{"title":"采用包含体重的健康政策的循证依据","authors":"J. Hunger, Joslyn P. Smith, A. Tomiyama","doi":"10.1111/sipr.12062","DOIUrl":null,"url":null,"abstract":"Health policies routinely emphasize weight loss as a target for health promotion. These policies rest upon the assumptions: (1) that higher body weight equals poorer health, (2) that long-term weight loss is widely achievable, and (3) that weight loss results in consistent improvements in physical health. Our review of the literature suggests that these three assumptions underlying the current weightfocused approach are not supported empirically. Complicating this further are the misguided assumptions (4) that weight stigma (i.e., pervasive social devaluation and denigration of higher weight individuals) promotes weight loss and (5) recognizing that one is “overweight” is necessary to spur health-promoting behaviors. We highlight throughout how these assumptions have manifested in current policies and offer suggestions for alternative approaches to health promotion. We conclude by advocating for the broad adoption of a weight-inclusive approach to health policy.","PeriodicalId":47129,"journal":{"name":"Social Issues and Policy Review","volume":" ","pages":""},"PeriodicalIF":7.2000,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/sipr.12062","citationCount":"63","resultStr":"{\"title\":\"An Evidence‐Based Rationale for Adopting Weight‐Inclusive Health Policy\",\"authors\":\"J. Hunger, Joslyn P. Smith, A. Tomiyama\",\"doi\":\"10.1111/sipr.12062\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Health policies routinely emphasize weight loss as a target for health promotion. These policies rest upon the assumptions: (1) that higher body weight equals poorer health, (2) that long-term weight loss is widely achievable, and (3) that weight loss results in consistent improvements in physical health. Our review of the literature suggests that these three assumptions underlying the current weightfocused approach are not supported empirically. Complicating this further are the misguided assumptions (4) that weight stigma (i.e., pervasive social devaluation and denigration of higher weight individuals) promotes weight loss and (5) recognizing that one is “overweight” is necessary to spur health-promoting behaviors. We highlight throughout how these assumptions have manifested in current policies and offer suggestions for alternative approaches to health promotion. We conclude by advocating for the broad adoption of a weight-inclusive approach to health policy.\",\"PeriodicalId\":47129,\"journal\":{\"name\":\"Social Issues and Policy Review\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":7.2000,\"publicationDate\":\"2020-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1111/sipr.12062\",\"citationCount\":\"63\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Social Issues and Policy Review\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1111/sipr.12062\",\"RegionNum\":1,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, SOCIAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Issues and Policy Review","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1111/sipr.12062","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, SOCIAL","Score":null,"Total":0}
An Evidence‐Based Rationale for Adopting Weight‐Inclusive Health Policy
Health policies routinely emphasize weight loss as a target for health promotion. These policies rest upon the assumptions: (1) that higher body weight equals poorer health, (2) that long-term weight loss is widely achievable, and (3) that weight loss results in consistent improvements in physical health. Our review of the literature suggests that these three assumptions underlying the current weightfocused approach are not supported empirically. Complicating this further are the misguided assumptions (4) that weight stigma (i.e., pervasive social devaluation and denigration of higher weight individuals) promotes weight loss and (5) recognizing that one is “overweight” is necessary to spur health-promoting behaviors. We highlight throughout how these assumptions have manifested in current policies and offer suggestions for alternative approaches to health promotion. We conclude by advocating for the broad adoption of a weight-inclusive approach to health policy.
期刊介绍:
The mission of Social Issues and Policy Review (SIPR) is to provide state of the art and timely theoretical and empirical reviews of topics and programs of research that are directly relevant to understanding and addressing social issues and public policy.Papers will be accessible and relevant to a broad audience and will normally be based on a program of research. Works in SIPR will represent perspectives directly relevant to the psychological study of social issues and public policy. Contributions are expected to be review papers that present a strong scholarly foundation and consider how research and theory can inform social issues and policy or articulate the implication of social issues and public policy for theory and research.