Addressing Structural Racism, Bias, and Health Communication as Foundational Drivers of Obesity Proceedings of a Workshop Series (2022) / Chapter Skim
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5 Reflections on the Intersections of Structural Racism, Biased Mental Models, Stigma, and Weight Bias with Obesity
5 Reflections on the Intersections of Structural Racism, Biased Mental Models, Stigma, and Weight Bias with Obesity
Pages 35-42
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From page 35... ...
• The prevalence of obesity in the United States reflects an ac cumulation of decades of inequities, rooted in structural and political racism, that have promulgated harmful social, eco nomic, and structural determinants of health. Health equity is the process of ensuring that conditions of optimal determi nants of health are conferred on every person while acknowl edging historical injustices.
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From page 36... ...
, which serves pregnant and lactating women and their children up to 5 years of age. WIC reaches about 55 percent of eligible recipients and has a steep dropout rate when children reach their first birthday, Byrd-Bredbenner observed, perhaps fueled in part by parents' frustration over the challenges encountered in accessing options within the WIC food package for children between ages 1 and 4, as well as the requirement to appear in person with their children twice a year for recertification.
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From page 37... ...
According to Byrd-Bredbenner, the bottom line is that improving food security brings benefits beyond helping to prevent obesity and address health disparities. It also helps provide children enough nourishment so they can stay focused at school, alleviates parents' stress about feeding their children, and improves employee health and reduces sick days.
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From page 38... ...
Gardner Professor of Clinical Gynecology in the Feinberg School of Medicine at Northwestern University, proposed that the prevalence of obesity in the United States represents the accumulation of decades of inequities rooted in structural and political racism that have promulgated harmful social, economic, and structural determinants of health. She offered the 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)
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From page 39... ...
She also encouraged structural and environmental policies promoting physical activity in various environments, as well as access to healthy food for all. Silvera underscored voting rights as a key issue with downstream implications for health and noted an uptick in recent state-level efforts to modify voting laws.
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From page 40... ...
Asked about the optimal time to begin nutrition education, ByrdBredbenner said she would like to see it integrated in multiple settings throughout the life course, from educational institutions starting with preschool, to WIC and SNAP touchpoints, to grocery stores and food labels. She urged that current efforts to educate the public about nutrition evolve to reflect the latest evidence and encourage broader uptake.
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From page 41... ...
She reiterated the importance of making space in all environments and communities for disadvantaged groups, including individuals with physical or developmental disabilities, and amplifying their voices so their needs can be heard. Crespo reminded participants to focus not just on the various intersecting characteristics but on the dignity of the person in which those characteristics occur.
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