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

Backholer, Kathryn, Beauchamp, Alison, Ball, Kylie, Turrell, Gavin, Martin, Jane, Woods, Julie, & Peeters, Anna (2014) A framework for evaluating the impact of obesity prevention strategies on socioeconomic inequalities in weight. American Journal of Public Health, 104(10), e43-e50.

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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.

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20 citations in Scopus
20 citations in Web of Science®
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ID Code: 88866
Item Type: Journal Article
Refereed: Yes
DOI: 10.2105/AJPH.2014.302066
ISSN: 0090-0036
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Deposited On: 08 Oct 2015 06:07
Last Modified: 25 Jun 2017 23:01

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