Ethnicity and Inequalities in Health and Social CareTable of Contents for Ethnicity and Inequalities in Health and Social Care. List of articles from the current issue, including Just Accepted (EarlyCite)https://www.emerald.com/insight/publication/issn/1757-0980/vol/7/iss/4?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestEthnicity and Inequalities in Health and Social CareEmerald Publishing LimitedEthnicity and Inequalities in Health and Social CareEthnicity and Inequalities in Health and Social Carehttps://www.emerald.com/insight/proxy/containerImg?link=/resource/publication/journal/4e4296a379b94d8ac162dc0f216a4be5/UNKNOWNhttps://www.emerald.com/insight/publication/issn/1757-0980/vol/7/iss/4?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestEthnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health carehttps://www.emerald.com/insight/content/doi/10.1108/EIHSC-10-2013-0038/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest– There is a gap in the understanding of relationships between socioeconomic status (SES), urban-rural differences, ethnicity and eating disorder symptomatology. This gap has implications for access to treatment and the effectiveness of treatment. The paper aims to discuss these issues. – Data are presented from a major Canadian survey, analyzing the impact of body mass index (BMI), urban-non-urban residency, income, and ethnicity on eating disorder symptomatology. – One of the strongest findings is that high income non-White women expressed less eating disorder symptomatology than lower income non-White women. – Future research needs to consider how factors such as urban residency, exposure to Western “thinness” ideals, and income differentials impact non-White women. – Effective treatment of ethnic minority women requires an appreciation of complicated effects of “culture clash,” income and BMI on eating disorder symptomatology. – This study makes a unique contribution to the literature by examining relationships between SES (income) and eating disorder symptomatology in White and non-White Canadian women. The review of the scientific literature on ethnic differences in eating disorder symptomatology revealed a disparity gap in treatment. This disparity may be a by-product of bias and lack of understanding of gender or ethnic/cultural differences by practitioners.Ethnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health care
Jennifer A. Boisvert, W. Andrew Harrell
Ethnicity and Inequalities in Health and Social Care, Vol. 7, No. 4, pp.158-177

– There is a gap in the understanding of relationships between socioeconomic status (SES), urban-rural differences, ethnicity and eating disorder symptomatology. This gap has implications for access to treatment and the effectiveness of treatment. The paper aims to discuss these issues.

– Data are presented from a major Canadian survey, analyzing the impact of body mass index (BMI), urban-non-urban residency, income, and ethnicity on eating disorder symptomatology.

– One of the strongest findings is that high income non-White women expressed less eating disorder symptomatology than lower income non-White women.

– Future research needs to consider how factors such as urban residency, exposure to Western “thinness” ideals, and income differentials impact non-White women.

– Effective treatment of ethnic minority women requires an appreciation of complicated effects of “culture clash,” income and BMI on eating disorder symptomatology.

– This study makes a unique contribution to the literature by examining relationships between SES (income) and eating disorder symptomatology in White and non-White Canadian women. The review of the scientific literature on ethnic differences in eating disorder symptomatology revealed a disparity gap in treatment. This disparity may be a by-product of bias and lack of understanding of gender or ethnic/cultural differences by practitioners.

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Ethnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health care10.1108/EIHSC-10-2013-0038Ethnicity and Inequalities in Health and Social Care2014-12-09© 2014 Jennifer A. BoisvertW. Andrew HarrellEthnicity and Inequalities in Health and Social Care742014-12-0910.1108/EIHSC-10-2013-0038https://www.emerald.com/insight/content/doi/10.1108/EIHSC-10-2013-0038/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2014
Improving health and wellbeing in women's secure services: physical activity, appearance, self-care and body imagehttps://www.emerald.com/insight/content/doi/10.1108/EIHSC-10-2013-0037/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest– Lifestyle change to improve physical health is a significant challenge in secure psychiatric hospitals for women. In addition to factors that contribute to an obesogenic environments body image, self-care, self-esteem, and motivational problems compound efforts to increase physical activity and to lose weight. The paper aims to discuss these issues. – Two elements of a comprehensive programme to improve physical health and mental wellbeing are discussed. The first describes the development of a unique role of self-care and body image therapists and an evaluation of the effects of treatment. The second describes initiatives to assess the environmental and therapeutic milieu contingencies that impact on physical activity and to increase engagement in exercise through motivational strategies. – Research within the current settings has resulted in a validation of the role of the self-care and body image therapist. Other evaluations have described the environmental contingencies that impact on physical activity along with strategies to increase exercise participation. – While much has to be learnt about how to translate awareness of the value of a healthy lifestyle for women into positive behaviour change the programme described represents part of a comprehensive and long term attempt to evaluate and improve the physical wellbeing of women in secure care.Improving health and wellbeing in women's secure services: physical activity, appearance, self-care and body image
Clive Long, Fiona Mason
Ethnicity and Inequalities in Health and Social Care, Vol. 7, No. 4, pp.178-186

– Lifestyle change to improve physical health is a significant challenge in secure psychiatric hospitals for women. In addition to factors that contribute to an obesogenic environments body image, self-care, self-esteem, and motivational problems compound efforts to increase physical activity and to lose weight. The paper aims to discuss these issues.

– Two elements of a comprehensive programme to improve physical health and mental wellbeing are discussed. The first describes the development of a unique role of self-care and body image therapists and an evaluation of the effects of treatment. The second describes initiatives to assess the environmental and therapeutic milieu contingencies that impact on physical activity and to increase engagement in exercise through motivational strategies.

– Research within the current settings has resulted in a validation of the role of the self-care and body image therapist. Other evaluations have described the environmental contingencies that impact on physical activity along with strategies to increase exercise participation.

– While much has to be learnt about how to translate awareness of the value of a healthy lifestyle for women into positive behaviour change the programme described represents part of a comprehensive and long term attempt to evaluate and improve the physical wellbeing of women in secure care.

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Improving health and wellbeing in women's secure services: physical activity, appearance, self-care and body image10.1108/EIHSC-10-2013-0037Ethnicity and Inequalities in Health and Social Care2014-12-09© 2014 Clive LongFiona MasonEthnicity and Inequalities in Health and Social Care742014-12-0910.1108/EIHSC-10-2013-0037https://www.emerald.com/insight/content/doi/10.1108/EIHSC-10-2013-0037/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2014
Overcoming weight bias: promoting physical activity and psychosocial healthhttps://www.emerald.com/insight/content/doi/10.1108/EIHSC-11-2013-0043/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest– The purpose of this paper is to evaluate Feel WonderFull Fitness (FWF), a program adhering to the Health At Every SizeTM (HAES) paradigm, on larger women's physical activity and psychosocial health. FWF was tailored to overcome barriers based on weight bias. – The study compared “overweight” and “obese” women in FWF to those not currently enrolled in formal exercise programs. Controls were divided into low physical activity (LPA) and moderate physical activity (MPA) conditions based on pretest exercise level. Outcome measures were collected at pretest and three months later at posttest. – FWF participants had the greatest gains in physical activity and demonstrated significantly greater improvements in depression than the LPA group. FWF and the MPA group showed more improved scores on perceived body attractiveness than the LPA group. Scores on an eating disorders measure improved for all groups, but somewhat more so for the FWF group. Improvements occurred in the absence of weight loss or decreases in body mass index and body fat percentage. – The study was based on a small, homogenous sample using a quasi-experimental design. – The study illustrates HAES strategies that practitioners might incorporate into various health and fitness settings. – The study highlights weight bias as a social justice issue and as a barrier to physical activity participation for larger women. – The study adds to a growing body of literature evaluating HAES approaches, with HAES representing a novel alternative to weight-loss interventions for improving psychosocial health among larger women. It also contributes to the literature on weight bias that has been understudied relative to bias based on other areas of difference.Overcoming weight bias: promoting physical activity and psychosocial health
Patti Lou Watkins, Vicki Ebbeck, Susan S. Levy
Ethnicity and Inequalities in Health and Social Care, Vol. 7, No. 4, pp.187-197

– The purpose of this paper is to evaluate Feel WonderFull Fitness (FWF), a program adhering to the Health At Every SizeTM (HAES) paradigm, on larger women's physical activity and psychosocial health. FWF was tailored to overcome barriers based on weight bias.

– The study compared “overweight” and “obese” women in FWF to those not currently enrolled in formal exercise programs. Controls were divided into low physical activity (LPA) and moderate physical activity (MPA) conditions based on pretest exercise level. Outcome measures were collected at pretest and three months later at posttest.

– FWF participants had the greatest gains in physical activity and demonstrated significantly greater improvements in depression than the LPA group. FWF and the MPA group showed more improved scores on perceived body attractiveness than the LPA group. Scores on an eating disorders measure improved for all groups, but somewhat more so for the FWF group. Improvements occurred in the absence of weight loss or decreases in body mass index and body fat percentage.

– The study was based on a small, homogenous sample using a quasi-experimental design.

– The study illustrates HAES strategies that practitioners might incorporate into various health and fitness settings.

– The study highlights weight bias as a social justice issue and as a barrier to physical activity participation for larger women.

– The study adds to a growing body of literature evaluating HAES approaches, with HAES representing a novel alternative to weight-loss interventions for improving psychosocial health among larger women. It also contributes to the literature on weight bias that has been understudied relative to bias based on other areas of difference.

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Overcoming weight bias: promoting physical activity and psychosocial health10.1108/EIHSC-11-2013-0043Ethnicity and Inequalities in Health and Social Care2014-12-09© 2014 Patti Lou WatkinsVicki EbbeckSusan S. LevyEthnicity and Inequalities in Health and Social Care742014-12-0910.1108/EIHSC-11-2013-0043https://www.emerald.com/insight/content/doi/10.1108/EIHSC-11-2013-0043/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2014
Body image and body work among older women: a reviewhttps://www.emerald.com/insight/content/doi/10.1108/EIHSC-11-2013-0042/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest– The purpose of this paper is to review the literature on body image and aging among older women. Using existing qualitative research, this paper explores how aging affects body image and how women respond to body image issues as they age. – Multiple databases were used to locate original and review articles on the topics of body image and aging, with a target population of women ages 60 years and older. The findings of the literature search were compiled, summarized and sorted to create themes. – Women struggle with body image issues throughout their lives. Women tend to perceive age-related changes in appearance negatively, as a threat to their identity and social value. This is due, in part, to the sociocultural environment, which pressures women to “fight” aging and maintain an ideal (young and thin) image at all costs. Some women do come to terms with their aging body and report increased self-acceptance with age. However, others turn to various forms of body work (e.g. dieting, hair dye, makeup) in order to maintain their value in an appearance-based society. – Poor body image can affect older women's emotional, psychological and physical health and overall well-being. Health care professionals, community workers and policy makers need to be made aware of these issues so that they can respond appropriately. – There has been limited research exploring body image among older women. This paper identifies gaps in the literature and suggests avenues for future research in this area.Body image and body work among older women: a review
Catherine E. Marshall, Christina O. Lengyel, Verena H. Menec
Ethnicity and Inequalities in Health and Social Care, Vol. 7, No. 4, pp.198-210

– The purpose of this paper is to review the literature on body image and aging among older women. Using existing qualitative research, this paper explores how aging affects body image and how women respond to body image issues as they age.

– Multiple databases were used to locate original and review articles on the topics of body image and aging, with a target population of women ages 60 years and older. The findings of the literature search were compiled, summarized and sorted to create themes.

– Women struggle with body image issues throughout their lives. Women tend to perceive age-related changes in appearance negatively, as a threat to their identity and social value. This is due, in part, to the sociocultural environment, which pressures women to “fight” aging and maintain an ideal (young and thin) image at all costs. Some women do come to terms with their aging body and report increased self-acceptance with age. However, others turn to various forms of body work (e.g. dieting, hair dye, makeup) in order to maintain their value in an appearance-based society.

– Poor body image can affect older women's emotional, psychological and physical health and overall well-being. Health care professionals, community workers and policy makers need to be made aware of these issues so that they can respond appropriately.

– There has been limited research exploring body image among older women. This paper identifies gaps in the literature and suggests avenues for future research in this area.

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Body image and body work among older women: a review10.1108/EIHSC-11-2013-0042Ethnicity and Inequalities in Health and Social Care2014-12-09© 2014 Catherine E. MarshallChristina O. LengyelVerena H. MenecEthnicity and Inequalities in Health and Social Care742014-12-0910.1108/EIHSC-11-2013-0042https://www.emerald.com/insight/content/doi/10.1108/EIHSC-11-2013-0042/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest© 2014
The impact of weight on self-acceptancehttps://www.emerald.com/insight/content/doi/10.1108/EIHSC-10-2014-0025/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatestThe impact of weight on self-acceptanceThe impact of weight on self-acceptance
Valerie Taylor
Ethnicity and Inequalities in Health and Social Care, Vol. 7, No. 4, pp.-]]>
The impact of weight on self-acceptance10.1108/EIHSC-10-2014-0025Ethnicity and Inequalities in Health and Social Care2014-12-09© Valerie TaylorEthnicity and Inequalities in Health and Social Care742014-12-0910.1108/EIHSC-10-2014-0025https://www.emerald.com/insight/content/doi/10.1108/EIHSC-10-2014-0025/full/html?utm_source=rss&utm_medium=feed&utm_campaign=rss_journalLatest©