Sarah C Fogel1, Jane A McElroy2, Samantha Garbers3, Cheryl McDonnell4, Jacquetta Brooks5, Michele J Eliason6, Natalie Ingraham7, Ann Osborn8, Nada Rayyes9, Sarah Davis Redman10, Susan F Wood11, Suzanne G Haynes12. 1. School of Nursing, Vanderbilt University, Nashville, Tennessee. Electronic address: sarah.fogel@vanderbilt.edu. 2. Department of Family & Community Medicine, University of Missouri, Columbia, Missouri. 3. Heilbrunn Department of Population & Family Health, Columbia University Mailman School of Public Health, New York, New York. 4. The CDM Group, Bethesda, Maryland. 5. Mautner Project of Whitman-Walker, Whitman-Walker Health, Washington, DC. 6. Department of Health Education, San Francisco State University, San Francisco, California. 7. Lyon-Martin Health Services, a Program of HealthRight360, San Francisco, California. 8. The Lewin Group, Falls Church, Virginia. 9. IMPAQ International, LLC, Oakland, California. 10. NORC the University of Chicago, Atlanta, Georgia. 11. Jacobs Institute of Women's Health, Milken Institute School of Public Health, George Washington University, Washington, DC. 12. Office on Women's Health, U.S. Department of Health & Human Services, Washington, DC.
Abstract
PURPOSE: Adult lesbian and bisexual (LB) women are more likely to be obese than adult heterosexual women. To address weight- and fitness-related health disparities among older LB women using culturally appropriate interventions, the Office on Women's Health (OWH) provided funding for the program, Healthy Weight in Lesbian and Bisexual Women (HWLB): Striving for a Healthy Community. This paper provides a description of the interventions that were implemented. METHODS: Five research organizations partnered with lesbian, gay, bisexual, and transgender community organizations to implement healthy weight interventions addressing the needs of LB women 40 years and older. The interventions incorporated evidence-based recommendations related to physical activity and nutrition. Each group intervention developed site-specific primary objectives related to the overall goal of improving the health of LB women and included weight and waist circumference reduction as secondary objectives. A 57-item core health survey was administered across the five sites. At a minimum, each program obtained pre- and post-program assessments. RESULTS: Each program included the OWH-required common elements of exercise, social support, and education on nutrition and physical activity, but adopted a unique approach to deliver intervention content. CONCLUSION: This is the first time a multisite intervention has been conducted to promote healthy weight in older LB women. Core measurements across the HWLB programs will allow for pooled analyses, and differences in study design will permit analysis of site-specific elements. The documentation and analysis of the effectiveness of these five projects will provide guidance for model programs and future research on LB populations.
PURPOSE: Adult lesbian and bisexual (LB) women are more likely to be obese than adult heterosexual women. To address weight- and fitness-related health disparities among older LB women using culturally appropriate interventions, the Office on Women's Health (OWH) provided funding for the program, Healthy Weight in Lesbian and Bisexual Women (HWLB): Striving for a Healthy Community. This paper provides a description of the interventions that were implemented. METHODS: Five research organizations partnered with lesbian, gay, bisexual, and transgender community organizations to implement healthy weight interventions addressing the needs of LB women 40 years and older. The interventions incorporated evidence-based recommendations related to physical activity and nutrition. Each group intervention developed site-specific primary objectives related to the overall goal of improving the health of LB women and included weight and waist circumference reduction as secondary objectives. A 57-item core health survey was administered across the five sites. At a minimum, each program obtained pre- and post-program assessments. RESULTS: Each program included the OWH-required common elements of exercise, social support, and education on nutrition and physical activity, but adopted a unique approach to deliver intervention content. CONCLUSION: This is the first time a multisite intervention has been conducted to promote healthy weight in older LB women. Core measurements across the HWLB programs will allow for pooled analyses, and differences in study design will permit analysis of site-specific elements. The documentation and analysis of the effectiveness of these five projects will provide guidance for model programs and future research on LB populations.
Authors: Vickie M Mays; Robert-Paul Juster; Timothy J Williamson; Teresa E Seeman; Susan D Cochran Journal: Psychosom Med Date: 2018 Jul/Aug Impact factor: 4.312
Authors: Heather L Corliss; Nicole A VanKim; Hee-Jin Jun; S Bryn Austin; Biling Hong; Molin Wang; Frank B Hu Journal: Diabetes Care Date: 2018-05-02 Impact factor: 19.112