ConscienHealth, 2270 Country Club Drive, Pittsburgh, PA 15241, USA.
Department of Medicine, Division of Endocrinology-Neuroendocrine, Massachusetts General Hospital, MGH Weight Center, 50 Staniford Street, Boston, MA 02114, USA; Department of Pediatrics, Division of Endocrinology, Nutrition Obesity Research Center at Harvard (NORCH), 50 Staniford Street, Boston, MA 02114, USA.
Nurs Clin North Am. 2021 Dec;56(4):635-645. doi: 10.1016/j.cnur.2021.08.003.
Through four decades of rising obesity, health policy has been mostly ineffective. Prevention policies failed to reverse rising trends in prevalence, partly because they are often based on biased mental models about what should work to prevent obesity, rather than empiric evidence for what does work. Bias toward people living with obesity harms health, while contributing to poor access to effective care that might serve to improve it. Better public policy will come from an increased application of objective obesity science, research to fill knowledge gaps, and respect for the human dignity of people who live with obesity.
在过去四十年肥胖率不断上升的情况下,卫生政策大多没有产生效果。预防政策未能扭转流行率上升的趋势,部分原因是这些政策往往基于有关预防肥胖的有偏差的心理模型,而不是有关实际有效的预防肥胖措施的经验证据。对肥胖者的偏见既损害健康,又导致获取可能改善健康的有效治疗的机会减少。更好的公共政策将来自于更广泛地应用客观的肥胖科学、开展研究以填补知识空白,以及尊重与肥胖作斗争的人们的人的尊严。