Skip to main content
Top
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

"The solution needs to be complex."Obese adults' attitudes about the effectiveness of individual and population based interventions for obesity

Authors: Samantha L Thomas, Sophie Lewis, Jim Hyde, David Castle, Paul Komesaroff

Published in: BMC Public Health | Issue 1/2010

Login to get access

Abstract

Background

Previous studies of public perceptions of obesity interventions have been quantitative and based on general population surveys. This study aims to explore the opinions and attitudes of obese individuals towards population and individual interventions for obesity in Australia.

Methods

Qualitative methods using in-depth semi-structured telephone interviews with a community sample of obese adults (Body Mass Index ≥30). Theoretical, purposive and strategic recruitment techniques were used to ensure a broad sample of obese individuals with different types of experiences with their obesity. Participants were asked about their attitudes towards three population based interventions (regulation, media campaigns, and public health initiatives) and three individual interventions (tailored fitness programs, commercial dieting, and gastric banding surgery), and the effectiveness of these interventions.

Results

One hundred and forty two individuals (19-75 years) were interviewed. Participants strongly supported non-commercial interventions that were focused on encouraging individuals to make healthy lifestyle changes (regulation, physical activity programs, and public health initiatives). There was less support for interventions perceived to be invasive or high risk (gastric band surgery), stigmatising (media campaigns), or commercially motivated and promoting weight loss techniques (commercial diets and gastric banding surgery).

Conclusion

Obese adults support non-commercial, non-stigmatising interventions which are designed to improve lifestyles, rather than promote weight loss.
Literature
1.
go back to reference Australian Bureau of Statistics: National Health Survey 2007/8. 2009 Australian Bureau of Statistics: National Health Survey 2007/8. 2009
2.
go back to reference National Preventive Health Taskforce: Australia: The healthiest country by 2020. 2009, Canberra Commonwealth of Australia National Preventive Health Taskforce: Australia: The healthiest country by 2020. 2009, Canberra Commonwealth of Australia
3.
go back to reference Standing Committee on Health and Ageing: Weighing it up: Obesity in Australia. 2009 Standing Committee on Health and Ageing: Weighing it up: Obesity in Australia. 2009
4.
go back to reference Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J: Medicare's search for effective obesity treatments: Diets are not the answer. Am Psychol. 2007, 62 (3): 220-233. 10.1037/0003-066X.62.3.220.PubMed Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J: Medicare's search for effective obesity treatments: Diets are not the answer. Am Psychol. 2007, 62 (3): 220-233. 10.1037/0003-066X.62.3.220.PubMed
5.
go back to reference Wing R: Physical activity in the treatment of the adulthood overweight and obesity: current evidence and research issues. Med Sci Sports Exerc. 1999, 31 (11): S547-PubMed Wing R: Physical activity in the treatment of the adulthood overweight and obesity: current evidence and research issues. Med Sci Sports Exerc. 1999, 31 (11): S547-PubMed
6.
go back to reference Kausman R, Bruere T: If not dieting, now what?. Aust Fam Physician. 2006, 35 (8): 572-575.PubMed Kausman R, Bruere T: If not dieting, now what?. Aust Fam Physician. 2006, 35 (8): 572-575.PubMed
7.
go back to reference Bacon L, Stern JS, Van Loan MD, Keim NL: Size acceptance and intuitive eating improve health for obese, female chronic dieters. J Am Diet Assoc. 2005, 105 (6): 929-936. 10.1016/j.jada.2005.03.011.PubMed Bacon L, Stern JS, Van Loan MD, Keim NL: Size acceptance and intuitive eating improve health for obese, female chronic dieters. J Am Diet Assoc. 2005, 105 (6): 929-936. 10.1016/j.jada.2005.03.011.PubMed
8.
go back to reference Polivy J, Herman CP: Dieting and binging. A causal analysis. Am Psychol. 1985, 40 (2): 193-201. 10.1037/0003-066X.40.2.193.PubMed Polivy J, Herman CP: Dieting and binging. A causal analysis. Am Psychol. 1985, 40 (2): 193-201. 10.1037/0003-066X.40.2.193.PubMed
9.
go back to reference Brownell KD, Rodin J: Medical, metabolic, and psychological effects of weight cycling. Arch Intern Med. 1994, 154 (12): 1325-1330. 10.1001/archinte.154.12.1325.PubMed Brownell KD, Rodin J: Medical, metabolic, and psychological effects of weight cycling. Arch Intern Med. 1994, 154 (12): 1325-1330. 10.1001/archinte.154.12.1325.PubMed
10.
go back to reference Hawley G, Horwath C, Gray A, Bradshaw A, Katzer L, Joyce J, O'Brien S: Sustainability of health and lifestyle improvements following a non-dieting randomised trial in overweight women. Prev Med. 2008, 47: 593-599. 10.1016/j.ypmed.2008.08.008.PubMed Hawley G, Horwath C, Gray A, Bradshaw A, Katzer L, Joyce J, O'Brien S: Sustainability of health and lifestyle improvements following a non-dieting randomised trial in overweight women. Prev Med. 2008, 47: 593-599. 10.1016/j.ypmed.2008.08.008.PubMed
11.
go back to reference Fishbein M, Hall-Jamieson K, Zimmer E, von Haeften I, Nabi R: Avoiding the boomerang: testing the relative effectiveness of antidrug public service announcements before a national campaign. Am J Public Health. 2002, 92 (2): 238-245. 10.2105/AJPH.92.2.238.PubMedPubMedCentral Fishbein M, Hall-Jamieson K, Zimmer E, von Haeften I, Nabi R: Avoiding the boomerang: testing the relative effectiveness of antidrug public service announcements before a national campaign. Am J Public Health. 2002, 92 (2): 238-245. 10.2105/AJPH.92.2.238.PubMedPubMedCentral
12.
go back to reference Adler NE, Stewart J: Reducing obesity: motivating action while not blaming the victim. Milbank Q. 2009, 87 (1): 49-70. 10.1111/j.1468-0009.2009.00547.x.PubMedPubMedCentral Adler NE, Stewart J: Reducing obesity: motivating action while not blaming the victim. Milbank Q. 2009, 87 (1): 49-70. 10.1111/j.1468-0009.2009.00547.x.PubMedPubMedCentral
13.
go back to reference Kuo T, Jarosz CJ, Simon P, Fielding JE: Menu Labeling as a Potential Strategy for Combating the Obesity Epidemic: A Health Impact Assessment. Am J Public Health. 2009, 99 (9): 1680-1686. 10.2105/AJPH.2008.153023.PubMedPubMedCentral Kuo T, Jarosz CJ, Simon P, Fielding JE: Menu Labeling as a Potential Strategy for Combating the Obesity Epidemic: A Health Impact Assessment. Am J Public Health. 2009, 99 (9): 1680-1686. 10.2105/AJPH.2008.153023.PubMedPubMedCentral
14.
go back to reference Matthews AE: Children and obesity: a pan-European project examining the role of food marketing. Eur J Public Health. 2008, 18 (1): 7-11. 10.1093/eurpub/ckm015.PubMed Matthews AE: Children and obesity: a pan-European project examining the role of food marketing. Eur J Public Health. 2008, 18 (1): 7-11. 10.1093/eurpub/ckm015.PubMed
15.
go back to reference Bauman A: Commentary on the VERB™ campaign -- perspectives on social marketing to encourage physical activity among youth. Prev Chronic Dis. 2004, 1: A02-PubMedPubMedCentral Bauman A: Commentary on the VERB™ campaign -- perspectives on social marketing to encourage physical activity among youth. Prev Chronic Dis. 2004, 1: A02-PubMedPubMedCentral
16.
go back to reference Yancey A: Social ecological influences on obesity control: Instigating problems and informing potential solutions. Obes Manag. 2007, 74-79. 10.1089/obe.2007.0020. Yancey A: Social ecological influences on obesity control: Instigating problems and informing potential solutions. Obes Manag. 2007, 74-79. 10.1089/obe.2007.0020.
17.
go back to reference American Public Health Association: Americans' attitudes on fighting obesity: summary of study findings. 2003, Washington, DC: Widmeyer Polling & Research American Public Health Association: Americans' attitudes on fighting obesity: summary of study findings. 2003, Washington, DC: Widmeyer Polling & Research
18.
go back to reference Hilbert A, Rief W, Braehler E: What determines public support of obesity prevention?. J Epidemiol Community Health. 2007, 61: 585-590. 10.1136/jech.2006.050906.PubMedPubMedCentral Hilbert A, Rief W, Braehler E: What determines public support of obesity prevention?. J Epidemiol Community Health. 2007, 61: 585-590. 10.1136/jech.2006.050906.PubMedPubMedCentral
19.
go back to reference Glasgow RE, Emmons KM: How can we increase translation of research into practice?. Annu Rev Public Health. 2007, 28: 413-433. 10.1146/annurev.publhealth.28.021406.144145.PubMed Glasgow RE, Emmons KM: How can we increase translation of research into practice?. Annu Rev Public Health. 2007, 28: 413-433. 10.1146/annurev.publhealth.28.021406.144145.PubMed
20.
go back to reference Entwistle VA, Renfrew MJ, Yearley S, Forrester J, Lamont T: Lay perspectives: advantages for health research. BMJ. 1998, 316: 463-466.PubMedPubMedCentral Entwistle VA, Renfrew MJ, Yearley S, Forrester J, Lamont T: Lay perspectives: advantages for health research. BMJ. 1998, 316: 463-466.PubMedPubMedCentral
21.
go back to reference Boote J, Telford R, Cooper C: Consumer involvement in health research: a review and research agenda. Health policy. 2002, 61 (2): 213-236. 10.1016/S0168-8510(01)00214-7.PubMed Boote J, Telford R, Cooper C: Consumer involvement in health research: a review and research agenda. Health policy. 2002, 61 (2): 213-236. 10.1016/S0168-8510(01)00214-7.PubMed
22.
go back to reference Department of Health: Research Governance Framework for Health and Social Care. 2005, London: Department of Health Department of Health: Research Governance Framework for Health and Social Care. 2005, London: Department of Health
23.
go back to reference Syme SL: Social Determinants of Health: The Community as an Empowered Partner. Public Health Res Practice Policy. 2004, 1 (1): 1-5. Syme SL: Social Determinants of Health: The Community as an Empowered Partner. Public Health Res Practice Policy. 2004, 1 (1): 1-5.
24.
go back to reference Lewis S, Thomas SL, Blood W, Hyde J, Castle DJ, Komesaroff PA: Do Health Beliefs and Behaviors Differ According to Severity of Obesity? A Qualitative Study of Australian Adults. Int J Environ Res Public Health. 2010, 7: 443-459. 10.3390/ijerph7020443.PubMedPubMedCentral Lewis S, Thomas SL, Blood W, Hyde J, Castle DJ, Komesaroff PA: Do Health Beliefs and Behaviors Differ According to Severity of Obesity? A Qualitative Study of Australian Adults. Int J Environ Res Public Health. 2010, 7: 443-459. 10.3390/ijerph7020443.PubMedPubMedCentral
25.
go back to reference Thomas S, Karunaratne A, Lewis S, Castle D, Knoesen N, Honigman R, Hyde J, Kausman R, Komesaroff P: 'Just Bloody Fat!': A Qualitative Study of Body Image, Self-Esteem and Coping in Obese Adults. Int J Mental Health Promot. 2010, 12 (1): 39-49. Thomas S, Karunaratne A, Lewis S, Castle D, Knoesen N, Honigman R, Hyde J, Kausman R, Komesaroff P: 'Just Bloody Fat!': A Qualitative Study of Body Image, Self-Esteem and Coping in Obese Adults. Int J Mental Health Promot. 2010, 12 (1): 39-49.
26.
go back to reference Denzin NK, Lincoln YS: The handbook of qualitative research. 2000, Thousand Oaks: Sage Denzin NK, Lincoln YS: The handbook of qualitative research. 2000, Thousand Oaks: Sage
27.
go back to reference Mason J: Qualitative Researching. 1996, London: Sage Mason J: Qualitative Researching. 1996, London: Sage
28.
go back to reference Glaser B, Strauss A: The Discovery of Grounded Theory. 1967, Chicago: Aldine Glaser B, Strauss A: The Discovery of Grounded Theory. 1967, Chicago: Aldine
29.
go back to reference Strauss A, Corbin J: Basics of qualitative research - Techniques and procedures for developing grounded theory. 1998, London: Sage Publications Strauss A, Corbin J: Basics of qualitative research - Techniques and procedures for developing grounded theory. 1998, London: Sage Publications
30.
go back to reference Martin JK, Pescosolido BA, Tuch SA: Of Fear and Loathing: The Role of 'Disturbing Behavior,' Labels, and Causal Attributions in Shaping Public Attitudes toward People with Mental Illness. J Health Soc Behav. 2000, 41 (2): 208-223. 10.2307/2676306. Martin JK, Pescosolido BA, Tuch SA: Of Fear and Loathing: The Role of 'Disturbing Behavior,' Labels, and Causal Attributions in Shaping Public Attitudes toward People with Mental Illness. J Health Soc Behav. 2000, 41 (2): 208-223. 10.2307/2676306.
31.
go back to reference Deacon H: Towards a sustainable theory of health-related stigma: lessons from the HIV/AIDS literature. J Community Appl Soc Psychol. 2006, 16 (6): 418-425. 10.1002/casp.900. Deacon H: Towards a sustainable theory of health-related stigma: lessons from the HIV/AIDS literature. J Community Appl Soc Psychol. 2006, 16 (6): 418-425. 10.1002/casp.900.
32.
go back to reference Devine PG, Plant EA, Harrison K: The problem of "us" versus" them" and AIDS stigma. Am Behav Sci. 1999, 42 (7): 1212-1228. 10.1177/00027649921954732. Devine PG, Plant EA, Harrison K: The problem of "us" versus" them" and AIDS stigma. Am Behav Sci. 1999, 42 (7): 1212-1228. 10.1177/00027649921954732.
33.
go back to reference Agha S: The impact of a mass media campaign on personal risk perception, perceived self-efficacy and on other behavioural predictors. AIDS Care. 2003, 15 (6): 749-762. 10.1080/09540120310001618603.PubMed Agha S: The impact of a mass media campaign on personal risk perception, perceived self-efficacy and on other behavioural predictors. AIDS Care. 2003, 15 (6): 749-762. 10.1080/09540120310001618603.PubMed
34.
go back to reference Bowling A, Ebrahim S: Measuring patients' preferences for treatment and perceptions of risk. Qual Health Care. 2001, 10 (Supplement 1): i2-i8. 10.1136/qhc.0100002...PubMedPubMedCentral Bowling A, Ebrahim S: Measuring patients' preferences for treatment and perceptions of risk. Qual Health Care. 2001, 10 (Supplement 1): i2-i8. 10.1136/qhc.0100002...PubMedPubMedCentral
35.
go back to reference Grier S, Bryant CA: Social marketing in public health. Annu Rev Public Health. 2005, 26: 319-339. 10.1146/annurev.publhealth.26.021304.144610.PubMed Grier S, Bryant CA: Social marketing in public health. Annu Rev Public Health. 2005, 26: 319-339. 10.1146/annurev.publhealth.26.021304.144610.PubMed
Metadata
Title
"The solution needs to be complex."Obese adults' attitudes about the effectiveness of individual and population based interventions for obesity
Authors
Samantha L Thomas
Sophie Lewis
Jim Hyde
David Castle
Paul Komesaroff
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-420

Other articles of this Issue 1/2010

BMC Public Health 1/2010 Go to the issue