Weight Loss Attitudes and Social Forces in Urban Poor Black and White Women

Objective: To explore differences between Blacks and Whites in perceived influences on weight-related behaviors among obese urban poor women. Methods: Participants (N = 27) received physician referrals to a weight loss program located in Federally Qualified Health Centers and either never attended or stopped attending. We conducted in-depth, in home interviews using a script informed by focus groups, pilot discussions, and the theory of planned behavior (TPB) to learn about participants' weight loss attitudes, social forces and perceived behavioral control. Results: White women reported having more social support and social pressure for weight management activities. Black women reported eating for positive reasons whereas white women associated eating with negative emotions. Conclusion: Social networks and emotions may be critical factors in weight management and lifestyle program participation.