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

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  • Backholer, K.
  • Beauchamp, A.
  • Ball, K.
  • Turrell, G.
  • Martin, J.
  • Woods, J.
  • Peeters, A.

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 whichhealth 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 interventionsdiffer 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.

Suggested Citation

  • Backholer, K. & Beauchamp, A. & Ball, K. & Turrell, G. & Martin, J. & Woods, J. & Peeters, A., 2014. "A framework for evaluating the impact of obesity prevention strategies on socioeconomic inequalities in weight," American Journal of Public Health, American Public Health Association, vol. 104(10), pages 43-50.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302066_4
    DOI: 10.2105/AJPH.2014.302066
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    Cited by:

    1. Noora-Lisa Aberman & Nick Nisbett & Adjoa Amoafo & Richmond Areetey, 2022. "Assessing the readiness of small cities in Ghana to tackle overweight and obesity," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 14(2), pages 381-393, April.
    2. Lakerveld, Jeroen & Woods, Catherine & Hebestreit, Antje & Brenner, Hermann & Flechtner-Mors, Marion & Harrington, Janas M. & Kamphuis, Carlijn B.M. & Laxy, Michael & Luszczynska, Aleksandra & Mazzocc, 2020. "Advancing the evidence base for public policies impacting on dietary behaviour, physical activity and sedentary behaviour in Europe: The Policy Evaluation Network promoting a multidisciplinary approac," Food Policy, Elsevier, vol. 96(C).
    3. Bonanno, Alessandro & Bimbo, Francesco & Cleary, Rebecca & Castellari, Elena, 2018. "Food labels and adult BMI in Italy – An unconditional quantile regression approach," Food Policy, Elsevier, vol. 74(C), pages 199-211.
    4. Nicholas Nisbett & Jody Harris & Derek Headey & Mara den Bold & Stuart Gillespie & Noora-Lisa Aberman & Olutayo Adeyemi & Richmond Aryeetey & Rasmi Avula & Elodie Becquey & Scott Drimie & Elyse Iruhir, 2023. "Stories of change in nutrition: lessons from a new generation of studies from Africa, Asia and Europe," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(1), pages 133-149, February.
    5. Camila Carbone-Moane & Andrew Guise, 2021. "‘You Owe It to Yourself, Everyone You Love and to Our Beleaguered NHS to Get Yourself Fit and Well’: Weight Stigma in the British Media during the COVID-19 Pandemic—A Thematic Analysis," Social Sciences, MDPI, vol. 10(12), pages 1-13, December.
    6. Sarah Gerritsen & Sophia Harré & Boyd Swinburn & David Rees & Ana Renker-Darby & Ann E. Bartos & Wilma E. Waterlander, 2019. "Systemic Barriers and Equitable Interventions to Improve Vegetable and Fruit Intake in Children: Interviews with National Food System Actors," IJERPH, MDPI, vol. 16(8), pages 1-19, April.
    7. Leah Salm & Nicholas Nisbett & Katie Cuming & Tabitha Hrynick & Alexandra Lulache & Hayley MacGregor, 2023. "A whole system approach to childhood obesity: how a supportive environment was created in the city of Brighton and Hove, United Kingdom," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(4), pages 919-935, August.
    8. Gesa Czwikla & Filip Boen & Derek G. Cook & Johan de Jong & Tess Harris & Lisa K. Hilz & Steve Iliffe & Richard Morris & Saskia Muellmann & Denise A. Peels & Claudia R. Pischke & Benjamin Schüz & Mart, 2019. "Equity-Specific Effects of Interventions to Promote Physical Activity among Middle-Aged and Older Adults: Development of a Collaborative Equity-Specific Re-Analysis Strategy," IJERPH, MDPI, vol. 16(17), pages 1-17, September.
    9. Robert J. Noonan, 2018. "Prevalence of Childhood Overweight and Obesity in Liverpool between 2006 and 2012: Evidence of Widening Socioeconomic Inequalities," IJERPH, MDPI, vol. 15(12), pages 1-11, November.
    10. Lauri Andress & Carmen Byker Shanks & Annie Hardison-Moody & T. Elaine Prewitt & Paul Kinder & Lindsey Haynes-Maslow, 2020. "The Curated Food System: A Limiting Aspirational Vision of What Constitutes “Good” Food," IJERPH, MDPI, vol. 17(17), pages 1-20, August.
    11. Christina Zorbas & Jennifer Browne & Alexandra Chung & Anna Peeters & Sue Booth & Christina Pollard & Steven Allender & Anna Isaacs & Corinna Hawkes & Kathryn Backholer, 2023. "Shifting the social determinants of food insecurity during the COVID-19 pandemic: the Australian experience," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(1), pages 151-170, February.

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