Strategies for Achieving Healthy Energy Balance Among African Americans in the Mississippi Delta

IntroductionLow-income African Americans who live in rural areas of the Deep South are particularly vulnerable to diseases associated with unhealthy energy imbalance. The Centers for Disease Control and Prevention (CDC) has suggested various physical activity strategies to achieve healthy energy bal...

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Main Authors: Groesbeck P. Parham, MD, Isabel C. Scarinci, PhD
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2007-10-01
Series:Preventing Chronic Disease
Subjects:
Online Access:http://www.cdc.gov/pcd/issues/2007/oct/07_0076.htm
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author Groesbeck P. Parham, MD
Isabel C. Scarinci, PhD
author_facet Groesbeck P. Parham, MD
Isabel C. Scarinci, PhD
author_sort Groesbeck P. Parham, MD
collection DOAJ
description IntroductionLow-income African Americans who live in rural areas of the Deep South are particularly vulnerable to diseases associated with unhealthy energy imbalance. The Centers for Disease Control and Prevention (CDC) has suggested various physical activity strategies to achieve healthy energy balance. Our objective was to conduct formal, open-ended discussions with low-income African Americans in the Mississippi Delta to determine 1) their dietary habits and physical activity levels, 2) their attitudes toward CDC’s suggested physical activity strategies, and 3) their suggestions on how to achieve CDC’s strategies within their own environment. MethodsA qualitative method (focus groups) was used to conduct the study during 2005. Prestudy meetings were held with African American lay health workers to formulate a focus group topic guide, establish inclusion criteria for focus group participants, select meeting sites and times, and determine group segmentation guidelines. Focus groups were divided into two phases.ResultsAll discussions and focus group meetings were held in community centers within African American neighborhoods in the Mississippi Delta and were led by trained African American moderators. Phase I focus groups identified the following themes: overeating, low self-esteem, low income, lack of physical exercise, unhealthy methods of food preparation, a poor working definition of healthy energy balance, and superficial knowledge of strategies for achieving healthy energy balance. Phase 2 focus groups identified a preference for social support-based strategies for increasing physical activity levels. ConclusionEnergy balance strategies targeting low-income, rural African Americans in the Deep South may be more effective if they emphasize social interaction at the community and family levels and incorporate the concept of community volunteerism.
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spelling doaj.art-ae084b05ac174c969423f2eada35fa932023-10-02T05:53:49ZengCenters for Disease Control and PreventionPreventing Chronic Disease1545-11512007-10-0144Strategies for Achieving Healthy Energy Balance Among African Americans in the Mississippi DeltaGroesbeck P. Parham, MDIsabel C. Scarinci, PhDIntroductionLow-income African Americans who live in rural areas of the Deep South are particularly vulnerable to diseases associated with unhealthy energy imbalance. The Centers for Disease Control and Prevention (CDC) has suggested various physical activity strategies to achieve healthy energy balance. Our objective was to conduct formal, open-ended discussions with low-income African Americans in the Mississippi Delta to determine 1) their dietary habits and physical activity levels, 2) their attitudes toward CDC’s suggested physical activity strategies, and 3) their suggestions on how to achieve CDC’s strategies within their own environment. MethodsA qualitative method (focus groups) was used to conduct the study during 2005. Prestudy meetings were held with African American lay health workers to formulate a focus group topic guide, establish inclusion criteria for focus group participants, select meeting sites and times, and determine group segmentation guidelines. Focus groups were divided into two phases.ResultsAll discussions and focus group meetings were held in community centers within African American neighborhoods in the Mississippi Delta and were led by trained African American moderators. Phase I focus groups identified the following themes: overeating, low self-esteem, low income, lack of physical exercise, unhealthy methods of food preparation, a poor working definition of healthy energy balance, and superficial knowledge of strategies for achieving healthy energy balance. Phase 2 focus groups identified a preference for social support-based strategies for increasing physical activity levels. ConclusionEnergy balance strategies targeting low-income, rural African Americans in the Deep South may be more effective if they emphasize social interaction at the community and family levels and incorporate the concept of community volunteerism.http://www.cdc.gov/pcd/issues/2007/oct/07_0076.htmhealthy energy ballanceAfrican American healthMississippi
spellingShingle Groesbeck P. Parham, MD
Isabel C. Scarinci, PhD
Strategies for Achieving Healthy Energy Balance Among African Americans in the Mississippi Delta
Preventing Chronic Disease
healthy energy ballance
African American health
Mississippi
title Strategies for Achieving Healthy Energy Balance Among African Americans in the Mississippi Delta
title_full Strategies for Achieving Healthy Energy Balance Among African Americans in the Mississippi Delta
title_fullStr Strategies for Achieving Healthy Energy Balance Among African Americans in the Mississippi Delta
title_full_unstemmed Strategies for Achieving Healthy Energy Balance Among African Americans in the Mississippi Delta
title_short Strategies for Achieving Healthy Energy Balance Among African Americans in the Mississippi Delta
title_sort strategies for achieving healthy energy balance among african americans in the mississippi delta
topic healthy energy ballance
African American health
Mississippi
url http://www.cdc.gov/pcd/issues/2007/oct/07_0076.htm
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