WHO Collaborating Centre for Obesity Prevention, Deakin University, Melbourne, Victoria, Australia.
Obes Rev. 2010 Oct;11(10):731-9. doi: 10.1111/j.1467-789X.2009.00705.x.
Resources for obesity prevention interventions are inevitably limited, necessitating the selection of priority groups to ensure effective and equitable use of funds. This paper aims to review published approaches to selection of priority groups ('target populations') for obesity prevention, and to present the development of a new systematic framework for organizing and assessing evidence for selecting priority groups. A review was conducted of the process and justification described for selecting priority groups in a sample of obesity prevention publications. Using the results of this review and adaptation of theory and frameworks in both the obesity prevention and health promotion priority-setting literature, a framework was developed for assessment of potential priority groups for obesity prevention. The published literature lacks discussion of and explicit processes for selection of priority groups for obesity prevention intervention. The new framework describes specific types of evidence that should be considered in the assessment of a potential priority group for obesity prevention and has applications for funding and implementing community-based or settings-level obesity prevention interventions and research. Application of this framework has the potential to enhance the effective use of limited obesity prevention resources and to identify areas in need of additional research evidence.
用于肥胖预防干预的资源不可避免地是有限的，因此需要选择重点人群，以确保资金的有效和公平使用。本文旨在回顾已发表的用于肥胖预防的重点人群（“目标人群”）选择方法，并提出一种新的系统框架，用于组织和评估选择重点人群的证据。本研究对肥胖预防出版物样本中重点人群选择过程和理由进行了审查。利用这一审查的结果，并结合肥胖预防和健康促进重点制定文献中的理论和框架，制定了一个评估肥胖预防潜在重点人群的框架。已发表的文献缺乏对肥胖预防干预重点人群选择的讨论和明确的过程。新框架描述了在评估肥胖预防的潜在重点人群时应考虑的具体类型的证据，适用于为基于社区或基于场所的肥胖预防干预和研究提供资金和实施。应用这一框架有可能提高有限的肥胖预防资源的有效利用，并确定需要更多研究证据的领域。
