From childhood obesity risk to healthy growth in the U.S.: A 10-year social work research & policy update.
From childhood obesity risk to healthy growth in the U.S.: A 10-year social work research & policy update.
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DOI：
10.1016/j.pmedr.2022.102071
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发表时间：
2023-02
影响因子：
2.8
通讯作者：
O'Reilly, Nicole
中科院分区：
文献类型：
--
作者：
Schuler, Brittany R.;Vazquez, Christian E.;O'Reilly, Nicole
在边缘化社区，儿童肥胖风险的差距继续上升。医疗和公共卫生的肥胖预防模式一直无效。社会工作的进步有助于缩小与肥胖相关的健康差距。需要的是系统，而不是个人，需要干预和资源。对更好的跨学科方法提出了研究建议。在美国，儿童肥胖是一个主要的健康问题，也是一种突出的慢性健康状况，由多种因素引起。大多数现有的儿童肥胖预防模式都没有奏效，对改善体重状况或最容易导致肥胖风险的近期健康行为：营养摄入、体育活动、久坐行为和睡眠几乎没有效果。迫切需要采取新的办法来预防健康差距，以应对经济不平等对边缘化人口中儿童健康成长的影响。在这篇简短的评论中，提供了社会正义的最新情况，以激励新一代研究，促进在当今社会、经济和政治环境下公平和健康的儿童成长。提供了针对社会工作的研究和政策建议，以指导未来针对儿童体重相关健康差距的潜在社会和经济决定因素的研究。建议包括对跨学科指标进行研究，以更好地缩小健康差距，并制定和测试政策和系统干预措施，以解决结构性问题并加强边缘化社区的卫生资源。在纳入社会工作研究的建议以加强现有的医疗和公共卫生模型，并将儿童肥胖症的流行转向公平、健康的儿童成长之前，缩小儿童肥胖症差距的进展可能会继续受阻。
Disparities in childhood obesity risk continue to rise in marginalized communities. Medical and public health obesity prevention models have been ineffective. Advances in social work can help to close obesity-related health disparities. System, not individual, interventions and resources are needed. Research recommendations for better cross-disciplinary methods are provided. Childhood obesity is a major health issue and a prominent chronic health condition for children in the United States (U.S.), caused by a multitude of factors. Most existing models of childhood obesity prevention have not worked, yielding little to no effect on improving weight status or the proximal health behaviors most attributed to obesity risk: nutritional intake, physical activity, sedentary behaviors, and sleep. There is an urgent need for new approaches to prevent health disparities that are responsive to impacts of economic inequality on healthy child growth in marginalized populations. In this Short Commentary, a social justice update is provided to motivate a new generation of research that promotes equitable and healthy child growth under present-day social, economic, and political circumstances. Social work-specific research and policy recommendations are provided to guide future research that targets underlying social and economic determinants of weight-related health disparities in childhood. Recommendations include research on cross-disciplinary metrics to better capture reductions in health disparities and the development and testing of policy and system interventions that address structural issues and strengthen health resources in marginalized communities. Progress in reducing disparities in childhood obesity will likely remain inhibited until recommendations from social work research are incorporated to strengthen existing medical and public health models and redirect the childhood obesity epidemic toward equitable, healthy child growth.
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影响因子：
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作者：
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DOI：
10.1177/00027162211046591
发表时间：
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影响因子：
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