Personal Responsibility And Obesity: A Constructive Approach To A Controversial Issue

被引:308
作者
Brownell, Kelly D. [1 ,2 ,3 ]
Kersh, Rogan [4 ]
Ludwig, David S. [5 ,6 ]
Post, Robert C. [7 ]
Puhl, Rebecca M. [1 ,8 ]
Schwartz, Marlene B.
Willett, Walter C. [9 ]
机构
[1] Rudd Ctr Food Policy & Obes, Res Initiat, New Haven, CT USA
[2] Yale Univ, Dept Psychol, New Haven, CT 06520 USA
[3] Yale Univ, Dept Epidemiol & Publ Hlth, New Haven, CT 06520 USA
[4] NYU, Robert F Wagner Grad Sch Publ Serv, New York, NY 10003 USA
[5] Childrens Hosp, Optimal Weight Life Program, Boston, MA 02115 USA
[6] Harvard Univ, Sch Med, Boston, MA USA
[7] Yale Univ, Sch Law, New Haven, CT 06520 USA
[8] Rudd Ctr Food Policy & Obes, Weight Stigma Initiat, New Haven, CT USA
[9] Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA
关键词
PUBLIC-HEALTH; UNITED-STATES; ADDICTION; SURVEILLANCE; ENVIRONMENTS; PREVALENCE; PREVENTION; BELIEFS;
D O I
10.1377/hlthaff.2009.0739
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The concept of personal responsibility has been central to social, legal, and political approaches to obesity. It evokes language of blame, weakness, and vice and is a leading basis for inadequate government efforts, given the importance of environmental conditions in explaining high rates of obesity. These environmental conditions can override individual physical and psychological regulatory systems that might otherwise stand in the way of weight gain and obesity, hence undermining personal responsibility, narrowing choices, and eroding personal freedoms. Personal responsibility can be embraced as a value by placing priority on legislative and regulatory actions such as improving school nutrition, menu labeling, altering industry marketing practices, and even such controversial measures as the use of food taxes that create healthier defaults, thus supporting responsible behavior and bridging the divide between views based on individualistic versus collective responsibility.
引用
收藏
页码:379 / 387
页数:9
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