What determines public support of obesity prevention?

What determines public support of obesity prevention?
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DOI:
10.1136/jech.2006.050906
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发表时间:
2007-07-01
影响因子:
6.3
通讯作者:
Braehler, Elmar
Braehler, Elmar
中科院分区:
医学2区
文献类型:
--
作者:
Hilbert, Anja;Rief, Winfried;Braehler, Elmar

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目的:确定公众对肥胖预防的支持。设计:以具有代表性的人群为基础的调查。背景:对德国14岁的非机构个人进行随机数字电话调查。参与者:具有代表性的1000人样本。主要观察指标:通过访谈评估预防支持、问题识别、因果归因和肥胖的责任信念。结果:对肥胖预防的支持主要集中在儿童的行为变化(89.7%)和提供信息(82.2%),但法规支持较少(42.2%)。预防支持的预测因素是将肥胖的原因归因于食物环境和缺乏体力活动、更多的问题识别、社会责任信念和社会人口特征,包括女性和较高年龄。关于肥胖的定义、患病率以及环境和遗传风险因素的信息缺失被确认。结论:结果显示公众对肥胖预防具有高度的意愿,重点是个人行为改变,而不是法规。解决有关肥胖症的定义、流行率和原因的具体信息缺失问题,可以进一步加强公众对肥胖症的了解,并有助于制定预防肥胖症的措施。
Objective: To determine public support of obesity prevention.Design: Representative population-based survey.Setting: Random digit dialling telephone survey of non-institutionalised individuals aged >= 14 years in Germany.Participants: Representative sample of 1000 individuals.Main outcome measures: Interview-based assessment of prevention support, problem identification, causal attributions and responsibility beliefs regarding obesity.Results: Support for obesity prevention with a focus on behavioural change in children (89.7%) and provision of information in adults (82.2%) was substantial, but regulations were less supported (42.2%). Predictors of prevention support were attributing causes of obesity to the food environment and lack of physical activity, greater problem identification, societal responsibility beliefs and sociodemographic characteristics including female gender and higher age. An information deficit concerning the definition, prevalence, and environmental and genetic risk factors was identified.Conclusion: Results show a high public readiness for obesity prevention with a focus on individual behavioural change, but not for regulations. Addressing specific information deficits regarding the definition, prevalence and causes of obesity could further enhance the public's understanding of obesity and help to establish obesity prevention measures.