The Experiences of Obese African-American Women (AAW) and Their Utilization of Preventive Healthcare Services

2.50
Hdl Handle:
http://hdl.handle.net/10755/243228
Category:
Full-text
Type:
Presentation
Title:
The Experiences of Obese African-American Women (AAW) and Their Utilization of Preventive Healthcare Services
Author(s):
Stephenson, Winsome; Moloney, Margaret
Lead Author STTI Affiliation:
Episilon Alpha (Georgia State University)
Author Details:
Stephenson, Winsome, RN, PhD, wins12345@aol.com; Moloney, Margaret, RN, PhD, ANP;
Abstract:
Purpose: The purpose of this study was to explore the healthcare experiences of obese African American women and their utilization of preventive healthcare services.

 Methods: Interpretive phenomenology was used to describe and interpret the healthcare experiences of 15 obese AAW, living in communities in Georgia. A purposive sampling was employed in the study. The participants ranged in age from 23 to 62 with BMIs ranging from 35-55. The majority of the sample (83%) had adequate health insurance. This was a well educated sample with 87% having college degrees or some college education. Individual, audio-taped interviews were used to collect data. Data were analyzed using interpretive phenomenological methods, with analysis and collection occurring concurrently. Data were analyzed as a whole then line by line for themes across transcripts.

Results: Two patterns and five major themes were identified. Patterns were: They‘re not listening and Good or bad, it‘s my decision. Themes were: Attributing all problems to weight; They say lose weight but give us no tools; Stigmatization; Cancel my appointment please: I won‘t be back, and Empowerment. The women recalled a plethora of negative encounters with providers that they termed demeaning, and "nastiness for no reason." Many women reacted by delaying or avoiding healthcare, some not returning for preventive health screens for several years.

 Conclusion: The significant association between obesity and mortality from cervical and breast cancers necessitates timely preventive screens by obese women. The results of this study can help to inform practice, education, and research. Recommendations for all three areas were delineated in this study.

Keywords:
African American; Women; Preventive Health
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Experiences of Obese African-American Women (AAW) and Their Utilization of Preventive Healthcare Servicesen
dc.contributor.authorStephenson, Winsomeen
dc.contributor.authorMoloney, Margareten
dc.contributor.departmentEpisilon Alpha (Georgia State University)en
dc.author.detailsStephenson, Winsome, RN, PhD, wins12345@aol.com; Moloney, Margaret, RN, PhD, ANP;en
dc.identifier.urihttp://hdl.handle.net/10755/243228-
dc.description.abstract<b>Purpose: </b>The purpose of this study was to explore the healthcare experiences of&nbsp;obese African American women&nbsp;and their utilization of preventive healthcare services. <p>&nbsp;<b>Methods: </b>Interpretive phenomenology was used to describe and interpret the healthcare experiences of 15 obese AAW, living in communities in Georgia.&nbsp;A&nbsp;purposive sampling was employed in the study. The participants ranged in age from 23 to 62&nbsp;with BMIs ranging from 35-55. The majority of the sample (83%) had adequate health insurance. This was a well educated sample with 87% having college degrees or some college education. Individual, audio-taped interviews were used to collect data. Data were analyzed using interpretive phenomenological methods, with analysis and collection occurring concurrently. Data were analyzed as a whole then line by line for themes across transcripts. <p><b>Results: </b>Two patterns and five major themes were identified. Patterns were: They&lsquo;re not listening and Good or bad, it&lsquo;s my decision. Themes were: Attributing all problems to weight; They say lose weight but give us no tools; Stigmatization; Cancel my appointment please: I won&lsquo;t be back, and Empowerment. The women recalled a plethora of negative encounters with providers that they termed demeaning, and "nastiness for no reason." Many women reacted by delaying or avoiding healthcare, some not returning for preventive health screens for several years. <p>&nbsp;<b>Conclusion: </b>The significant association between obesity and mortality from cervical and breast cancers necessitates timely preventive screens by obese women. The results of this study can help to inform practice, education, and research. Recommendations for all three areas were delineated in this study.en
dc.subjectAfrican Americanen
dc.subjectWomenen
dc.subjectPreventive Healthen
dc.date.available2012-09-12T09:19:18Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:19:18Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.