Black culture is not the only one that promotes 'thickness' or at least accepting of overweight/obese individuals. Personally, I think emotionally is it healthier than the generic american culture of fat is ugly, disgusting, etc. I do like the approach to say that a change needs to occur for health reasons.
At some point, it is a cultural pride thing in that certain aspects such as wide hips/curvacious booty seemed to be traditonally associated with black women. So to embrace ones culture, you may say we embrace 'this aspect'. For the black women that don't fit into these cultural 'ideals' though, it can be difficult.
I think overall, for a healthy emotional acceptance, that we should accept women of all shapes and sizes, regardless of culture. We should also encourage a healthy diet, regular exercise and weight loss for health reasons. I think the right approach is to have those that are part of the culture be involved in promoting the change.
Anyway, those are my ramblings on the subject.
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