Exploring Mirror Perspectives Among African American Women Living With Obesity at a Primary Care Clinic in the United States

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.