Personal Responsibility And Obesity: A Constructive Approach To A Controversial Issue
Personal Responsibility And Obesity: A Constructive Approach To A Controversial Issue
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DOI：
10.1377/hlthaff.2009.0739
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发表时间：
2010-03-01
期刊：
影响因子：
9.7
通讯作者：
Willett, Walter C.
中科院分区：
文献类型：
--
作者：
Brownell, Kelly D.;Kersh, Rogan;Willett, Walter C.
个人责任的概念一直是应对肥胖的社会、法律和政治方法的核心。它会引发责备、软弱和邪恶的语言，并是政府努力不足的主要依据，因为环境条件在解释高肥胖率方面具有重要意义。这些环境条件可能会凌驾于个人的生理和心理调节系统之上，否则这些调节系统可能会阻碍体重增加和肥胖，从而破坏个人责任，缩小选择范围，侵蚀个人自由。个人责任可以被视为一种价值观，优先考虑立法和监管行动，比如改善学校营养、菜单标签、改变行业营销做法，甚至是像使用食品税这样有争议的措施，这些措施会产生更健康的违约，从而支持负责任的行为，弥合基于个人责任和集体责任的观点之间的分歧。
The concept of personal responsibility has been central to social, legal, and political approaches to obesity. It evokes language of blame, weakness, and vice and is a leading basis for inadequate government efforts, given the importance of environmental conditions in explaining high rates of obesity. These environmental conditions can override individual physical and psychological regulatory systems that might otherwise stand in the way of weight gain and obesity, hence undermining personal responsibility, narrowing choices, and eroding personal freedoms. Personal responsibility can be embraced as a value by placing priority on legislative and regulatory actions such as improving school nutrition, menu labeling, altering industry marketing practices, and even such controversial measures as the use of food taxes that create healthier defaults, thus supporting responsible behavior and bridging the divide between views based on individualistic versus collective responsibility.