Puhl Rebecca M, Neumark-Sztainer Dianne, Austin S Bryn, Luedicke Joerg, King Kelly M
Rudd Center for Food Policy & Obesity, Yale University, 309 Edwards Street, New Haven CT 06520, USA.
BMC Public Health. 2014 May 29;14:524. doi: 10.1186/1471-2458-14-524.
The prevalence and health consequences of eating disorders and weight stigmatization have prompted increasing discussion of potential policy actions to address these public health issues. The present study aimed to assess support for policy strategies to address eating disorders and weight stigmatization among the general public and relevant health professionals.
An Internet survey was fielded to a national sample of 944 US adults and 1,420 members of professional organizations specializing in eating disorders to examine their support for 23 potential policy strategies to address eating disorders and weight stigma. Participants also rated policy actions according to their potential for positive impact and feasible implementation.
Support for the majority of health and social policies was high in both samples. For example, strategies to 1) improve school-based health curriculum to include content aimed at preventing eating disorders, 2) require training for educators and health providers on the prevention and early identification of eating disorders, and 3) implement school-based anti-bullying policies that that protect students from being bullied about their weight, were supported by over two-thirds of participants.
Our findings suggest that both health and social policy actions will be important in broader policy initiatives to address eating disorders and weight stigma.
饮食失调和体重歧视的患病率及其对健康的影响促使人们越来越多地讨论应对这些公共卫生问题的潜在政策行动。本研究旨在评估公众和相关卫生专业人员对解决饮食失调和体重歧视的政策策略的支持度。
对944名美国成年人的全国样本和1420名专门研究饮食失调的专业组织成员进行了一项网络调查，以考察他们对23项解决饮食失调和体重歧视的潜在政策策略的支持度。参与者还根据政策行动产生积极影响的可能性和可行的实施情况对其进行了评分。
两个样本中对大多数健康和社会政策的支持度都很高。例如，超过三分之二的参与者支持以下策略：1）改进校本健康课程，纳入旨在预防饮食失调的内容；2）要求教育工作者和卫生服务提供者接受关于饮食失调预防和早期识别方面的培训；3）实施校本反欺凌政策，保护学生不因体重而受到欺凌。
我们的研究结果表明，健康和社会政策行动在解决饮食失调和体重歧视的更广泛政策倡议中都将很重要。
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