AimsTo uncover the mirror‐viewing experience in African‐American (AA) women with obesity.BackgroundObesity is among the most preventable healthcare epidemics and is linked to multiple health problems. Unfortunately, AA women are disproportionately affected by obesity. Mirror exposure has exclusively used mirrors to treat various eating disorders such as anorexia nervosa, bulimia nervosa and binge eating. Participants in prior mirror exposure studies reported increased self‐esteem, body image acceptance, behaviour modification, decreased weight and body shape concerns and lower rates of depression.DesignThis qualitative study used hermeneutic phenomenology to explore and methodically analyse participants' experiences.MethodsThirteen AA women who self‐identified as having obesity were interviewed. A phenomenological hermeneutical approach was used to explore their mirror‐viewing experience.ResultsTwo environmental themes surrounding this phenomenon were (1) family and culture and (2) stereotype/stigma and bias. Five phenomenological themes were identified: (1) I do not like what I see, (2) the struggle is real, (3) camouflage, (4) call for action and (5) loving the skin you are in.ConclusionAfrican‐American women grappling with obesity confront emotional and body image challenges compounded by family, culture, bias and a sense of alienation within society. The mirror, for many, is an everyday tool that becomes a call for action. Despite earnest attempts to pursue a healthier weight, many find it daunting. Additional investigation into sensitive mirror intervention studies specific to this demographic is warranted to address these multifaceted issues better.ImpactThe knowledge gained from the study offers an understanding of the mirror‐viewing experience in AA women with obesity.Reporting MethodStandards for Reporting Qualitative Research.Patient or Public ContributionNo patient or public contribution.

中文翻译：

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在美国初级保健诊所探索肥胖症非裔美国女性的镜像视角


AimsTo 揭示患有肥胖症的非裔美国 （AA） 女性的镜子观看体验。背景肥胖是最可预防的医疗保健流行病之一，与多种健康问题有关。不幸的是，AA 女性受到肥胖的影响不成比例。Mirror exposure 专门使用镜子来治疗各种饮食失调，例如神经性厌食症、神经性贪食症和暴饮暴食。先前的镜子曝光研究的参与者报告说，自尊心、身体形象接受度、行为改变、体重和体型问题减轻以及抑郁率降低。设计这项定性研究使用解释学现象学来探索和系统分析参与者的经历。方法采访了 13 名自我认定为肥胖的 AA 女性。使用现象学解释学方法来探索他们的镜子观看体验。结果围绕这种现象的两个环境主题是 （1） 家庭和文化和 （2） 刻板印象/耻辱和偏见。确定了五个现象学主题：（1） 我不喜欢我所看到的，（2） 斗争是真实的，（3） 伪装，（4） 呼吁采取行动，以及 （5） 爱你的皮肤。结论与肥胖作斗争的非裔美国女性面临着因家庭、文化、偏见和社会疏离感而加剧的情感和身体形象挑战。对许多人来说，镜子是一种日常工具，它成为行动的号召。尽管认真尝试追求更健康的体重，但许多人发现这令人生畏。有必要对特定于该人群的敏感镜像干预研究进行额外调查，以更好地解决这些多方面的问题。影响从该研究中获得的知识有助于了解 AA 肥胖女性的镜子观看体验。报告方法报告定性研究的标准。患者或公众贡献没有患者或公众贡献。