Health literacy issues surrounding weight management among African American women: a mixed methods study

James, Delores C.S.; Harville, Cedric; Efunbumi, Orisatalabi; Martin, Michelle Y.

doi:10.1111/jhn.12239

Cited by 30 publications

(29 citation statements)

References 24 publications

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“…In 17 out of 22 studies reviewed, low HL was significantly associated with increased body mass index, overweight and obesity (4,5,(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32). However, quite a few studies failed to support the above finding.…”

Section: Low Health Literacy and Excess Body Weightmentioning

confidence: 98%

Low health literacy and excess body weight: a systematic review

Michou

Panagiotakos

Costarelli

2018

Cent Eur J Public Health

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Objective: There is recent evidence that poor health literacy (HL) could be implicated in the aetiology of obesity and could be an important reason behind obese people's inability to encounter difficulties in overcoming obesity issues. The current study reviews the recent scientific evidence investigating the possible link between poor HL levels and excess body weight in adults and children. Methods: The authors performed a thorough systematic computer-assisted literature search from 1 January 2005 up to 31 May 2017. Only English original studies in healthy people, investigating the relationship between HL and excess body weight, were included. Results: Twenty-two studies in total were included in this literature review, 17 studies were conducted in adults and 5 in children. In 17 out of 22 studies reviewed, low HL was significantly associated with increased body mass index, overweight and obesity. In case of children and adolescents, the above association seems to be more consistent compared to adults. Conclusion: There is good evidence that low levels of HL are associated with excess body weight, particularly in children. Initiatives to improve health literacy levels could be a useful tool in the management of the obesity epidemic.

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Section: Low Health Literacy and Excess Body Weightmentioning

confidence: 98%

Low health literacy and excess body weight: a systematic review

Michou

Panagiotakos

Costarelli

2018

Cent Eur J Public Health

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“…Health literacy is the ability to meet knowledge-based literacy needs (obtaining, understanding, and using health knowledge) based on literacy skills (reading and writing), which is necessary to take decisions about health (Nutbeam, 2017). Health literacy implies the ability to use the Internet, to read brochures about health, to calculate medicine doses, to understand, and to comply with verbal and written health care instructions (James, Harville, Efunbumi, & Martin, 2015;Messadi, Macek, Markovic, & Atchison, 2018;Seib et al, 2018;Tsai, Lee, & Yu, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Health behaviours of women affect the health conditions of family members significantly (Yuen et al, 2018). Women with high health literacy promote health by behaviours such as checking food expiration dates and following up physical changes more frequently (Hepburn, 2018;James et al, 2015;Messadi et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

A healthy lifestyle education programme for health literacy and health‐promoting behaviours: A pre‐implementation and post‐implementation study

Ayaz‐Alkaya

Terzi

Işık

et al. 2019

Int J of Nursing Practice

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Aim The aim of this study was to determine whether implementation of a healthy lifestyle education programme resulted in improved health literacy levels and healthy life style behaviours. Methods A one‐group pretest‐posttest study design was used. This study was carried out with 30 women who were enrolled in a family health centre. A questionnaire comprising the Adult Health Literacy Scale, Healthy Lifestyle Behaviour Scale‐II, Perception of Health Scale, and Short Test of Functional Health Literacy was used for data collection. Eight home visits including training and follow‐up followed the first interview at the family health centre. The healthy lifestyle training was applied once per week during home visits. After the training sessions were completed, women were followed‐up through four home visits biweekly in the second and the third months. Results The difference between the Adult Health Literacy Scale and Short Test of Functional Health Literacy pretest‐posttest mean scores was statistically significant (P < .05). Although the Perception of Health Scale and the Healthy Lifestyle Behaviour Scale‐II posttest scores were higher than the pretest scores, the difference between the groups was not statistically significant. Conclusion The training and counselling intervention visits increased health literacy but did not significantly change the healthy life style behaviours and health perceptions of the women.

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“…14–16 To date, no rigorously evaluated intervention has focused on the specific concerns that African American women face in the management of asthma. This randomized clinical trial evaluated a self-regulation intervention that emphasized African American women’s concerns and sex and gender role factors in the management of asthma, as well as leveraging cultural strengths within the African American community.…”

Section: Introductionmentioning

confidence: 99%

A randomized clinical trial of a culturally responsive intervention for African American women with asthma

Patel

Song

Sanders

et al. 2017

Annals of Allergy, Asthma & Immunology

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Background Few interventions have focused on the difficulties that African American women face when managing asthma. Objective To evaluate a telephone-based self-regulation intervention that emphasized African American women’s management of asthma in a series of 6 sessions. Methods A total of 422 African American women with persistent asthma were randomly assigned to either an intervention or control group receiving usual care. Behavioral factors, symptoms and asthma control, asthma-related quality of life, and health care use at baseline and 2 years after baseline were assessed. Generalized estimating equations were used to assess the long-term effect of the intervention on outcomes. Results Compared with the control group, those who completed the full intervention (6 sessions) had significant gains in self-regulation of their asthma (B estimate, 0.73; 95% CI, 0.17–1.30; P < .01), noticing changes to their asthma during their menstrual cycle (B estimate, 1.42; 95% CI, 0.69–2.15; P < .001), and when having premenstrual syndrome (B estimate, 1.70; 95% CI, 0.67–2.72; P < .001). They also had significant reductions in daytime symptoms (B estimate, 0.15; 95% CI, 0.27 to 0.03; P < .01), asthma-related hospitalization (B estimate, 0.51; 95% CI, 0.00–1.02; P < .05), and improved asthma control (B estimate, 1.34; 95% CI, 0.57–2.12; P < .001). However, neither grouped changed over time in outcomes. Conclusion Despite high comorbidity, African American women who completed a culturally responsive self-management program had improvements in asthma outcomes compared with the control group. Future work should address significant comorbidities and psychosocial issues alongside asthma management to improve asthma outcomes in the long term. Trial Registration clinicaltrials.gov Identifier NCT01117805.

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Health literacy issues surrounding weight management among African American women: a mixed methods study

Abstract: HL may affect BMI among AA women, where they access dieting information and the types of information needed to manage their weight.

Cited by 30 publications

References 24 publications

Low health literacy and excess body weight: a systematic review

Low health literacy and excess body weight: a systematic review

A healthy lifestyle education programme for health literacy and health‐promoting behaviours: A pre‐implementation and post‐implementation study

A randomized clinical trial of a culturally responsive intervention for African American women with asthma

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