A key aspect for researchers to consider when developing culturally
appropriate physical activity (PA) interventions for African American (AA) women
are the specific barriers AA women face that limit their participation in PA.
Identification and critical examination of these barriers is the first step in
developing comprehensive culturally relevant approaches to promote PA and help
resolve PA-related health disparities in this underserved population. We
conducted a systematic integrative literature review to identify barriers to PA
among AA women. Five electronic databases were searched, and 42 studies (27
qualitative, 14, quantitative, 1 mixed method) published since 1990 (Range
1998–2013) in English language journals met inclusion criteria for
review. Barriers were classified as intrapersonal, interpersonal, or
environment/community according to their respective level of influence within
our social ecological framework. Intrapersonal barriers included: lack of time,
knowledge, and motivation; physical appearance concerns; health concerns;
monetary cost of exercise facilities; and tiredness/fatigue. Interpersonal
barriers included: family/caregiving responsibilities; lack of social support;
and lack of a PA partner. Environmental barriers included: safety concerns; lack
of facilities; weather concerns; lack of sidewalks; and lack of physically
active AA role models. Results provide key leverage points for researchers to
consider when developing culturally relevant PA interventions for AA women.