Abstract The prevalence of overweight and obesity among Black adolescent girls has continued to increase significantly since the 1980s, which indicates that Black girls are disproportionately affected by the obesity health crisis. In addition to risks for negative physical health outcomes, Black girls face the poor psychosocial and emotional consequences of increased weight. Yet, they are less likely to have access to or seek effective treatment. Mixed-methods methodologies were used to examine focus-group responses (N = 15) of Black girls’ perceptions of their health and the factors that they believe influence wellness. Participants cited conflicting information from medical providers and lack of health knowledge as barriers to a healthy lifestyle. They also indicated that their families and communities either promoted or deterred their health outcomes. The unique social experiences of Black girls that facilitate the types of health-compromising behaviors that result in increased weight are highlighted. Recommendations for mental health providers, families, and schools are offered.

中文翻译：

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“为什么没有人帮助我们？”：黑人女孩对健康的看法的治疗意义

摘要 自 1980 年代以来，黑人少女超重和肥胖的患病率持续显着增加，这表明黑人女孩受到肥胖健康危机的影响不成比例。除了对身体健康造成负面影响的风险外，黑人女孩还面临体重增加带来的不良心理社会和情感后果。然而，他们获得或寻求有效治疗的可能性较小。混合方法用于检查黑人女孩对其健康的看法以及她们认为影响健康的因素的焦点小组反应（N = 15）。参与者将医疗提供者提供的相互矛盾的信息和健康知识的缺乏列为健康生活方式的障碍。他们还表示，他们的家庭和社区或促进或阻止了他们的健康结果。强调了黑人女孩独特的社交经历，这些经历促进了导致体重增加的损害健康的行为类型。为心理健康提供者、家庭和学校提供了建议。