One of the most pressing unmet challenges for preventing and controlling epidemic obesity is ensuring that socially disadvantaged populations benefit from relevant public health interventions. Obesity levels are disproportionately high in ethnic minority, low-income, and other socially marginalized U.S. population groups. Current policy, systems, and environmental change interventions target obesity-promoting aspects of physical, economic, social, and information environments but do not necessarily account for inequities in environmental contexts and, therefore, may perpetuate disparities. Dr. Shiriki Kumanyika proposes a framework to guide practitioners and researchers in public health and other fields that contribute to obesity prevention in identifying ways to give greater priority to equity issues when undertaking policy, systems, and environmental change strategies. The article describes the framework rationale and elements and provides research and practice examples of its use in the U.S. context. The approach may also apply to other health problems and in countries where similar inequities are observed.
A Framework for Increasing Equity Impact in Obesity Prevention
Long-term impact of home-visiting on SSB intake & early childhood obesity, and effects of emergency COVID-19 water equity efforts on the Navajo Nation
This research extends follow up on Native American children enrolled in the Prevention of Early Childhood Obesity 1 (PECO1) study 2017-2019 to determine whether positive impacts of the Family Spirit Nurture intervention on infant sugar sweetened beverage intake and infant growth are sustained through 5 years of age. It also … More
Food Environment Near Schools and Body weight-A Systematic Review of Associations by race/ethnicity, Gender, Grade, and Socio-Economic Factors
Previous research reported modest associations between food environments near schools and adiposity among children overall. The associations within sociodemographic subgroups have not been synthesized. This review assessed the evidence on the associations between food environments near schools and childhood obesity within different demographic and socio-economic subgroups. PubMed and Scopus databases … More
Use of Electronic Health Record Data to Study the Association of Sugary Drink Consumption With Child Weight Status
Sugar-sweetened beverages (SSBs) and, to some extent, fruit juice are modifiable risk factors for childhood obesity. Data on consumption have not been previously systematically collected in the electronic health record (EHR) in a way that could facilitate observational research and population health management. In 2017 to 2018, we used data … More