Obesity and Lifestyle Drift: Framing Analysis of Calorie Menu Labelling in England in News Media.

IF 5.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Nancy Karreman, Michael Essman, Benjamin Hawkins, Jean Adams, Martin White
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引用次数: 0

Abstract

Background: Successive government public health strategies in England have described structural influences of diet-related ill health, including obesity, while emphasising the solution of individual-level change in policy documents. This entrenchment of an individualistic policy paradigm, despite communicating a recognition of structural determinants of health on paper, has been termed "lifestyle drift." The 2020 government strategy, Tackling Obesity, included policies to address structural determinants of health like the physical and digital food environments but ultimately failed to shift responsibility for diet-related ill health onto structural factors. This study uses the contestation of calorie labelling (CL) in the out-of-home (OOH) sector, one of the strategy's only two implemented measures, in English newspapers to investigate how the policy is framed, and the potential role of media framing in facilitating lifestyle drift.

Methods: We systematically searched the Factiva database for articles from 12 UK national newspapers that discussed CL between January 2017 and May 2022, and assessed them relative to inclusion criteria. We then used a combination of reflexive thematic analysis (RTA) and framing theory to qualitatively analyse the framing of policy problems and the solutions meant to address them.

Results: A total of 177 articles met our criteria. We found that media framing often reinforced individualism, personal responsibility, and moralisation of behaviour. It also emphasised perceived mixed and inconclusive evidence of CL's effectiveness, unfairness to businesses, and unintended consequences, including negative impacts on the economy and people living with eating disorders.

Conclusion: Despite an initial shift towards framing interventions to address obesity through a structural lens in Tackling Obesity, CL legislation and accompanying news coverage reflected a drift back towards individualism. To enact effective, structural change to address diet-related public health issues, policy discourses and approaches need to move away from individualising and moralising framing of both public health problems and potential solutions.

Abstract Image

Abstract Image

肥胖和生活方式漂移:英国新闻媒体对卡路里菜单标签的框架分析。
背景:英国历届政府的公共卫生战略都描述了包括肥胖在内的饮食相关疾病的结构性影响,同时在政策文件中强调了个人层面变化的解决方案。尽管在纸面上传达了对健康结构性决定因素的认识,但这种个人主义政策范式的根深蒂固被称为“生活方式漂移”。2020年政府战略“解决肥胖”包括解决物理和数字食品环境等健康结构性决定因素的政策,但最终未能将饮食相关疾病的责任转移到结构性因素上。本研究使用了热量标签(CL)在户外(OOH)部门的争论,这是该战略仅有的两项实施措施之一,在英语报纸上调查该政策是如何制定的,以及媒体框架在促进生活方式漂移中的潜在作用。方法:我们系统地检索了Factiva数据库中2017年1月至2022年5月期间12份英国全国性报纸中讨论CL的文章,并根据纳入标准对其进行评估。然后,我们结合了反身性主题分析(RTA)和框架理论,定性地分析了政策问题的框架和旨在解决这些问题的解决方案。结果:共有177篇文章符合我们的标准。我们发现,媒体框架通常会强化个人主义、个人责任和行为道德化。它还强调了CL有效性的混合和不确定证据,对企业的不公平以及意想不到的后果,包括对经济和饮食失调患者的负面影响。结论:尽管在《解决肥胖》中,最初转向了通过结构性视角制定干预措施来解决肥胖问题,但CL立法和随之而来的新闻报道反映了一种回归个人主义的趋势。为了实施有效的结构性改革,以解决与饮食有关的公共卫生问题,政策话语和方法需要摆脱对公共卫生问题和潜在解决办法的个体化和道德化框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Health Policy and Management
International Journal of Health Policy and Management Health Professions-Health Information Management
CiteScore
5.40
自引率
14.30%
发文量
142
审稿时长
9 weeks
期刊介绍: International Journal of Health Policy and Management (IJHPM) is a monthly open access, peer-reviewed journal which serves as an international and interdisciplinary setting for the dissemination of health policy and management research. It brings together individual specialties from different fields, notably health management/policy/economics, epidemiology, social/public policy, and philosophy into a dynamic academic mix.
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