Hi
I think you misread what I said. Inequality is a component of the social
determinants of obesity, just not the only one.
I would suggest, for example, that changes in the way that food is produced and
distributed in the US is very important. Though these do disproportinately
affect those on a low-income these factors are external to individual income.
Better regulation of industry, the equitable provision of opportunities to buy
food, curbs on advertising and promotion of unhealthy foods are some of those
external factors of the greater 'food environment' that need to be addressed.
The same goes for physical activity and the increasing body of environmental
determinants literature shows..
S
Quoting GRETA DOUCET <[log in to unmask]>:
> Steven,
> I truly believe and I know that you cannot tackle one without tackling the
> other. If you can buy a 15 teaspoons containing can of pop for 39 cents and
> it costs a dollar to get a fresh fruit you will see the poor buying the can
> of pop to nourish themselves. It only makes sense. I could give you lots of
> similar examples. I do hope you get the message. People who have no hope of
> a better life are not able to hear healthy nutrition messages. They KNOW they
> cannot do better without appropriate income. The only link I can make with
> what you are saying is that the Rich get fat too, this from abuse of food,
> not because they don't have healthy choices. The fact is that the poor have
> very few choices in food consumption. They have to eat pasta. That is all
> they can afford. This is not Science .... It is good sense. Greta
> Steven Cummins <[log in to unmask]> wrote:
> All
>
> Actually if you read the bio-demographer Stephen J Olshansky and others
> article
> in NEJM (2005:352;11)I would argue that interventions to tackle obesity
> directly is as just as pressing as policies tackling income inequality which
> would probably have a slower less indirect effects (on obesity). His
> projections suggest that deaths from obesity and related causes will cause,
> for
> the first time, this US generations lives to be shorter than their parents.
> That's 10-30 years time folks! Though income inequality is one cause of that
> projection it is not the only one...changes in western culture, industry and
> environment are just as important!
>
>
> S
> --
> Dr Steven Cummins
> MRC Fellow
> Department of Geography
> Queen Mary, University of London
> Mile End Road
> London E1 4NS
>
> Tel: 020 7882 5400
> Fax: 020 8981 6276
> Email: [log in to unmask]
>
>
> Quoting Dennis Raphael :
>
> > While America's children have poverty rates, infant mortality rates, and
> > child injury mortality rates that lead the developed world, TIME spends
> > hundreds and hundreds of words on FAT. I sent a letter to TIME editor...
> > about 40% of Americans at the bottom controlling 0.3% of its wealth...as
> > being a slightly more important health issue than FAT. - dr
> >
> >
> > http://www.time.com/time/magazine/article/0,9171,1174679,00.html
> >
> > ------------------------------
> > The Politics of Fat
> > Experts say our expanding girth is killing us and costing the health-care
> > system billions. But is this a problem government can solve? Or should? The
> > debate grows as we do
> > By KAREN TUMULTY
> >
> > These are fat times in politics. Literally. Nearly 400 obesity-related
> > bills were introduced in state legislatures across the country last
> > year--more than double the number in 2003. A quarter of them were passed
> > into law, up from only 12% two years before. In Washington the word obesity
> > appears in 56 bills introduced during the current Congress; this, the Wall
> > Street Journal points out, is fast catching up with the number containing
> > the word gun. Surgeon General Richard Carmona says obesity is a greater
> > threat than terrorism. Some public-health advocates have begun urging the
> > government to put a warning label on soft drinks; others are calling for a
> > "fat tax" on fast food....SNIP
> >
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