and personal barriers and enablers in African-American womenEthn Dis12353362PubMedGoogle Scholar
  33. 33.
    Belza, B, Walwick, J, Shiu-Thornton, S,  et al. 2004Older adult perspectives on physical activity and exercise: voices from multiple culturesPrev Chronic Dis1A09PubMedGoogle Scholar
  34. 34.
    Henderson, KA, Ainsworth, BE 2003A synthesis of perceptions about physical activity among older African-American and American Indian womenAm J Public Health93313317PubMedGoogle Scholar
  35. 35.
    Young, DR, Gittelsohn, J, Charleston, J,  et al. 2001Motivations for exercise and weight loss among African-American women: focus group results and their contribution towards program developmentEthn Health6227245PubMedGoogle Scholar
  36. 36.
    Ghafoor, A, Jemal, A, Cokkinides, V,  et al. 2002Cancer statistics for African-AmericansCA Cancer J Clin52326341PubMedGoogle Scholar
  37. 37.
    Ward, E, Jemal, A, Cokkinides, V,  et al. 2004Cancer disparities by race/ethnicity and socioeconomic statusCA Cancer J Clin547893PubMedGoogle Scholar
  38. 38.
    Schootman, M, Jeffe, D, Kinman, E,  et al. 2005Evaluating the utility and accuracy of a reverse telephone directory to identify the location of survey respondentsAnn Epidemiol15160166PubMedCrossRefGoogle Scholar
  39. 39.
    Brill, PA, Kohl, HW, Rogers, T,  et al. 1991The relationship between sociodemographic characteristics and recruitment, retention, and health improvements in a worksite health promotion programAm J Health Promot5215221PubMedGoogle Scholar
  40. 40.
    Kumanyika, SK, Obarzanek, E, Stevens, VJ,  et al. 1991Weight-loss experience of black and white participants in NHLBI-sponsored clinical trialsAm J Clin Nutr531631S1638SPubMedGoogle Scholar
  41. 41.
    Kumanyika, SK, Ewart, CK 1990Theoretical and baseline considerations for diet and weight control of diabetes among blacksDiabetes Care1311541162PubMedGoogle Scholar
  42. 42.
    Foster, GD, Wadden, TA, Swain, RM,  et al. 1999Changes in resting energy expenditure after weight loss in obese African American and white womenAm J Clin Nutr691317PubMedGoogle Scholar
  43. 43.
    Wing, RR, Anglin, K 1996Effectiveness of a behavioral weight control program for blacks and whites with NIDDMDiabetes Care19409413PubMedGoogle Scholar
  44. 44.
    McNabb, W, Quinn, M, Kerver, J,  et al. 1997The PATHWAYS church-based weight loss program for urban African-American women at risk for diabetesDiabetes Care2015181523PubMedGoogle Scholar
  45. 45.
    Kanders, BS, Ullmann-Joy, P, Foreyt, JP,  et al. 1994The black American lifestyle intervention (BALI): the design of a weight loss program for working-class African-American womenJ Am Diet Assoc94310312PubMedCrossRefGoogle Scholar
  46. 46.
    Agurs-Collins, TD, Kumanyika, SK, Ten Have, TR,  et al. 1997A randomized controlled trial of weight reduction and exercise for diabetes management in older African-American subjectsDiabetes Care2015031511PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Gary G. Bennett
    • 1
    • 2
  • Kathleen Y. Wolin
    • 3
  • Melody Goodman
    • 4
  • Michelle Samplin-Salgado
    • 5
  • Patricia Carter
    • 6
  • Sarah Dutton
    • 7
  • Retha Hill
    • 8
  • Karen Emmons
    • 1
    • 2
  1. 1.Department of Society, Human Development and HealthHarvard School of Public HealthBostonUSA
  2. 2.Center for Community-Based ResearchDana-Farber Cancer InstituteBostonUSA
  3. 3.Department of Preventive Medicine, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  4. 4.Department of BiostatisticsHarvard School of Public HealthBostonUSA
  5. 5.Harvard Center for Cancer PreventionBostonUSA
  6. 6.Harvard Center for Society and HealthBostonUSA
  7. 7.CBS News PollNew YorkUSA
  8. 8.Black Entertainment TelevisionWashingtonUSA

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