Skip to main content
Top
Published in: Journal of Urban Health 1/2012

01-02-2012

Prioritizing Obesity in the City

Authors: Jennifer Asanin Dean, Susan J. Elliott

Published in: Journal of Urban Health | Issue 1/2012

Login to get access

Abstract

A decade ago, the World Health Organization declared obesity to be a global epidemic. Accordingly, there is a growing body of research examining how “obesogenic environments” contribute to the increasing prevalence of obesity. Using the ANGELO Framework, this research explores the role of municipal policies and practices in constructing obesogenic environments in two Southern Ontario cities in order to examine how socio-cultural and political environments shape excess body weight. Data was collected from municipal policy documents, public health websites, and key informants in Hamilton and Mississauga, Ontario, Canada. Results indicate that while the cities took different approaches to dealing with obesity, they both reflected the cities' overall prioritizing of health. Additionally, the findings reveal the pervasiveness of values and attitudes held in the socio-cultural environment in further shaping (and being shaped by) political as well as economic and physical environments in the cities. The importance of explicitly acknowledging the official discourse of the city, which this study demonstrates to be a significant factor in constructing obesogenic environments, is highlighted. Theoretical contributions and policy implications are also discussed.
Literature
1.
go back to reference World Health Organization. Obesity: Preventing and Managing the Global Epidemic. Geneva, Switzerland: WHO Technical Report Series; 2000: 894. World Health Organization. Obesity: Preventing and Managing the Global Epidemic. Geneva, Switzerland: WHO Technical Report Series; 2000: 894.
2.
go back to reference Katzmarzyk PT, Ardern CI. Overweight and obesity mortality trends in Canada, 1985–2000. Can J Public Health. 2004; 95(1): 16–20.PubMed Katzmarzyk PT, Ardern CI. Overweight and obesity mortality trends in Canada, 1985–2000. Can J Public Health. 2004; 95(1): 16–20.PubMed
3.
go back to reference Vanasse A, Demers M, Hemiari A, Courteau J. Obesity in Canada: where and how many? Int J Obes. 2006; 30: 677–683.CrossRef Vanasse A, Demers M, Hemiari A, Courteau J. Obesity in Canada: where and how many? Int J Obes. 2006; 30: 677–683.CrossRef
4.
go back to reference Katzmarzyk PT, Janssen I. The economic costs associated with physical inactivity and obesity in Canada: an update. Can J Appl Physiol. 2004; 29(1): 90–115.PubMedCrossRef Katzmarzyk PT, Janssen I. The economic costs associated with physical inactivity and obesity in Canada: an update. Can J Appl Physiol. 2004; 29(1): 90–115.PubMedCrossRef
5.
go back to reference Yach D, Stuckler D, Brownell KD. Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nat Med. 2006; 12(1): 62–67.PubMedCrossRef Yach D, Stuckler D, Brownell KD. Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nat Med. 2006; 12(1): 62–67.PubMedCrossRef
6.
go back to reference Dyck R, Klomp H, Tan L. From ‘thrifty genotype’ to ‘hefty fetal phenotype’: the relationship between high birth weight and diabetes in Saskatchewan Registered Indians. Can J Public Health. 2001; 92(5): 340–344.PubMed Dyck R, Klomp H, Tan L. From ‘thrifty genotype’ to ‘hefty fetal phenotype’: the relationship between high birth weight and diabetes in Saskatchewan Registered Indians. Can J Public Health. 2001; 92(5): 340–344.PubMed
7.
go back to reference Procter K. The aetiology of childhood obesity: a review. Nutr Res Rev. 2007; 120: 29–45.CrossRef Procter K. The aetiology of childhood obesity: a review. Nutr Res Rev. 2007; 120: 29–45.CrossRef
8.
go back to reference Taylor J, Evers S, McKenna M. Determinants of healthy eating in children and youth. Can J Public Health. 2005; 96(3): S20–S26.PubMed Taylor J, Evers S, McKenna M. Determinants of healthy eating in children and youth. Can J Public Health. 2005; 96(3): S20–S26.PubMed
9.
go back to reference Willms JD, Tremblay MS, Katzmarzyk PT. Geographic and demographic variation in the prevalence of overweight Canadian children. Obes Res. 2003; 11(5): 668–673.PubMedCrossRef Willms JD, Tremblay MS, Katzmarzyk PT. Geographic and demographic variation in the prevalence of overweight Canadian children. Obes Res. 2003; 11(5): 668–673.PubMedCrossRef
10.
go back to reference Crandall C, Schiffhauer K. Anti-fat prejudice: beliefs, values, and American culture. Obes Res. 1998; 6(6): 458–460.PubMed Crandall C, Schiffhauer K. Anti-fat prejudice: beliefs, values, and American culture. Obes Res. 1998; 6(6): 458–460.PubMed
11.
go back to reference Evans B. ‘Gluttony or sloth’: critical geographies of bodies and morality in (anti)obesity policy. Area. 2006; 38(3): 259–267.CrossRef Evans B. ‘Gluttony or sloth’: critical geographies of bodies and morality in (anti)obesity policy. Area. 2006; 38(3): 259–267.CrossRef
12.
go back to reference Campos P, Saguy A, Ernsberger P, Oliver E, Gaesser G. The epidemiology of overweight and obesity: public health crisis or moral panic? Int J Epidemiol. 2006; 35(1): 55–60.PubMedCrossRef Campos P, Saguy A, Ernsberger P, Oliver E, Gaesser G. The epidemiology of overweight and obesity: public health crisis or moral panic? Int J Epidemiol. 2006; 35(1): 55–60.PubMedCrossRef
13.
go back to reference Gard M, Wright J. The Obesity Epidemic: Science Morality and Ideology. London, England: Routledge; 2005. Gard M, Wright J. The Obesity Epidemic: Science Morality and Ideology. London, England: Routledge; 2005.
14.
go back to reference LeBesco K. Revolting Bodies: the Struggle to Redefine the Fat Identity. Boston, MA: University of Massachusetts Press; 2004. LeBesco K. Revolting Bodies: the Struggle to Redefine the Fat Identity. Boston, MA: University of Massachusetts Press; 2004.
15.
go back to reference Davison K, Birch L. Childhood overweight: a contextual model and recommendations for future research. Obes Rev. 2001; 2(3): 159–171.PubMedCrossRef Davison K, Birch L. Childhood overweight: a contextual model and recommendations for future research. Obes Rev. 2001; 2(3): 159–171.PubMedCrossRef
16.
go back to reference Egger G, Swinburn B. An ‘ecological’ approach to the obesity pandemic. Brit Med J. 1997; 315: 477–481.PubMedCrossRef Egger G, Swinburn B. An ‘ecological’ approach to the obesity pandemic. Brit Med J. 1997; 315: 477–481.PubMedCrossRef
17.
go back to reference Swinburn B, Egger G, Raza F. Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med. 1999; 29: 563–570.PubMedCrossRef Swinburn B, Egger G, Raza F. Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med. 1999; 29: 563–570.PubMedCrossRef
18.
go back to reference King T, Kavanagh A, Jolley D, Turrel G, Crawford D. Weight and place: a multilevel cross-sectional survey of area-level social disadvantage and overweight/obesity in Australia. Int J Obes. 2006; 30: 281–287.CrossRef King T, Kavanagh A, Jolley D, Turrel G, Crawford D. Weight and place: a multilevel cross-sectional survey of area-level social disadvantage and overweight/obesity in Australia. Int J Obes. 2006; 30: 281–287.CrossRef
19.
go back to reference Harrington D, Elliott SJ. Weighing the importance of neighbourhood: a multilevel exploration of the determinants of overweight and obesity. Soc Sci Med. 2009; 68: 593–600.PubMedCrossRef Harrington D, Elliott SJ. Weighing the importance of neighbourhood: a multilevel exploration of the determinants of overweight and obesity. Soc Sci Med. 2009; 68: 593–600.PubMedCrossRef
20.
go back to reference Janssen I, Boyce W, Simpson K, Pickett W. Influence of individual-and area-level measures of socioeconomic status on obesity, unhealthy eating, and physical inactivity in Canadian adolescents. Am J Clin Nutr. 2006; 83: 139–145.PubMed Janssen I, Boyce W, Simpson K, Pickett W. Influence of individual-and area-level measures of socioeconomic status on obesity, unhealthy eating, and physical inactivity in Canadian adolescents. Am J Clin Nutr. 2006; 83: 139–145.PubMed
21.
go back to reference Pearce J, Witten K, Hiscock R, Blakely T. Are socially disadvantaged neighbourhoods deprived of health-related community resources? Int J Epidemiol. 2007; 36(2): 348–355.PubMedCrossRef Pearce J, Witten K, Hiscock R, Blakely T. Are socially disadvantaged neighbourhoods deprived of health-related community resources? Int J Epidemiol. 2007; 36(2): 348–355.PubMedCrossRef
22.
go back to reference Ellaway A, Anderson A, Macintyre S. Does area of residence affect body size and shape? J Obes Relat Metab Disord. 1997; 21: 304–308.CrossRef Ellaway A, Anderson A, Macintyre S. Does area of residence affect body size and shape? J Obes Relat Metab Disord. 1997; 21: 304–308.CrossRef
23.
go back to reference Mobley L, Root E, Finkelstein E, Khavjou O, Farris R, Will J. Environment, obesity, and cardiovascular disease risk in low-income women. Am J Prev Med. 2006; 31: 109–117.CrossRef Mobley L, Root E, Finkelstein E, Khavjou O, Farris R, Will J. Environment, obesity, and cardiovascular disease risk in low-income women. Am J Prev Med. 2006; 31: 109–117.CrossRef
24.
go back to reference Robert S, Reither E. A multilevel analysis of race, community disadvantage, and BMI among adults in the US. Soc Sci Med. 2004; 59: 2421–2434.PubMedCrossRef Robert S, Reither E. A multilevel analysis of race, community disadvantage, and BMI among adults in the US. Soc Sci Med. 2004; 59: 2421–2434.PubMedCrossRef
25.
go back to reference Latham J, Moffat T. Determinants of variation in food cost and availability in two socioeconomically contrasting neighbourhoods of Hamilton, Ontario, Canada. Health Place. 2007; 13: 273–287.PubMedCrossRef Latham J, Moffat T. Determinants of variation in food cost and availability in two socioeconomically contrasting neighbourhoods of Hamilton, Ontario, Canada. Health Place. 2007; 13: 273–287.PubMedCrossRef
26.
go back to reference Zenk S, Schulz A, Israel B, James S, Boas S, Wilson M. Neighbourhood racial composition, poverty and the spatial accessibility of supermarkets in metropolitan Detroit. Am J Public Health. 2005; 95: 660–667.PubMedCrossRef Zenk S, Schulz A, Israel B, James S, Boas S, Wilson M. Neighbourhood racial composition, poverty and the spatial accessibility of supermarkets in metropolitan Detroit. Am J Public Health. 2005; 95: 660–667.PubMedCrossRef
27.
go back to reference Carver A, Timperio A, Crawford D. Playing it safe: the influence of neighbourhood safety on children’s physical activity—a review. Health Place. 2008; 14(2): 217–227.PubMedCrossRef Carver A, Timperio A, Crawford D. Playing it safe: the influence of neighbourhood safety on children’s physical activity—a review. Health Place. 2008; 14(2): 217–227.PubMedCrossRef
28.
go back to reference Stafford M, Cummins S, Ellaway A, Sacker A, Wiggins R, Macintyre S. Pathways to obesity: identifying local, modifiable determinants of physical activity and diet. Soc Sci Med. 2008; 65: 1882–1897.CrossRef Stafford M, Cummins S, Ellaway A, Sacker A, Wiggins R, Macintyre S. Pathways to obesity: identifying local, modifiable determinants of physical activity and diet. Soc Sci Med. 2008; 65: 1882–1897.CrossRef
29.
go back to reference Timperio A, Salmon J, Telford A, Crawford D. Perceptions of local neighborhood environments and their relationship to childhood overweight and obesity. Int J Obes. 2005; 29: 170–175.CrossRef Timperio A, Salmon J, Telford A, Crawford D. Perceptions of local neighborhood environments and their relationship to childhood overweight and obesity. Int J Obes. 2005; 29: 170–175.CrossRef
30.
go back to reference Booth K, Pinkston M, Poston W. Obesity and the built environment. J Am Diet Assoc. 2005; 105: S110–S117.PubMedCrossRef Booth K, Pinkston M, Poston W. Obesity and the built environment. J Am Diet Assoc. 2005; 105: S110–S117.PubMedCrossRef
31.
go back to reference Papas M, Alberg A, Ewing R, Helzlsouer KJ, Gary T, Klassen AC. The built environment and obesity. Epidemiol Rev. 2007; 29(1): 129–143.PubMedCrossRef Papas M, Alberg A, Ewing R, Helzlsouer KJ, Gary T, Klassen AC. The built environment and obesity. Epidemiol Rev. 2007; 29(1): 129–143.PubMedCrossRef
32.
go back to reference Tucker P, Irwin J, Gilliland J, He M, Larsen K, Hess P. Environmental influences on physical activity levels in youth. Health Place. 2009; 15(1): 357–363.PubMedCrossRef Tucker P, Irwin J, Gilliland J, He M, Larsen K, Hess P. Environmental influences on physical activity levels in youth. Health Place. 2009; 15(1): 357–363.PubMedCrossRef
33.
go back to reference Raine K, Spence J, Church J, et al. State of the Evidence Review on Urban Health and Healthy Weights. Ottawa, Canada: Canadian Institute for Health Information; 2008. Raine K, Spence J, Church J, et al. State of the Evidence Review on Urban Health and Healthy Weights. Ottawa, Canada: Canadian Institute for Health Information; 2008.
34.
go back to reference Kirk S, Penney T, McHugh F. Characterizing the obesogenic environment: the state of the evidence with directions for future research. Obes Rev. 2010; 11: 109–117.PubMedCrossRef Kirk S, Penney T, McHugh F. Characterizing the obesogenic environment: the state of the evidence with directions for future research. Obes Rev. 2010; 11: 109–117.PubMedCrossRef
35.
go back to reference Berkman L, Kawachi I. Social epidemiology. New York, NY: Oxford University Press; 2000. Berkman L, Kawachi I. Social epidemiology. New York, NY: Oxford University Press; 2000.
36.
go back to reference Curtis S, Taket A. Health and Societies: Changing Perspectives. London, England: Arnold; 1995. Curtis S, Taket A. Health and Societies: Changing Perspectives. London, England: Arnold; 1995.
37.
go back to reference Evans RG, Barer ML, Marmor TRE. Why are Some People Healthy and Others Not? The Determinants of Health of Populations. New York, NY: Aldine Transaction; 1994. Evans RG, Barer ML, Marmor TRE. Why are Some People Healthy and Others Not? The Determinants of Health of Populations. New York, NY: Aldine Transaction; 1994.
38.
go back to reference Lupton D. The Imperative of Health: Public Health and the Regulated Body. London, England: Sage Publications; 1995. Lupton D. The Imperative of Health: Public Health and the Regulated Body. London, England: Sage Publications; 1995.
39.
go back to reference Badland H, Schofield G, Witten K, et al. Understanding the relationship between activity and neighbourhoods (URBAN) study: research design and methodology. BMC Public Health. 2009; 9: 224–235.PubMedCrossRef Badland H, Schofield G, Witten K, et al. Understanding the relationship between activity and neighbourhoods (URBAN) study: research design and methodology. BMC Public Health. 2009; 9: 224–235.PubMedCrossRef
40.
go back to reference Farmer T, Robinson K, Elliott SJ, Eyles J. Developing and implementing a triangulation protocol for qualitative health research. Qual Heal Res. 2006; 16(3): 377–394.CrossRef Farmer T, Robinson K, Elliott SJ, Eyles J. Developing and implementing a triangulation protocol for qualitative health research. Qual Heal Res. 2006; 16(3): 377–394.CrossRef
41.
go back to reference Wakefield S, McMullan C. Healing in places of decline: (re)imagining everyday landscapes in Hamilton, Ontario. Health Place. 2005; 11(4): 299–312.PubMedCrossRef Wakefield S, McMullan C. Healing in places of decline: (re)imagining everyday landscapes in Hamilton, Ontario. Health Place. 2005; 11(4): 299–312.PubMedCrossRef
44.
go back to reference Statistics Canada. 2006 Canadian Census. Ottawa, Canada: Statistics Canada; 2007. Statistics Canada. 2006 Canadian Census. Ottawa, Canada: Statistics Canada; 2007.
45.
go back to reference Statistics Canada. Canadian Community Health Survey: Cycle 3.1. Ottawa, Canada; Statistics Canada; 2005. Statistics Canada. Canadian Community Health Survey: Cycle 3.1. Ottawa, Canada; Statistics Canada; 2005.
46.
go back to reference Shields M, Tjepkema M. Regional differences in obesity. Health Rep. 2006; 17(3): 61–67. Statistics Canada Catalogue No. 82–003.PubMed Shields M, Tjepkema M. Regional differences in obesity. Health Rep. 2006; 17(3): 61–67. Statistics Canada Catalogue No. 82–003.PubMed
53.
go back to reference Fairclough N. Language and Power. London, England: Longman; 1989. Fairclough N. Language and Power. London, England: Longman; 1989.
54.
go back to reference Wodak R. What is critical discourse analysis about? In: Wodak R, Meyers M, eds. Methods of Critical Discourse Analysis. London, England: Sage Publications; 2009. Wodak R. What is critical discourse analysis about? In: Wodak R, Meyers M, eds. Methods of Critical Discourse Analysis. London, England: Sage Publications; 2009.
57.
go back to reference Patton M. Qualitative Research & Evaluation methods. London, England: Sage Publications; 2002. Patton M. Qualitative Research & Evaluation methods. London, England: Sage Publications; 2002.
59.
go back to reference Monaghan L. Discussion pieces: a critical take on the obesity debate. Soc Theory Health. 2005; 3: 302–314.CrossRef Monaghan L. Discussion pieces: a critical take on the obesity debate. Soc Theory Health. 2005; 3: 302–314.CrossRef
60.
go back to reference Townshend T, Lake AA. Obesogenic urban form: theory, policy and practice. Health Place. 2009; 15(4): 909–916.PubMedCrossRef Townshend T, Lake AA. Obesogenic urban form: theory, policy and practice. Health Place. 2009; 15(4): 909–916.PubMedCrossRef
61.
go back to reference Ferreira I. Environmental correlates of physical activity in youth–a review and update. Obes Rev. 2007; 8: 129–154.PubMedCrossRef Ferreira I. Environmental correlates of physical activity in youth–a review and update. Obes Rev. 2007; 8: 129–154.PubMedCrossRef
62.
go back to reference Van der Horst K, Oenema A, Ferreira I, et al. A systematic review of environmental correlates of obesity-related dietary behaviours in youth. Heal Educ Res. 2007; 22(2): 203–226.CrossRef Van der Horst K, Oenema A, Ferreira I, et al. A systematic review of environmental correlates of obesity-related dietary behaviours in youth. Heal Educ Res. 2007; 22(2): 203–226.CrossRef
63.
go back to reference Wendel-Vos W, Droomers M, Kremers S, Brug J, Van Lenthe F. Potential environmental determinants of physical activity in adults: a systematic review. Obes Rev. 2007; 8: 425–440.PubMedCrossRef Wendel-Vos W, Droomers M, Kremers S, Brug J, Van Lenthe F. Potential environmental determinants of physical activity in adults: a systematic review. Obes Rev. 2007; 8: 425–440.PubMedCrossRef
64.
go back to reference Frohlich K, Ross N, Richmond C. Health disparities in Canada today: some evidence and a theoretical framework. Health Policy. 2006; 79: 132–143.PubMedCrossRef Frohlich K, Ross N, Richmond C. Health disparities in Canada today: some evidence and a theoretical framework. Health Policy. 2006; 79: 132–143.PubMedCrossRef
Metadata
Title
Prioritizing Obesity in the City
Authors
Jennifer Asanin Dean
Susan J. Elliott
Publication date
01-02-2012
Publisher
Springer US
Published in
Journal of Urban Health / Issue 1/2012
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-011-9620-3

Other articles of this Issue 1/2012

Journal of Urban Health 1/2012 Go to the issue