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1.
Health Promot J Austr ; 30(1): 47-59, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-29999550

RESUMEN

ISSUE ADDRESSED: Australian policymakers have acknowledged that implementing obesity prevention regulations is likely to be facilitated or hindered by public opinion. Accordingly, we investigated public views about possible regulations. METHODS: Cross-sectional survey of 2732 persons, designed to be representative of South Australians aged 15 years and over. Questions examined views about four obesity prevention regulations (mandatory front-of-pack nutrition labelling for packaged foods; zoning restrictions to prohibit fast food outlets near schools; taxes on unhealthy high fat foods; and taxes on sugar-sweetened beverages). Levels of support (Likert scale) for each intervention and reasons for support/opposition were ascertained. RESULTS: Views about the regulations were mixed: support was highest for mandatory nutrition labelling (90%) and lowest for taxes (40%-42%). High levels of support for labelling were generally underpinned by a belief that this regulation would educate "Other" people about nutrition. Lower levels of support for zoning restrictions and taxes were associated with concerns about government overreach and the questionable effectiveness of these regulations in changing behaviours. Levels of support for each regulation, and reasons for support or opposition, differed by gender and socio-economic status. CONCLUSION: Socio-demographic differences in support appeared to reflect gendered responsibilities for food provision and concerns about the material constraints of socio-economic deprivation. Engagement with target populations may offer insights to optimise the acceptability of regulations and minimise unintended social consequences. SO WHAT?: Resistance to regulations amongst socio-economically disadvantaged target populations warrants attention from public health advocates. Failure to accommodate concerns identified may further marginalise these groups.


Asunto(s)
Actitud Frente a la Salud , Promoción de la Salud/métodos , Política Nutricional , Obesidad/prevención & control , Obesidad/psicología , Adolescente , Adulto , Anciano , Estudios Transversales , Comida Rápida , Femenino , Etiquetado de Alimentos/legislación & jurisprudencia , Política de Salud , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Política Nutricional/legislación & jurisprudencia , Instituciones Académicas , Distribución por Sexo , Factores Socioeconómicos , Australia del Sur , Adulto Joven
2.
Soc Sci Med ; 154: 1-8, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26943008

RESUMEN

The potential for regulatory measures to address escalating rates of obesity is widely acknowledged in public health circles. Many advocates support regulations for their potential to reduce health inequalities, in light of the well-documented social gradient in obesity. This paper examines how different social groups understand the role of regulations and other public health interventions in addressing obesity. Drawing upon focus group data from a metropolitan city in southern Australia, we argue that implementing obesity regulations without attention to the ways in which disadvantaged communities problematise obesity may lead to further stigmatisation of this key target population. Tuana's work on the politics of ignorance, and broader literature on classed asymmetries of power, provides a theoretical framework to demonstrate how middle class understandings of obesity align with dominant 'obesity epidemic' discourses. These position obese people as lacking knowledge; underpinning support for food labelling and mandatory nutrition education for welfare recipients as well as food taxes. In contrast, disadvantaged groups emphasised the potential for a different set of interventions to improve material circumstances that constrain their ability to act upon existing health promotion messages, while also describing priorities of everyday living that are not oriented to improving health status. Findings demonstrate how ignorance is produced as an explanation for obesity, widely replicated in political settings and mainstream public health agendas. This politics of ignorance and its logical reparation serve to reproduce power relations in which particular groups are constructed as lacking capacity to act on knowledge, whilst maintaining others in privileged positions of knowing.


Asunto(s)
Promoción de la Salud , Obesidad/prevención & control , Política , Opinión Pública , Grupos Focales , Alimentos/economía , Conocimientos, Actitudes y Práctica en Salud , Disparidades en el Estado de Salud , Humanos , Factores Socioeconómicos , Australia del Sur
3.
Sociol Health Illn ; 38(4): 543-58, 2016 05.
Artículo en Inglés | MEDLINE | ID: mdl-26564262

RESUMEN

Intense concern about obesity in the public imagination and in political, academic and media discourses has catalysed advocacy efforts to implement regulatory measures to reduce the occurrence of obesity in Australia and elsewhere. This article explores public attitudes towards the possible implementation of regulations to address obesity by analysing emotions within popular discourses. Drawing on reader comments attached to obesity-relevant news articles published on Australian news and current affairs websites, we examine how popular anxieties about the 'obesity crisis' and vitriol directed at obese individuals circulate alongside understandings of the appropriate role of government to legitimise regulatory reform to address obesity. Employing Ahmed's theorisation of 'affective economies' and broader literature on emotional cultures, we argue that obesity regulations achieve popular support within affective economies oriented to neoliberal and individualist constructions of obesity. These economies preclude constructions of obesity as a structural problem in popular discourse; instead positioning anti-obesity regulations as a government-endorsed vehicle for discrimination directed at obese people. Findings implicate a new set of ethical challenges for those championing regulatory reform for obesity prevention.


Asunto(s)
Emociones , Medios de Comunicación de Masas , Obesidad/prevención & control , Opinión Pública , Australia , Política de Salud , Humanos , Obesidad/psicología
4.
Qual Health Res ; 23(12): 1686-96, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24159004

RESUMEN

In this article, we examine the ethical and methodological tensions entailed in doing qualitative research in obesity studies. Framing our own embodied engagements through critical social theory, we consider how cultural meanings associated with obesity are silenced and negotiated in the research process. This negotiation is fraught with linguistic and corporeal challenges, beginning with the decision to use (or not use) the word obesity in research materials. Obesity is a visible stigma, and we argue that silencing language does not erase the tacit judgments that accompany discursive categorization. It is in a broader context of power relations that we examine the relationship between researcher and participant bodies and the ways in which collective knowingness about fat bodies underpins methodological engagement. The simultaneous presence and absence of obesity have a significant impact on the research process, in shaping both participants' experiences and the researcher's actions and interpretations.


Asunto(s)
Comunicación , Obesidad/psicología , Investigación Cualitativa , Relaciones Investigador-Sujeto/ética , Características Culturales , Humanos , Estigma Social
5.
Pediatrics ; 128(1): e78-84, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21669897

RESUMEN

BACKGROUND: Disentangling the effects of maternal depression in toddlerhood from concurrent maternal depression on child behavior is difficult from previous research. Child care may modify any effects of maternal depression on subsequent child behavior, but this has not been widely investigated. METHODS: We examined the influence of maternal depressive symptoms during toddlerhood on children's behavior at the age of 5 years and investigated if formal or informal child care during toddlerhood modified any relationship observed. RESULTS: Data were available from 438 mothers and their children (227 girls and 211 boys); the mothers who completed questionnaires during the children's infancy, in toddlerhood, and at the age of 5 years. Recurrent maternal depressive symptoms in toddlerhood (when study children were aged 2 and 3½ years) was a significant risk factor for internalizing, externalizing, and total behavior problems when children were aged 5 years. Intermittent maternal depressive symptoms (study child age 2 or 3½ years) did not significantly affect child behavior problems. Formal child care at the age of 2 years modified the effect of recurrent maternal depressive symptoms on total behavior problems at age 5 years. Informal child care in toddlerhood did not significantly affect child behavior problems. CONCLUSIONS: Recurrent, but not intermittent, maternal depressive symptoms when children were toddlers were associated with child behavior problems at age 5 years. As little as half a day in formal child care at the age of 2 years significantly modified the effect of recurrent maternal depressive symptoms on total behavior problems. Formal child care for toddlers of depressed mothers may have positive benefits for the child's subsequent behavior.


Asunto(s)
Trastornos de la Conducta Infantil/epidemiología , Conducta Infantil , Cuidado del Niño , Depresión , Madres , Adulto , Trastornos de la Conducta Infantil/etiología , Trastornos de la Conducta Infantil/prevención & control , Preescolar , Estudios de Cohortes , Femenino , Humanos , Lactante , Masculino , Recurrencia
6.
Med J Aust ; 189(11-12): 618-21, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-19061448

RESUMEN

OBJECTIVE: To determine the core qualities that men value when communicating with general practitioners in primary care settings. DESIGN, SETTING AND PARTICIPANTS: In a qualitative study using semi-structured interviews in non-clinical environments, 36 white Australian men drawn from the Florey Adelaide Male Ageing Study, stratified by age and marital status, discussed their help-seeking behaviour and health service use. Participants were from the North West Adelaide region. Interviews were conducted between January and November 2005. RESULTS: The core qualities men value when communicating with GPs in primary care settings include the adoption of a "frank approach", demonstrable competence, thoughtful use of humour, empathy, and prompt resolution of health issues. CONCLUSIONS: The core qualities men value when communicating with GPs are concordant with most key dimensions of a patient-centred approach, but not necessarily all. Adopting these qualities has the potential to enhance communication with and care of men in primary care settings.


Asunto(s)
Comunicación , Hombres/psicología , Relaciones Médico-Paciente , Médicos de Familia , Adulto , Anciano , Australia , Empatía , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Atención Primaria de Salud , Ingenio y Humor como Asunto
7.
Anthropol Med ; 13(1): 41-54, 2006 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26868611

RESUMEN

Anthropological concepts of relatedness have not been addressed in any of the writings on anorexia, despite the literature being replete with negative connotations of sociality such as withdrawal, regression, and toxic families (in the form of 'obsessive mothers' or 'absent fathers'). As a departure to the vast literature on this topic, this multi-sited ethnographic project draws on the recent critiques and broadening of the concept of kinship to examine the ways in which a group of people with a diagnosis of anorexia understood and experienced relatedness in their everyday lives, that is, how they continually transformed connections by truncating, creating, sustaining and abandoning them. Those practices that are taken for granted as creating and sustaining relatedness-from the everyday practices of commensality to the capacity to have children-were consistently negated. Negating consensual avenues of relatedness did not leave these people in a void. On the contrary, new and productive meanings and experiences of being related were created and people entered into a relationship with anorexia that, in turn, tempered their relationships with their everyday worlds. In examining the 'relational matrix' of anorexia, new spaces of agency, ambiguity and power are illuminated.

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