The United States Virgin Islands (USVI) are located between the Atlantic Ocean and the Caribbean Sea, southeast of the southern tip of Florida, and directly east of Puerto Rico. The USVI is comprised of four main islands: St. Thomas, St. Croix, St. John, and Water Island. The demographics of the 105,000 people in the USVI are 78% black, 10% white, and 12% other. The majority (81%) of Virgin Islanders are of West Indian descent, with 49% born in the Virgin Islands and the remaining 32% with birthplaces on other Caribbean Islands. In the United States, nearly two-thirds of adults are overweight or obese with similar trends in the USVI (66.2%). African American (AA) women have the highest rates of overweight and obesity compared to other groups in the United States, with four out of five AA women being overweight or obese. In 2010, AA women were 70% more likely to be obese than non-Hispanic White women. AA women are 1.8 times as likely to be diagnosed with diabetes, 1.4 times as likely to die of heart disease, and 1.4 times as likely to suffer a stroke as non-Hispanic white women. Data from Puerto Rico, Guam, and Latin America is often combined with data gathered in the USVI, making it difficult to pinpoint the rates of chronic disease specific to this area. BRFSS data is available for some years and some chronic diseases; however, less than 70% of Virgin Islanders have a main phone line to participate in this survey. Additionally, this data is not divided into prevalence rates specific to gender or racial/ethnic groups. The relationship between body image and body mass index (BMI) is not well understood, especially among ethnic minorities. Perceived body image varies by ethnicity and may be indicative of awareness of weight and health risks. There is evidence that AA women have heavier body image ideals than white women and that AA women are more likely to perceive themselves as normal weight when they are actually overweight. Several studies suggest that AA women may perceive an obese body size as desirable for health and beauty. Other research shows that AA women have a definition of health that incorporates the mind-body-spirit connection and encompasses body type and the need to maintain equilibrium. In gauging attractiveness, AA women describe shapeliness and the fit of clothing and appear more concerned with their public image of “looking good” involving their general presentation when dressed. In a study by Ristovki-Slijepcevic et al. (2010), AA wo...