Rethinking Weight-Centric Models

Advancing Weight-Inclusive Care for Black Women

Bibliographic Data

ID23312239
AuthorsAshley Sneed (0009-0005-5538-4181, The Ohio State University Wexner Medical Center, corresponding author), Rayonna Booth (Ohio Department of Health), Rachel E Mason (0000-0003-1340-4947, The Ohio State University), JaNelle M Ricks (0000-0001-6480-8963, Ohio Department of Health)
Year2026
Volume10
Pages24731242261466925-24731242261466925
Publication date2026-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Equity (JOURNAL)
Journal identifiersISSN: 2473-1242 • E-ISSN: 2473-1242
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/24731242261466925
PMID42534702
OpenAlexW7170668082
LanguageEN
References cited44

Weight-inclusive interventions offer a promising alternative to traditional weight-centric approaches that focus primarily on weight loss. Black women, who are disproportionately classified as having obesity based on body mass index (BMI) criteria, often face limited success and added stigma from weight-focused models, which overlook the complex biological, social, and structural factors affecting health, as well as intersecting oppressions like racism, sexism, and weight bias. This article examines how cultural norms, body image, and systemic barriers shape health behaviors among Black women and argues for weight-inclusive care, which prioritizes health-promoting behaviors and overall well-being rather than weight loss and better aligns with their values and lived experiences, including autonomy. Evidence from weight-inclusive interventions demonstrates improvements in psychological well-being, body appreciation, and health behaviors, though research in racially diverse populations remains limited. Culturally responsive, weight-inclusive approaches tailored to Black women are essential for supporting sustainable, meaningful health outcomes while fostering positive body image and self-perception.

Black women · Body mass index · Face (sociological concept) · Health care · Health equity · Obesity · Psychological intervention · Stigma (botany) · Weight stigma · Eating Disorders and Behaviors · Obesity and Health Practices · Obesity, Physical Activity, Diet

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Open DOIOpen Access