Black Beauty: Womanist Consciousness as a Protective Factor in Black Women’s Body Image Satisfaction

Black American women are exposed to mainstream beauty standards, which may have implications for body image satisfaction. Given that beauty standards are often based on idealized depictions of White women’s physical features, scholars have called for body image research that extends beyond body type/weight (e.g., skin tone/hair) to better examine the experiences of Black women. In examining body image satisfaction and protective factors (e.g., ethnic identity), empirical research has yet to attend to these experiences at the intersection of race/ethnicity and gender. The current study used an online survey to examine whether womanist consciousness (WC) was a protective factor for Black American women ( N = 211). Findings indicated that after controlling for ethnic identity, higher womanist consciousness significantly predicted higher body satisfaction with historically racially defined features (e.g., skin tone/hair) and lower self-ideal discrepancy. Darker skin tone was linked to higher body importance and higher ethnic identity level. Last, increased frequency of wearing hair weaves was associated with lower body satisfaction while more frequently wearing Afrocentric hair styles/textures was associated with higher body satisfaction.

Hormone Replacement Therapy in Endometrial Cancer Survivors: A Meta-Analysis

The purpose of this study is to investigate the effect of hormone therapy (HT) on the oncological outcomes of endometrial cancer (EC) survivors. A systematic literature review was conducted in July 2021 to identify studies detailing the effect size for the relationship between HT use in EC and oncological outcomes (survival and disease recurrence). This included studies that evaluated the different recurrence rates among women treated for EC who subsequently underwent HT and those who did not. The collected studies were evaluated for quality, heterogeneity, and publication bias, and a pooled odds ratio (OR) or hazard ratio (HR) was calculated with a confidence interval of 95% (95% CI). In total, 5291 studies were collated, and after the review process, one randomized trial and seven observational studies were included, comprising 1801 EC survivors treated with HT and 6015 controls. The time-dependent analysis could be conducted for four studies, and considering the disease-free survival, the pooled HR of 0.90 (95% CI 0.28 to 2.87) showed no significant differences. However, among Black American women treated with continuous estrogen HT, the HR was 7.58 (95% CI 1.96 to 29.31), showing a significantly increased risk of recurrence for women in this ethnic group. Considering the pooled OR of all included studies 0.63 (95% CI 0.48 to 0.83), a significantly reduced risk of recurrence was found among EC survivors treated with HT. Considering the type of HT, the most risk-reducing was combined estrogen and progestin therapy and the cyclic regimen. Although supporting evidence is based mainly upon observational studies, evidence of no increased risk or even decreased risk was generally found, apart from in Black American women where a significantly increased recurrence risk was evident. The data are rather reassuring for the short-term administration of HT to symptomatic EC survivors. Future studies with a longer follow-up are necessary to better clarify the long-term effects of HT.

Black American Maternal Prenatal Choline, Offspring Gestational Age at Birth, and Developmental Predisposition to Mental Illness

Black Americans have increased risk for schizophrenia and other mental illnesses with prenatal origins. Prenatal choline promotes infant brain development and behavioral outcomes, but choline has not been specifically assessed in Black Americans. Pregnant women (N = 183, N = 25 Black Americans) enrolled in a study of prenatal stressors and interactions with prenatal choline. Black American women had lower 16-week gestation plasma choline than Whites. Lower choline was not related to obesity, income, or metabolic genotypes. Pregnant women in rural Uganda have higher choline levels than Black American women. Black Americans’ lower choline was associated with higher hair cortisol, indicative of higher stress. Lower maternal choline was associated with offsprings’ lower gestational age at birth and with decreased auditory P50 inhibition, a marker of inhibitory neuron development. Behavioral development was assessed on the Infant Behavior Questionnaire-R-SF (IBQ-R) at 3 months. Lower Black American maternal gestational choline was associated with lower infant IBQ-R Orienting/Regulation, indicating decreased attention and relation to caregivers. Additional evidence for developmental effects of choline in Black Americans comes from a randomized clinical trial of gestational phosphatidylcholine supplementation versus placebo that included 15 Black Americans. Phosphatidylcholine increased gestational age at birth and newborn P50 inhibition and decreased Social Withdrawn and Attention problems at 40 months of age in Black Americans’ offspring compared to placebo. Inhibitory and behavioral deficits associated with lower prenatal choline in offspring of Black American women indicate potential developmental predispositions to later mental illnesses that might be ameliorated by prenatal choline or phosphatidylcholine supplementation.

“I’m Supposed To Be Thick”: Managing Body Image Anxieties Among Black American Women

Prior literature on Black women’s body image heavily relies on comparative studies to confirm Black women’s greater body satisfaction relative to white women. Collectively, these studies argue that “cultural buffers” exempt Black women from the thin ideal and instead, encourage women to embrace thickness as a mark of racial pride. And while the literature largely establishes Black women’s preference for a curvaceous figure, I take a different approach by examining women who describe failing to embody thickness and how they reconcile this conflict. Thus, this article asks how women negotiate body dissatisfaction when violating racialized bodily ideals. Drawing on in-depth interviews with 31 Black American women of diverse body sizes and shapes, I demonstrate how women rely on discursive frameworks such as healthism and the “strong Black woman” ideology to reconcile their self-image. While these discourses enable women to defend criticisms of violating thickness, they also participate in stigmatizing other forms of embodiment in their attempts to assuage body dissatisfaction. Overall, these findings reveal Black women’s agency to challenge idealized–and essentialized–notions of thickness that weighed heavily on their body image. Lastly, I discuss the broader implications of my findings within the literature of body politics and offer suggestions for future research.

Sprints of Citizenship

This chapter examines how the performances of black women athletes at the 1951 Pan-American Games and 1952 Olympic Games made it difficult for the institutions of mainstream American sport to advance an uncontested image of American identity. Due to the conditions of the Cold War, the United States Olympic Committee and Amateur Athletic Union became more committed to using athletes to advertise the believed superiority of American democracy. Because of their race and gender, black women track stars disrupted this project, inserting blackness and femaleness into the image of Americanness through their accomplishments. In doing so, they also demonstrated that sport, despite its conservative connotations, served as a rare cultural space in which black American women could display their capacity and autonomy.