Exploring Strategies for Sustainable Systems-Wide Changes to Reduce the Prevalence of Obesity Proceedings of a Workshop–in Brief (2021) / Chapter Skim
Currently Skimming:
Exploring Strategies for Sustainable Systems-Wide Changes to Reduce the Prevalence of Obesity: Proceedings of a Workshop - in Brief
Exploring Strategies for Sustainable Systems-Wide Changes to Reduce the Prevalence of Obesity: Proceedings of a Workshop - in Brief
Pages 1-8
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 1... ...
He said these efforts culminated in the development of a causal systems map of obesity drivers and solutions, which forms a roadmap for action toward datadriven obesity solutions and innovative approaches. Pronk highlighted the roadmap's three priority areas for action and solutions -- structural racism and social justice, biased mental models and social norms, and effective health communications -- and explained that these areas were identified primarily by using a framework developed by Donella Meadows that organizes potential places to intervene in a system by a taxonomy corresponding to the elements of a system from least to most effective.1 He described that the framework depicts increasingly deeper leverage points in a system.
|
From page 2... ...
Jones acknowledged that the cliff analogy fails to address how health disparities arise. She offered three explanations: differences in the quality of care received in the health system; differences in access to preventive and curative health care services; and differences in life opportunities, exposures, and stresses that result in differences in underlying health status.5,6,7 Exploring the drivers of these differences stimulates conversations about systems of power that can lead to differential circumstances, Jones explained, and described these systems as "social determinants of equity" (or inequity)
|
From page 3... ...
Thorpe described three pathways through which housing discrimination operates and through which structural racism influences housing disparities. One pathway is physical housing conditions, such as lead in a home; a second is housing affordability and stability, the latter encompassing outcomes such as being behind on rent or mortgage payments, frequent moves, homelessness, eviction, foreclosure, displacement, and overcrowding; and a third is residential racial segregation, which Thorpe labeled a fundamental determinant of health.
|
From page 4... ...
The Supreme Court ruled that because the school district had complied with the original desegregation plan and the vestiges of de jure segregation had been removed, schools need not continue with court-mandated desegregation plans. According to Navarro, the ruling effectively communicated that school segregation based on racialized housing patterns is legal.
|
From page 5... ...
Bevan next highlighted potential unintended consequences of workplace health promotion programs. Wellintentioned programs with a nutrition, exercise, or weight management element may inadvertently reinforce obesity stigma, he explained, when they reinforce the belief that overweight and obesity can be resolved through an individual's willpower over efforts to eat less and move more.13 This might cause some people with obesity to internalize the stigma they experience in society, Bevan explained, or make them reluctant to participate in workplace programs or access support, advice, or even psychosocial help.14 In closing, Bevan outlined actions that governments, employers, the media, and health care professionals can take to reduce obesity stigma.
|
From page 6... ...
Byrd-Bredbenner also offered ideas for increasing healthy food options at small food outlets such as corner stores, which she said are primary food retail venues for many people who live in urban areas and experience food insecurity. The bottom line, she said, is that improving food security carries benefits beyond helping prevent obesity and addressing health disparities: it helps provide children enough nourishment to stay focused at school, alleviates parental stress about feeding their children, and improves employee health and reduces sick days.
|
From page 7... ...
Gardner Professor of Clinical Gynecology in the Feinberg School of Medicine at Northwestern University, proposed that the prevalence of obesity in the United States is an accumulation of decades of inequities rooted in structural and political racism that have promulgated social, economic, and structural determinants of health. She offered an analogy of an apple tree bent toward one group of people, effectively favoring that group with the privilege and advantage of easier or even effortless access to its fruit (i.e., good health)
|
From page 8... ...
SPONSORS: This workshop was partially supported by the Academy of Nutrition and Dietetics; Alliance for a Healthier Generation; American Academy of Pediatrics; American College of Sports Medicine; American Council on Exercise; American Society for Nutrition; Banner Health; Bipartisan Policy Center; Blue Shield of California Foundation; General Mills, Inc.; Intermountain Healthcare; The JPB Foundation; The Kresge Foundation; Mars, Inc., National Recreation and Park Association; Nemours; Novo Nordisk; Obesity Action Coalition; The Obesity Society; Partnership for a Healthier America; Reinvestment Fund; Robert Wood Johnson Foundation; SHAPE America; Society of Behavioral Medicine; University of Pittsburgh Medical Center; Wake Forest Baptist Medical Center; Walmart; WW International; and YMCA. For additional information regarding the meeting, visit nationalacademies.org/obesitysolutions.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.