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Urban and rural health chartbook. The spread of the obesity epidemic in the United States, — Like many studies of lesbian and bisexual women where nonsystematic snowball sampling from a relatively hidden, geographically dispersed population is used to generate a sufficiently large and demographically diverse sample, the women surveyed here may or may not be representative of the lesbian population as a whole. Weight-related attitudes and behaviors of black women. Risk factors for ovarian cancer: Obesity is associated with reduced self-rated general health status: Self-reported weight and height: Mays V, Cochran S.
At the same time, lesbians and bisexual women are themselves a diverse population in terms of characteristics that have been shown both here and elsewhere to influence the likelihood of overweight and obesity [ 11 ]. Finally, perceiving oneself to be a lot heavier, but not a little heavier, than desired a compared to being a comfortable weight or too thin was also associated with a lower odds of reporting frequent exercise adj. Health, United States, The disease burden associated with overweight and obesity. In an earlier study, it was observed that lesbians, gay men, and bisexual women and men reported higher levels of day-to-day discrimination than heterosexual women and men, often attributed to minority sexual orientation [ 40 ]. Department of Health and Human Services. A comparison of heterosexual and lesbian women. Social cognitive theory [ 43 ] suggests one approach, namely tailoring role model choices for message delivery, using in-person or media strategies, to the needs and cultural preferences of the target populations. Finally, the reliance on self-reported versus measured height and weight introduced small but predictable bias in our findings e. Am J Health Promot. Body image concepts differ by age and sex in an Ojibway—Cree community in Canada. Perceptions of body size in Pacific Islanders. Despite these limitations, there can be little doubt that lesbian and bisexual women represent an especially high-risk population for obesity [ 8 — 12 ] and its associated disease burden [ 29 ]. Obesity is associated with reduced self-rated general health status: Prevalence of obesity among adults in Los Angeles County. Like many studies of lesbian and bisexual women where nonsystematic snowball sampling from a relatively hidden, geographically dispersed population is used to generate a sufficiently large and demographically diverse sample, the women surveyed here may or may not be representative of the lesbian population as a whole. Stein M, Baum A, editors. There is some tentative evidence in this regard suggesting that lesbians are more likely than heterosexual women to engage in binge eating [ 42 ] but future research is needed to determine the etiology of this health threat. In a recent study of middle-income African American women, the choice of eating versus exercising for stress management was identified as one of four predictors of weight status [ 15 , 41 ]. Successful interventions in this community will require attention to the prevailing cultural norms regarding acceptance of heavier body weight and the rejection of extreme dieting to achieve idealized beauty standards. The authors are grateful to Danielle Osby for assistance in the preparation of the manuscript. Cancer-related risk indicators and preventive screening behaviors among lesbian and bisexual women. Self-perceptions of weight The majority of women indicated that their current weight was heavier than they desired Table 2. A multiethnic cohort in Hawaii and Los Angeles: Caloric imbalance and public health policy. Weight-related attitudes and behaviors of black women. Am J Prev Med.
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