A framework for evaluating the impact of obesity prevention strategies on socioeconomic inequalities in weight.

Backholer,K, Beauchamp,A, Ball,K, Turrell,G, Martin,J, Woods,J and Peeters,A 2014, A framework for evaluating the impact of obesity prevention strategies on socioeconomic inequalities in weight., American Journal of Public Health, vol. 104, no. 10, pp. 43-50, doi: 10.2105/AJPH.2014.302066.

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Title A framework for evaluating the impact of obesity prevention strategies on socioeconomic inequalities in weight.
Author(s) Backholer,K
Beauchamp,AORCID iD for Beauchamp,A orcid.org/0000-0001-6555-6200
Ball,KORCID iD for Ball,K orcid.org/0000-0003-2893-8415
Turrell,G
Martin,J
Woods,JORCID iD for Woods,J orcid.org/0000-0002-2717-310X
Peeters,A
Journal name American Journal of Public Health
Volume number 104
Issue number 10
Start page 43
End page 50
Total pages 9
Publisher American Public Health Association
Place of publication Washington, D.C.
Publication date 2014-10
ISSN 1541-0048
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
TOBACCO-CONTROL POLICIES
SOCIAL INEQUALITIES
PHYSICAL-ACTIVITY
PUBLIC-HEALTH
ENVIRONMENTAL DETERMINANTS
DISADVANTAGED POPULATIONS
SYSTEMATIC REVIEWS
SMOKING
INTERVENTIONS
AGENCY
Summary We developed a theoretical framework to organize obesity prevention interventions by their likely impact on the socioeconomic gradient of weight. The degree to which an intervention involves individual agency versus structural change influences socioeconomic inequalities in weight. Agentic interventions, such as standalone social marketing, increase socioeconomic inequalities. Structural interventions, such as food procurement policies and restrictions on unhealthy foods in schools, show equal or greater benefit for lower socioeconomic groups. Many obesity prevention interventions belong to the agento-structural types of interventions, and account for the environment in which health behaviors occur, but they require a level of individual agency for behavioral change, including workplace design to encourage exercise and fiscal regulation of unhealthy foods or beverages. Obesity prevention interventions differ in their effectiveness across socioeconomic groups. Limiting further increases in socioeconomic inequalities in obesity requires implementation of structural interventions. Further empirical evaluation, especially of agento-structural type interventions, remains crucial.
Language eng
DOI 10.2105/AJPH.2014.302066
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920411 Nutrition
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, American Public Health Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30067848

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