Julius B. Richmond Center of Excellence, American Academy of Pediatrics, Elk Grove Village, Illinois, USA.
Health Aff (Millwood). 2010 Mar-Apr;29(3):388-92. doi: 10.1377/hlthaff.2009.0736.
Overcoming the childhood obesity epidemic will require changes on the scale of a social movement similar to the shift in attitudes and regulations toward smoking and tobacco. Tobacco control became a successful public health movement because of shifts in social norms and because cigarette companies came to be perceived by many as a common enemy. In contrast, obesity advocates have not identified a common threat or mobilized grass-roots change, nor have they identified strategies that resonate across diverse settings and constituencies. Framing obesity as a common threat can lead to consensus regarding the interventions needed to achieve healthier children and communities.
克服儿童肥胖症的流行需要进行一场类似社会运动的变革，其规模与人们对吸烟和烟草的态度和法规的转变相当。烟草控制之所以成为一项成功的公共卫生运动，是因为社会规范发生了转变，而且许多人开始将烟草公司视为共同的敌人。相比之下，肥胖问题的倡导者还没有确定一个共同的威胁，也没有动员基层进行变革，他们也没有找到能够在不同环境和群体中产生共鸣的策略。将肥胖问题视为共同威胁，可以就实现儿童和社区更健康所需的干预措施达成共识。
