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Social Determinants of Health

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From:
robert14 robert <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Thu, 26 Jul 2007 09:36:08 -0400
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for fear of generalising...

Robert

http://content.nejm.org/cgi/content/full/357/4/370

"Whereas obesity has been stigmatized in the past,
attitudes may be changing.11,12 To the extent that
obesity is a product of voluntary choices or
behaviors, the fact that people are embedded in social
networks and are influenced by the evident appearance
and behaviors of those around them suggests that
weight gain in one person might influence weight gain
in others. Having obese social contacts might change a
person's tolerance for being obese or might influence
his or her adoption of specific behaviors (e.g.,
smoking, eating, and exercising). In addition to such
strictly social mechanisms, it is plausible that
physiological imitation might occur; areas of the
brain that correspond to actions such as eating food
may be stimulated if these actions are observed in
others.13 Even infectious causes of obesity are
conceivable.14,15"

...

"The spread of obesity in social networks appears to
be a factor in the obesity epidemic. Yet the relevance
of social influence also suggests that it may be
possible to harness this same force to slow the spread
of obesity. Network phenomena might be exploited to
spread positive health behaviors,34,35,36 in part
because people's perceptions of their own risk of
illness may depend on the people around them.37
Smoking- and alcohol-cessation programs and
weight-loss interventions that provide peer support —
that is, that modify the person's social network — are
more successful than those that do not.34,35,38,39
People are connected, and so their health is
connected.40,41 Consequently, medical and public
health interventions might be more cost-effective than
initially supposed, since health improvements in one
person might spread to others.42 The observation that
people are embedded in social networks suggests that
both bad and good behaviors might spread over a range
of social ties. This highlights the necessity of
approaching obesity not only as a clinical problem but
also as a public health problem."


--
Robert Rattle
Researcher-Human Dimensions of Global
Change/Sustainable Consumption
Sault Ste. Marie, Ontario, Canada, P6B 4N8
website: http://www.ncf.ca/~at758 (under development)




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