Abstract:
: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.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Backholer K,Beauchamp A,Ball K,Turrell G,Martin J,Woods J,Peeters Adoi
10.2105/AJPH.2014.302066subject
Has Abstractpub_date
2014-10-01 00:00:00pages
e43-50issue
10eissn
0090-0036issn
1541-0048journal_volume
104pub_type
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