Patchett Annabelle D, Yeatman Heather R, Johnson Keryn M
School of Health Sciences, Faculty of School of Health Sciences, University of Wollongong, Wollongong, New South Wales 2522, Australia
School of Health Sciences, Faculty of School of Health Sciences, University of Wollongong, Wollongong, New South Wales 2522, Australia.
Health Promot Int. 2016 Mar;31(1):83-92. doi: 10.1093/heapro/dau066. Epub 2014 Aug 21.
The obesity epidemic is a consequence of the interaction of cultural, environmental, genetic and behavioural factors; framing the issue is central to determining appropriate solutions. This study used content and thematic framing analysis to explore portrayal of responsibility for obesity in policy documents in Australia, France and Switzerland. For Australia and France, obesity causality was a combination of individual and environmental factors, but for Switzerland, it was predominantly individual. The primary solutions for all countries were health promotion strategies and children's education. Industry groups proposed more school education while health advocates advised government intervention. Where France emphasized cultural attitudes towards taste, Australia focused on sport. The French were most keen on legislating against unhealthy foods compared with Switzerland where there was opposition towards regulation of individual's choices. To curb the increasing prevalence of obesity, allocation of responsibility needs to be considered and initiatives enacted accordingly.
肥胖流行是文化、环境、遗传和行为因素相互作用的结果；明确问题是确定合适解决方案的核心。本研究运用内容和主题框架分析，探讨澳大利亚、法国和瑞士政策文件中对肥胖责任的描述。对于澳大利亚和法国，肥胖成因是个人因素与环境因素的结合，但对于瑞士，主要是个人因素。所有国家的主要解决方案都是健康促进策略和儿童教育。行业团体提议增加学校教育，而健康倡导者建议政府干预。法国强调对口味的文化态度，而澳大利亚则侧重于体育。与反对监管个人选择的瑞士相比，法国人最热衷于针对不健康食品立法。为遏制肥胖患病率的上升，需要考虑责任分配并据此制定相关举措。
