Center for Clinical Epidemiology and Biostatistics (CCEB), University of Pennsylvania Perelman School of Medicine, 8 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104-6021, USA.
Prev Med. 2012 Nov;55(5):371-81. doi: 10.1016/j.ypmed.2012.07.002. Epub 2012 Jul 16.
Increases in the availability, affordability, and promotion of high-calorie foods and beverages and decreased obligations for routine physical activity have fostered trends of increased obesity worldwide. In high-income, plural societies, above average obesity prevalence is often observed in ethnic minority communities, suggesting that obesity-promoting influences are more prevalent or potent in these communities.
An interdisciplinary group of scholars engaged in multiple rounds of focused discussion and literature review to develop a Community Energy Balance Framework (CEB). The objective was to explore the nature of the excess obesity risk in African descent and other ethnic minority populations and identify related implications for planning and evaluating interventions to prevent obesity.
A key principle that emerged is that researchers and programmers working with ethnic minority communities should contextualize the food- and physical activity-related sociocultural perspectives of these communities, taking into account relevant historical, political, and structural contexts. This perspective underscores the fallacy of approaches that place the entire burden of change on the individual, particularly in circumstances of social disadvantage and rapid cultural shifts.
The CEB framework is proposed for use and further development to aid in understanding potential health-adverse effects of cultural-contextual stresses and accommodations to these stresses.
高热量食品和饮料的供应增加、价格降低，以及日常体力活动义务减少，这些因素共同促进了全球肥胖率的上升。在高收入、多元化的社会中，少数民族社区的肥胖率往往高于平均水平，这表明这些社区中促进肥胖的因素更为普遍或更加强劲。
一组跨学科的学者进行了多轮集中讨论和文献回顾，以制定社区能量平衡框架（CEB）。其目的是探讨非洲裔和其他少数族裔人群中过度肥胖风险的性质，并确定相关建议，以规划和评估预防肥胖的干预措施。
出现的一个关键原则是，与少数族裔社区合作的研究人员和规划人员应使这些社区的与食物和体力活动相关的社会文化观点背景化，同时考虑到相关的历史、政治和结构背景。这种观点凸显了将变革的全部负担放在个人身上的方法的谬误，尤其是在社会劣势和快速文化转变的情况下。
提出了 CEB 框架供使用和进一步开发，以帮助理解文化背景压力对健康的潜在不利影响，以及对这些压力的适应。
