Finkelstein Eric, French Simone, Variyam Jayachandran N, Haines Pamela S
Health, Social and Economics Research, RTI International, Research Triangle Park, North Carolina 27709-2194, USA.
Am J Prev Med. 2004 Oct;27(3 Suppl):163-71. doi: 10.1016/j.amepre.2004.06.017.
The increased prevalence and costs associated with the obesity epidemic have made preventive efforts a public health priority. Public health has historically relied on a series of targeted regulations, taxes, and education efforts to curb epidemics, and will rely on similar strategies to combat obesity. We argue that interventions targeted at youth are relatively easy to justify on economic grounds due to the additional protections that this group requires, but that justification for government interventions aimed at curbing obesity among adults requires additional evidence that private markets are not functioning properly. We then present seven proposed intervention strategies to promote healthy eating, and use an economic framework to discuss the relative merits of the interventions. This evaluation will allow policymakers to make more informed decisions concerning the relative merits of these strategies in combating the obesity epidemic.
肥胖流行率的上升及其相关成本已使预防工作成为公共卫生的优先事项。历史上,公共卫生一直依靠一系列有针对性的法规、税收和教育措施来遏制流行病,并且将依靠类似策略来应对肥胖问题。我们认为,由于青少年群体需要额外的保护,因此从经济角度来看,针对青少年的干预措施相对容易找到正当理由,但政府旨在遏制成年人肥胖的干预措施的正当理由需要有更多证据表明私人市场运作不正常。然后,我们提出了七种促进健康饮食的拟议干预策略,并使用一个经济框架来讨论这些干预措施的相对优点。这种评估将使政策制定者能够在抗击肥胖流行方面就这些策略的相对优点做出更明智的决策。