Public Health Regulation and the Limits of Paternalism

Friedman, David Adam

doi:10.2139/ssrn.2332988

Cited by 14 publications

(24 citation statements)

References 20 publications

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“…One useful focus of future research could be to analyse trends in individual and societal framing of childhood obesity across several countries, to further investigate the extent to which the shift towards societal framing identified in this study is an international phenomenon. This study found evidence of a shift in media discourse around childhood obesity from individual to societal framings, which, literature suggests, could lead to a policy environment more amenable to enacting the legislative solutions necessary to address obesity . However, despite that trend, a focus on individual‐level drivers, particularly parental behaviours, remains dominant in Swedish newspapers' framing of childhood obesity.…”

Section: Discussionmentioning

confidence: 78%

“…Globally, obesity is driven by a range of interacting environmental and individual factors, befitting a comprehensive, multilevel package of targeted solutions . Despite the necessity of government intervention to address environmental drivers of obesity, critics have argued that governments have predominantly relied upon individuals, the private sector and non‐governmental organisations to solve the problem .…”

Section: Introductionmentioning

confidence: 99%

“…Despite the necessity of government intervention to address environmental drivers of obesity, critics have argued that governments have predominantly relied upon individuals, the private sector and non‐governmental organisations to solve the problem . In trying to enact the ‘hard paternalism’ required to address the obesity problem . policymakers can expect resistance from both electorates and corporate interests, while.…”

Section: Introductionmentioning

confidence: 99%

“…Approximately 15% of Swedish children are overweight or obese (1), and obesity among 10-year-old children in Sweden is four times as prevalent as in the 1980s (2). While prevalence is lower in Sweden than most European countries, (3) and may have stabilised (4)(5)(6), childhood overweight and obesity remains an area of policy concern given its the 'hard paternalism' required to address the obesity problem (10,11). policymakers can expect resistance from both electorates and corporate interests, while.…”

Section: Introductionmentioning

confidence: 99%

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Media framing and construction of childhood obesity: a content analysis of Swedish newspapers

Hooft

Patterson

Löf

et al. 2018

Obesity Science & Practice

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SummaryObjectiveDespite lower prevalence than most European countries, childhood obesity is a Swedish public health priority due to its lasting health impacts and socioeconomic patterning. Mass media content influences public and political perceptions of health issues, and media framing of childhood obesity may influence perceptions of its solutions. This study examines framing of childhood obesity in Swedish morning and evening newspapers from 1996 to 2014.MethodsContent analysis of 726 articles about childhood obesity published in the five most‐circulated Swedish newspapers. Article content coded quantitatively and subjected to statistical analysis, describing relationships between themes and trends over time.ResultsChildhood obesity was consistently problematised, primarily in health terms, and linked to socio‐economic and geographical factors. The yearly frequency of articles peaked in 2004, followed by a decline, corresponding with evidence about prevalence. Childhood obesity was framed as being driven by individual behaviours more frequently than structural or environmental factors. Structural framings increased over time, but constructions of the problem as driven by individual behaviours, particularly parenting, remained prominent.ConclusionsA relative growth in structural framings of causes and solutions over time, combined with prominent coverage of socio‐economic inequalities, might be indicative of public and political amenability towards societal‐level solutions, but individual behaviours remain prominent in framing of the issue. Health advocates might incorporate these insights into media engagement.

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Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Media framing and construction of childhood obesity: a content analysis of Swedish newspapers

Hooft

Patterson

Löf

et al. 2018

Obesity Science & Practice

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“…(39) (40) Por eso los marcos normativos difieren de un estado a otro y tiene diferentes grados de eficacia, practicidad y de conciliación o equilibrio entre las posturas en extremo regulatorias o libertarias.…”

Section: Anfamed -Issn: 2301-1254unclassified

El problema del sobrepeso y la obesidad en la niñez y adolescencia. Una mirada desde la Bioética

Tarragó¹,

Crestanello²,

Müller³

et al. 2017

An Facultad Med (Univ Repúb Urug)

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Artículo original 55 O. França, et al. Sobrepeso y obesidad en niñez y adolecencia. An Facultad Med (Univ Repúb Urug). 2017;4(1):55-95El problema del sobrepeso y la obesidad en la niñez y adolescencia. Una mirada desde la BioéticaThe problem of overweight and obesity in childhood and adolescence. A look from Bioethics O problema do sobrepeso e a obesidade na infância e adolescência. Um olhar desde a bioética ResumenLa prevención, el diagnóstico y el tratamiento del sobrepeso y la obesidad, tienen componentes bioé-ticos que, a juicio de los autores, no han merecido suficiente análisis.En la niñez y adolescencia este encare tiene características diferentes que en la edad adulta, que hacen necesario un análisis específico.Este trabajo se propone identificar los componentes bioéticos más importantes del encare de este problema sanitario en estas edades, introducirlos en la consideración pública, y hacer algunos aportes de carácter inicial a su análisis, que no pretenden agotar el tema.Para ubicarse en la importancia del mismo, repasa los índices que definen el sobrepeso y la obesidad en la niñez y adolescencia, su prevalencia en América Latina, Uruguay y el Mundo, y los requerimientos en alimentación y en actividad física para ellas.Luego analiza las responsabilidades que en estas dos materias la ética marca a los diversos actores sociales (padres, educadores, profesionales de la salud, productores y comercializadores de alimentos y Estado), enumera las acciones éticamente deseables que derivan de esas responsabilidades, señala la existencia de factores que las circunscriben a los ámbitos de lo posible y lo realizable, y las contrasta con algunos ejemplos de acciones éticamente reprobables que se observan en la práctica.El trabajo finaliza con un inventario de lo que en Uruguay se ha hecho en esta materia y con el aná-lisis de en qué medida se ajusta a lo que marca la ética. Palabras claveBioética, sobrepeso, obesidad, niñez, adolescencia, alimentación, actividad física.1. Miembros Titulares de la Academia Nacional de Medicina del Uruguay e integrantes del Grupo de Trabajo sobre "Aspectos bioéticos del sobrepeso y la obesidad" que funciona en la misma, con el liderazgo del Académico Omar França. AnFaMed -ISSN: 2301-1254 Artículo original AbstractThe prevention, diagnosis and treatment of overweight and obesity, have bioethical components that, in the authors' opinion, have not deserved sufficient analysis.In childhood and adolescence this approach has different characteristics than in adulthood, which makes a specific analysis necessary.This paper aims to identify the most important bioethical components of this health problem at these ages, to introduce them into public consideration, and to make some initial contributions to its analysis, which do not attempt to exhaust the topic.To focus on its importance, it reviews the indexes that define overweight and obesity in childhood and adolescence, prevalence in Latin America, Uruguay and the World, and the requirements for food and physical activity for them.Then, it...

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Examining school-level implementation of British Columbia, Canada’s school food and beverage sales policy: a realist evaluation

Levay

Chapman

Seed³

et al. 2020

Public Health Nutr.

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Objective:To identify key school-level contexts and mechanisms associated with implementing a provincial school food and beverage policy.Design:Realist evaluation. Data collection included semi-structured interviews (n 23), structured questionnaires (n 62), participant observation at public events (n 3) and scans of school, school district and health authority websites (n 67). The realist heuristic, context + mechanism → outcome configuration was used to conduct the analysis.Setting:Public schools in five British Columbia (BC), Canada school districts.Participants:Provincial and regional health and education staff, private food vendors and school-level stakeholders.Results:We identified four mechanisms influencing the implementation of BC’s school food and beverage sales policy. First, the mandatory nature of the policy triggered some actors’ implementation efforts, influenced by their normative acceptance of the educational governance system. Second, some expected implementers had an opposite response to the mandate where they ignored or ‘skirted’ the policy, influenced by values and beliefs about the role of government and school food. A third mechanism related to economics demonstrated ways vendors’ responses to school demand for compliance with nutritional Guidelines were mediated by beliefs about food preferences of children, health and food. The last mechanism demonstrated how resource constraints and lack of capacity led otherwise motivated stakeholders to not implement the mandatory policy.Conclusion:Implementation of the food and beverage sales policy at the school level is shaped by interactions between administrators, staff, parent volunteers and vendors with contextual factors such as varied motivations, responsibilities and capacities.

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Public Health Regulation and the Limits of Paternalism

Cited by 14 publications

References 20 publications

Media framing and construction of childhood obesity: a content analysis of Swedish newspapers

Media framing and construction of childhood obesity: a content analysis of Swedish newspapers

El problema del sobrepeso y la obesidad en la niñez y adolescencia. Una mirada desde la Bioética

Examining school-level implementation of British Columbia, Canada’s school food and beverage sales policy: a realist evaluation

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