Ideology, obesity and the social determinants of health: a critical analysis of the obesity and health relationship

Medvedyuk, Stella; Ali, Ahmednur; Raphael, Dennis

doi:10.1080/09581596.2017.1356910

Cited by 62 publications

(46 citation statements)

References 52 publications

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“…Medvedyuk claims that the focus of health research and the health service makes victims of obese people. It is therefore essential that healthcare personnel set aside these cultural and negative norms and treat such patients with openness and without prejudice (27). Changing the focus of society and treatment services from weight reduction to greater efforts to address how people are affected by obesity can help reduce stigmatisation (5).…”

Section: Extensive Weight Discriminationmentioning

confidence: 99%

Stigmatisering og skam – en kvalitativ studie om å leve med fedme

Ueland¹

2019

Sykepleien

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Background: Those who suffer from obesity can feel stigmatised and shamed by society, which can prevent them from living life to the full. Objective: We need a deeper understanding of obese people's experiences with stigmatisation and shame, of how stigma and shame are created and sustained, and the impacts of shame on this group. The health service needs insight into how stigmatisation leads to shame, and the consequences of shame for the individual. Method: The study has a phenomenological-hermeneutic approach and an exploratory design. We conducted qualitative in-depth interviews with 18 obese people. The interviews were analysed using Kvale's phenomenological-hermeneutic method. Results: People living with obesity experience stigma both from society in general and from their immediate surroundings in particular. Internalised stigma creates shame, which can severely impact on how obese people view and perceive themselves. The shame can impact on self-actualisation.

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Section: Extensive Weight Discriminationmentioning

confidence: 99%

Stigmatisering og skam – en kvalitativ studie om å leve med fedme

Ueland¹

2019

Sykepleien

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“…, Medvedyuk et al . ). However, would be fair to assert that there is general agreement within the mainstream medical and public health fields that higher‐weight individuals have an increased risk of adverse health outcomes.…”

Section: Introductionmentioning

confidence: 97%

“…Weight‐based stigma and discrimination can therefore be viewed as social determinants of health (Mansfield and Rich , Medvedyuk et al . , Puhl and Heuer ) and social justice issues (Bradley and Beausoleil , Nutter et al . , ).…”

Section: Introductionmentioning

confidence: 99%

“…In keeping with other neoliberal health interventions, obesity health promotion programs frequently focus on encouraging individuals to make lifestyle changes while ignoring the social and structural conditions that shape health ‘choices,’ health disparities, and health outcomes in the first place (Mansfield and Rich , Medvedyuk et al . , Nutter et al . , Puhl and Heuer ).…”

Section: Introductionmentioning

confidence: 99%

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‘No one is as invested in your continued good health as you should be:’ an exploration of the post‐surgical relationships between weight‐loss surgery patients and their home bariatric clinics

Meleo-Erwin

2018

Sociology Health & Illness

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This article traces the post-surgical relationship between weight-loss surgery (WLS) patients and their home bariatric clinics. Following surgery, there is substantive drop off in patient attendance at both follow-up appointments and support groups. While barriers to follow-up are often discussed with the bariatric literature, patients themselves are typically defined as the problem. Based upon a thematic analysis of 217 blog posts and comments in two top patient-led online forums, I demonstrate that bariatric patients tell a more complex story about their post-surgical lives. I argue that WLS patients constitute a population with highly specialised medical needs that is caught between the requirements for living with surgically altered digestive systems and a lack of sufficient post-operative followup care from their home bariatric clinics. Although online forums provide spaces for patients to examine these post-operative social and clinical experiences in critical terms, seek information and get support, ultimately the conversations serve to underline the value of personal responsibility for post-operative outcomes-a framing that echoes that of the bariatric profession. This framing should be understood within a larger climate of weight-based stigma and discrimination as well as neoliberal healthism.

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“…This work regularly encounters the same power structures that are known to cause health inequities. Academics, for example, navigate review and funding structures that systematically privilege particular groups [14,15] and ideologies [16,17]. In public health practice, efforts to respond to social determinants of health have a tendency to become narrowly focused on behavioural interventions [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

A tool to assess alignment between knowledge and action for health equity

Plamondon

2020

BMC Public Health

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Advancing health equity is a central goal and ethical imperative in public and global health. Though the commitment to health equity in these fields and among the health professions is clear, alignment between good equity intentions and action remains a challenge. This work regularly encounters the same power structures that are known to cause health inequities. Despite consensus about causes, health inequities persist-illustrating an uncomfortable paradox: good intentions and good evidence do not necessarily lead to meaningful action. This article describes a theoretically informed, reflective tool for assessing alignment between knowledge and action for health equity. It is grounded in an assumption that progressively more productive action toward health inequities is justified and desired and an explicit acceptance of the evidence about the socioeconomic, political, and powerrelated root causes of health inequities. Intentionally simple, the tool presents six possible actions that describe ways in which health equity work could respond to causes of health inequities: discredit, distract, disregard, acknowledge, illuminate, or disrupt. The tool can be used to assess or inform any kind of health equity work, in different settings and at different levels of intervention. It is a practical resource against which practice, policy, or research can be held to account, encouraging steps toward equity-and evidence-informed action. It is meant to complement other tools and training resources to build capacity for allyship, de-colonization, and cultural safety in the field of health equity, ultimately contributing to growing awareness of how to advance meaningful health equity action.

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Ideology, obesity and the social determinants of health: a critical analysis of the obesity and health relationship

Cited by 62 publications

References 52 publications

Stigmatisering og skam – en kvalitativ studie om å leve med fedme

Stigmatisering og skam – en kvalitativ studie om å leve med fedme

‘No one is as invested in your continued good health as you should be:’ an exploration of the post‐surgical relationships between weight‐loss surgery patients and their home bariatric clinics

A tool to assess alignment between knowledge and action for health equity

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