Abstract

Background: African-American women perform low levels of physical activity and are disproportionally burdened by associated cardiometabolic disease conditions (i.e., 57 % are obese, 49 % have cardiovascular disease). The marked health disparities among African-American women indicate the need for innovative strategies to promote physical activity to help attenuate the chronic disease health disparities in this high-risk population. Culturally tailoring physical activity programs to address the sociocultural norms, values, beliefs, and behaviors of African-American women is an advantageous strategy to enhance physical activity promotion efforts. The purpose of this article is to discuss critical aspects for researchers to consider when designing physical activity programs for African-American women and to present a conceptual framework to guide intervention development. Methods: Development of the framework was based on our previous physical activity research with African-American women, seminal literature on the topics of cultural adaptation and health promotion, sociological and theoretical perspectives on the role of women in African-American culture, and key determinants of physical activity engagement among African-American women. Results: Three key concepts are discussed in the conceptual framework: (1) Developmental milestones and life stage transitions of African-American women; (2) Historical, social, and cultural influences associated with physical activity engagement; and (3) Intervention delivery strategies. Discussion: Using the framework to guide intervention development has the potential to enhance the physical activity and health outcomes of a physical activity program for African-American women.

Original languageEnglish (US)
Pages (from-to)1-13
Number of pages13
JournalJournal of racial and ethnic health disparities
DOIs
StateAccepted/In press - May 13 2016

Fingerprint

African Americans
Exercise
Disease
Health
health
American
development of methods
Health Promotion
health promotion
Chronic Disease
Cardiovascular Diseases
promotion
Research Personnel
determinants
Research

Keywords

  • African-American
  • Black
  • Cultural tailoring
  • Culture
  • Exercise
  • Physical activity
  • Women

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Anthropology
  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Designing Culturally Relevant Physical Activity Programs for African-American Women : A Framework for Intervention Development. / Joseph, Rodney; Keller, Colleen; Affuso, Olivia; Ainsworth, Barbara.

In: Journal of racial and ethnic health disparities, 13.05.2016, p. 1-13.

Research output: Contribution to journalArticle

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