Community energy balance: A framework for contextualizing cultural influences on high risk of obesity in ethnic minority populations

Kumanyika, Shiriki; Taylor, Wendell C.; Grier, Sonya A.; Lassiter, Vikki; Lancaster, Kristie J.; Morssink, Christiaan B.; Renzaho, Andre Μ Ν

doi:10.1016/j.ypmed.2012.07.002

Cited by 83 publications

(98 citation statements)

References 112 publications

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“…It is important that government policies aiming to extend the healthy lives of its citizens do not attend to a singular imperative of future bodily health but rather the present time (and its relationships to multiple temporalities) that orient the lifeworlds in which people dwell and obesity appears. This means not only attending to local meanings and experiences of temporality, but reflecting on how the dominant and internalised structures of 'the future' are taken-forgranted in public health campaigns and assumed to be a universal worldview (Kumanyika et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Short horizons and obesity futures: Disjunctures between public health interventions and everyday temporalities

Warin

Zivkovic

Moore

et al. 2015

Social Science & Medicine

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a b s t r a c tThis paper examines the spatio-temporal disjuncture between 'the future' in public health obesity initiatives and the embodied reality of eating. Drawing upon ethnographic fieldwork in a disadvantaged community in South Australia (August 2012eJuly 2014), we argue that the future oriented discourses of managing risk employed in obesity prevention programs have limited relevance to the immediacy of poverty, contingencies and survival that mark people's day to day lives. Extending Bourdieu's position that temporality is a central feature of practice, we develop the concept of short horizons to offer a theoretical framework to articulate the tensions between public health imperatives of healthy eating, and local 'tastes of necessity'. Research undertaken at the time of Australia's largest obesity prevention program (OPAL) demonstrates that pre-emptive and risk-based approaches to health can fail to resonate when the future is not within easy reach. Considering the lack of evidence for success of obesity prevention programs, over-reliance on appeals to 'the future' may be a major challenge to the design, operationalisation and success of interventions. Attention to local rather than future horizons reveals a range of innovative strategies around everyday food and eating practices, and these capabilities need to be understood and supported in the delivery of obesity interventions. We argue, therefore, that public health initiatives should be located in the dynamics of a living present, tailored to the particular, localised spatio-temporal perspectives and material circumstances in which people live.

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Section: Discussionmentioning

confidence: 99%

Short horizons and obesity futures: Disjunctures between public health interventions and everyday temporalities

Warin

Zivkovic

Moore

et al. 2015

Social Science & Medicine

View full text Add to dashboard Cite

show abstract

“…Many of these factors are welldocumented in the literature and include, but are not limited to, SES, geography, food preferences, physical and social environment, gender, age, cultural identity, and family composition. The importance of taking into account contextual factors that are historically, politically, and structurally relevant to communities in regard to obesity prevalence, prevention, and treatment continues to gain traction among those addressing the concern [44][45][46].…”

Section: Contextual Factorsmentioning

confidence: 99%

“…One such socioecological inspired framework, the Community Energy Balance Framework (CEB), was developed to plan and evaluate meaningful interventions to prevent obesity with a focus on contextualizing food and PA-related perceptions in minority communities. This approach is sensitive to relevant historical, political, and structural contexts within communities [45]. Interventions will likely be most effective when the community is actively involved in planning and implementing health interventions and community health workers may be essential to this effort.…”

Section: Social/behavioral Interventions: School Community and Indimentioning

confidence: 99%

Overweight and Obesity: Prevalence, Consequences, and Causes of a Growing Public Health Problem

et al. 2015

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This review considers a variety of perspectives on overweight and obesity (OW/obesity), including measurement and classification; prevalence and changes in prevalence in recent years; genetic, biological, medical, individual, and social correlates of OW/obesity; and treatment approaches. Despite increased attention, OW/obesity is escalating in prevalence worldwide, and the causes are exceedingly complex. A range of innovative studies, including basic research on gut microflora, dietary composition, pharmacologic interventions, and surgical procedures, is generating findings with potential for future prevention and treatment of OW/obesity. Social system changes such as school programs and the awareness of the roles of personal, family, health provider, and cultural experiences related to OW/obesity have also gained traction for vital prevention and treatment efforts over the past decade.

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“…We tend to treat history as a stand-alone topic. Accounting for sociopolitical history is particularly important when addressing health disparities and health equity (Chowkwanyun, 2011;Kumanyika et al, 2007Kumanyika et al, , 2012. It is also important to see time prospectively: think "into the future" and develop scenarios (World Future Society, 2012).…”

Section: Time -Chronology and The Life Coursementioning

confidence: 99%

Linking culture and structure: Adding time and environment — A commentary

Morssink

2012

Preventive Medicine

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Community energy balance: A framework for contextualizing cultural influences on high risk of obesity in ethnic minority populations

Cited by 83 publications

References 112 publications

Short horizons and obesity futures: Disjunctures between public health interventions and everyday temporalities

Short horizons and obesity futures: Disjunctures between public health interventions and everyday temporalities

Overweight and Obesity: Prevalence, Consequences, and Causes of a Growing Public Health Problem

Linking culture and structure: Adding time and environment — A commentary

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