BackgroundObesity prevalence is higher among African American adolescent (AAA) girls than among non-black girls. Lower levels of physical activity (PA) likely contribute to this disparity; this may be impacted by hairstyle concerns.MethodsIn 2011, focus groups were conducted with AAA girls 14-17 years old (n = 36) in Michigan (n = 9), California (n = 11), and Georgia (n = 16). Groups addressed perceptions of hairstyles, exercise, and relationships between the two. Groups were recorded, transcripts reviewed, and themes identified. Adolescents completed a standardized ethnic identity (EI) measure and a survey addressing demographics and PA. Linear regression was used to examine associations between self-reported activity and participants’ characteristics.ResultsFour themes emerged: 1) between ages 8 and 15, when concerns about hairstyles began, participants changed from “juvenile” (natural) styles to “adult” (straightened) styles; 2) participants avoided getting wet or sweating during exercise because their straightened hair became “nappy;” 3) braids with extensions and natural styles were viewed as better for exercise but not very attractive; 4) participants almost universally selected long, straight hairstyles as most attractive. In Michigan and California, EI was positively associated with levels of PA (p < 0.05) and overall having extensions was also positively associated with levels of PA.ConclusionsA preference for straight hair may contribute to AAA girls avoiding certain activities due to concerns about sweat affecting their hair. Furthermore, EI and hairstyle choice appear to be associated with levels of PA for some participants. Efforts to increase AAA girls’ PA may benefit from approaches that address hairstyle choices and EI.
Background: Childhood obesity has become a public health priority in the U.S. and is linked to a number of significant comorbidities including asthma, sleep apnea and depression. In addition, there is an increase in social isolation and peer victimization. Purpose: the purpose of this study was to explore Professional School Counselors (PSC) perceptions of the role they play in childhood obesity. Specifically, some of the barriers and facilitators that influence PSCs' participation in the fight against childhood obesity were examined. Methods: An electronic survey was completed by 1088 (eight percent response rate) practicing K-12 school counselors nationwide. Results: About two-thirds of the professional school counselors in this study reported that working with students who present with obesity-related issues was part of their role and function. Another 81.3% stated that among three major barriers, lack of time was the most significant factor that prevented PSCs from working with students with obesity related issues. On the other hand, 90% of the PSCs in this study stated that they would be more involved in prevention/treatment of obesity related issues if they received more requests from parents, teachers and students with obesity related issues. Discussion: Childhood obesity continues to plague our nation's children with consequences that extend well beyond the physical health of the student. Its impact is seen and felt in the thousands of classrooms across the U.S. The fight to eradicate childhood obesity can be broadened to include a well-trained and underutilized resource in the schools-professional school counselors. School counselors in this study suggested that given the opportunity and the resources they would become more engaged in the fight against childhood obesity. Translation to Health Education Practice: The findings of this study have implications for medical and health education practitioners in that they have additional allies in a setting where children and adolescents spend most of their day. PSCs are well-trained, uniquely positioned stakeholders who are willing and capable of collaborating with parents, students, medical personnel, and public health officials and workers.
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