<p>Interventions addressing racial and ethnic obesity inequities have lower effectiveness in Black adults. Previous literature linking the neighborhood environment to obesity inequities relies on limited food environment measures. Thus, we conducted semi-structured interviews to assess neighborhood-level barriers and facilitators to health behaviors among ethnically diverse Black adults (n = 24). Interviews were analyzed using thematic analysis (kappa = 0.70- 0.93; IRR = 83%). Participants reported barriers in the food (cost, transportation, high unhealthy food access) and physical activity environment (safety concerns). Facilitators included community food resources and access to safe areas for physical activity. These results may inform future research and weight loss programs for diverse Black adults.</p>

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Perceived Neighborhood-level Assets and Barriers to Weight-related Behaviors among Ethnically Diverse Black Adults

  • Rachel Anderson,
  • Kate Killion,
  • Christie I. Idiong,
  • Curtis Antrum,
  • Summaya Abdul-Razak,
  • Sajal Raja,
  • Kritee Niroula,
  • Snehaa Ray,
  • Michael Puglisi,
  • Jolaade Kalinowski,
  • Loneke T. Blackman Carr,
  • Kristen Cooksey Stowers

摘要

Interventions addressing racial and ethnic obesity inequities have lower effectiveness in Black adults. Previous literature linking the neighborhood environment to obesity inequities relies on limited food environment measures. Thus, we conducted semi-structured interviews to assess neighborhood-level barriers and facilitators to health behaviors among ethnically diverse Black adults (n = 24). Interviews were analyzed using thematic analysis (kappa = 0.70- 0.93; IRR = 83%). Participants reported barriers in the food (cost, transportation, high unhealthy food access) and physical activity environment (safety concerns). Facilitators included community food resources and access to safe areas for physical activity. These results may inform future research and weight loss programs for diverse Black adults.