Gorstein J, Grosse R N
Department of Population Planning and International Health, University of Michigan, Ann Arbor.
Pharmacoeconomics. 1994;5(Suppl 1):58-61. doi: 10.2165/00019053-199400051-00012.
Losses in productivity due to illnesses associated with obesity are considerable. In addition, significant social costs resulting from underachievement in education, reduced social activity and job discrimination can be incurred. While social class appears to influence the prevalence of obesity, obesity has, in turn, an influence on social class, probably through employment discrimination; obese men and women have lower status jobs, a situation that is perpetuated through lower status marriages. A comprehensive review of both the direct and indirect consequences of this condition is necessary to identify the most appropriate measures to be taken, e.g. mass education to heighten social awareness and sensitivity. These issues should be considered in the formulation of policies and activities aimed at preventing obesity.
肥胖相关疾病导致的生产力损失相当可观。此外，还可能产生因教育成就低下、社会活动减少和工作歧视而带来的巨大社会成本。虽然社会阶层似乎会影响肥胖的患病率，但肥胖反过来也会对社会阶层产生影响，这可能是通过就业歧视造成的；肥胖的男性和女性从事地位较低的工作，而这种情况会因低地位的婚姻而持续下去。有必要对这种状况的直接和间接后果进行全面审查，以确定应采取的最适当措施，例如开展大众教育以提高社会意识和敏感度。在制定旨在预防肥胖的政策和活动时应考虑这些问题。
