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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1996 Sep;88(9):558–562.

Recruitment strategies for black women at risk for noninsulin-dependent diabetes mellitus into exercise protocols: a qualitative assessment.

P L Carter-Nolan 1, L L Adams-Campbell 1, J Williams 1
PMCID: PMC2608114  PMID: 8855646

Abstract

The literature is devoid of any specific data describing exercise therapy in blacks at risk for diabetes. The increasing and striking prevalence of obesity and diabetes among several indigenous populations demonstrates the unfortunate interplay between genetic predisposition and a "modern" sedentary lifestyle. Any successful intervention to reduce the risk of acquiring or attenuating the severity of diabetes must focus on behavioral, cultural, psychosocial, and social factors that are amenable to change. Thus, the objective of this study is to present qualitative data that can be useful in the recruitment of blacks into exercise protocols that could prove to be beneficial in preventing diabetes. Focus groups were conducted on 57 black women residing in Washington, DC, Columbia, Maryland, and Hartford, Connecticut. Barriers to exercising included lack of child care, lack of transportation, neighborhood constraints, and family. Incentives that would increase black women's ability to participate in an exercise protocols include transportation, child care, and an exercise environment that includes blacks.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ainsworth B. E., Keenan N. L., Strogatz D. S., Garrett J. M., James S. A. Physical activity and hypertension in black adults: the Pitt County Study. Am J Public Health. 1991 Nov;81(11):1477–1479. doi: 10.2105/ajph.81.11.1477. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Björntorp P., De Jounge K., Sjöström L., Sullivan L. The effect of physical training on insulin production in obesity. Metabolism. 1970 Aug;19(8):631–638. doi: 10.1016/0026-0495(70)90020-x. [DOI] [PubMed] [Google Scholar]
  3. Centers for Disease Control (CDC) Trends in diabetes mellitus mortality. MMWR Morb Mortal Wkly Rep. 1988 Dec 23;37(50):769–773. [PubMed] [Google Scholar]
  4. Cowie C. C., Harris M. I., Silverman R. E., Johnson E. W., Rust K. F. Effect of multiple risk factors on differences between blacks and whites in the prevalence of non-insulin-dependent diabetes mellitus in the United States. Am J Epidemiol. 1993 Apr 1;137(7):719–732. doi: 10.1093/oxfordjournals.aje.a116732. [DOI] [PubMed] [Google Scholar]
  5. Després J. P., Pouliot M. C., Moorjani S., Nadeau A., Tremblay A., Lupien P. J., Thériault G., Bouchard C. Loss of abdominal fat and metabolic response to exercise training in obese women. Am J Physiol. 1991 Aug;261(2 Pt 1):E159–E167. doi: 10.1152/ajpendo.1991.261.2.E159. [DOI] [PubMed] [Google Scholar]
  6. Folsom A. R., Cook T. C., Sprafka J. M., Burke G. L., Norsted S. W., Jacobs D. R., Jr Differences in leisure-time physical activity levels between blacks and whites in population-based samples: the Minnesota Heart Survey. J Behav Med. 1991 Feb;14(1):1–9. doi: 10.1007/BF00844764. [DOI] [PubMed] [Google Scholar]
  7. Freimuth V. S., Mettger W. Is there a hard-to-reach audience? Public Health Rep. 1990 May-Jun;105(3):232–238. [PMC free article] [PubMed] [Google Scholar]
  8. Frisch R. E., Wyshak G., Albright T. E., Albright N. L., Schiff I. Lower prevalence of diabetes in female former college athletes compared with nonathletes. Diabetes. 1986 Oct;35(10):1101–1105. doi: 10.2337/diab.35.10.1101. [DOI] [PubMed] [Google Scholar]
  9. Harris M. I., Hadden W. C., Knowler W. C., Bennett P. H. Prevalence of diabetes and impaired glucose tolerance and plasma glucose levels in U.S. population aged 20-74 yr. Diabetes. 1987 Apr;36(4):523–534. doi: 10.2337/diab.36.4.523. [DOI] [PubMed] [Google Scholar]
  10. Kriska A. M., Knowler W. C., LaPorte R. E., Drash A. L., Wing R. R., Blair S. N., Bennett P. H., Kuller L. H. Development of questionnaire to examine relationship of physical activity and diabetes in Pima Indians. Diabetes Care. 1990 Apr;13(4):401–411. doi: 10.2337/diacare.13.4.401. [DOI] [PubMed] [Google Scholar]
  11. Lewis C. E., Raczynski J. M., Heath G. W., Levinson R., Hilyer J. C., Jr, Cutter G. R. Promoting physical activity in low-income African-American communities: the PARR project. Ethn Dis. 1993 Spring;3(2):106–118. [PubMed] [Google Scholar]
  12. Macera C. A., Heath G. W., Eaker E. D., Croft J. B., Yeager K. K., Wheeler F. C. Leisure-time physical activity and high-density lipoprotein cholesterol in a biracial community sample. Ethn Dis. 1993 Spring;3(2):152–157. [PubMed] [Google Scholar]
  13. Ruderman N. B., Ganda O. P., Johansen K. The effect of physical training on glucose tolerance and plasma lipids in maturity-onset diabetes. Diabetes. 1979 Jan;28 (Suppl 1):89–92. doi: 10.2337/diab.28.1.s89. [DOI] [PubMed] [Google Scholar]
  14. Sattler J. M. Racial "experimenter effects" in experimentation, testing, interviewing, and psychotherapy. Psychol Bull. 1970 Feb;73(2):137–160. doi: 10.1037/h0028511. [DOI] [PubMed] [Google Scholar]
  15. Washburn R. A., Kline G., Lackland D. T., Wheeler F. C. Leisure time physical activity: are there black/white differences? Prev Med. 1992 Jan;21(1):127–135. doi: 10.1016/0091-7435(92)90012-7. [DOI] [PubMed] [Google Scholar]
  16. White S. L., Maloney S. K. Promoting healthy diets and active lives to hard-to-reach groups: market research study. Public Health Rep. 1990 May-Jun;105(3):224–231. [PMC free article] [PubMed] [Google Scholar]
  17. Zimmet P. Z. Kelly West Lecture 1991. Challenges in diabetes epidemiology--from West to the rest. Diabetes Care. 1992 Feb;15(2):232–252. doi: 10.2337/diacare.15.2.232. [DOI] [PubMed] [Google Scholar]

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