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Participants had long histories of shame and fear surrounding weight loss attempts. Weight loss group participants needed cultural connectivity and a sense of safety and acceptance to address issues contributing to weight gain and in order to lose weight and maintain weight loss. Although more research is needed before implementation of a sexual minority women-specific weight loss program, these data are the basis for further exploration into the development of such a program.

Health is an abstract term used to describe the state of the human body, a mental state or the likelihood of longevity. Throughout history, many definitions have been provided by agencies and healthcare professionals. Although the meaning of health has a long and well-examined history, there remains a gap in the literature surrounding the meaning of health to specific populations of people. The purpose of this article is to present an analysis of the meaning of health from the perspective of lesbians and bisexual women. A content analysis was performed on the definition of health as reported by 189 sexual minority women. The conclusions from this study strongly suggest that health interventions for lesbian and bisexual women focus on what women want to achieve, rather than on what individual behavior should be.

An unsolicited, overarching theme was aging and its influence on the participants' perspectives on health and weight. Interventions should be tailored to the needs, goals, and community norms of LB women.

This study provides beginning information about the magnitude of the impact of organizational redesign on midlevel nurse managers. Midlevel managers in this study struggled to keep up with the demands of the change and their own recognition of the importance of remaining committed to the uncertain goals of the institution. They were frustrated by their perceived inability to fix the situation and to meet the multiple needs of the staff. Nonetheless, they supported senior executives and attempted reasonable solutions to the problem.