Md Ashfikur Rahman, Md Amirul Islam, Mortuja Mahamud Tohan, S M Muhibullah, Md Sazedur Rahman, Md Hasan Howlader
Socioeconomic inequalities in utilizing maternal health care in five South Asian countries: A decomposition analysis
PloS one
black women diagnosed disabled die obesity associated chronic diseases higher rates sex race advanced practice registered nurses aprn potentially improve culturally relevant health education counseling using health literacy communication tools explore individualized barriers aprns role providing obesity prevention education counseling assessing efficacy teachback method tbm understand health habits attitudes black women aged 1845 previously diagnosed overweight obese identified perceived barriers recruited predominantly black church atlanta engaged weekly 1hour educational sessions via zoom addressing four common barriers identified literature sessions ended 510 minute teachback session pre postintervention readiness change questionnaire rcq completed descriptive statistics quantitative data surveys pre postrcq analyzed twenty women completed intervention paired sample ttest revealed statistical significance correlation pre postrcq scores using tbm educational sessions however pearsons correlation showed positive associations elevated body mass index levels one advances education annual income pvalue 005 increased rates obesity experienced despite higher educational attainment pay stress highcoping mechanisms contributed disordered eating decreased physical activity engagement decreased motivation toward habit change clinicians held accountable delivering culturally sensitive care using tbm addressing social determinants health performing routine stress assessments checking implicit biases