A social change model of the obesity epidemic

Abstract

Purpose – Obesity has reached epidemic levels in the United States and many other affluent countries and is a growing problem in some developing countries. World Health Organization estimates that the global rate will reach 13 percent by 2015. Because obesity increases the risk of many diseases ranging from type 2 diabetes and asthma to cardiovascular disease and some cancers, it threatens to undermine twentieth-century gains in life expectancy. This chapter offers a theoretical model of obesity that postulates the epidemic is a latent dysfunction of macro-structural changes initiated by industrialization that have decreased the physical activity of everyday life and promoted a nutrition transition to a high-calorie diet.

Methodology/approach – Comparative and historical population data are presented that generally support the conceptual model, although some significant cultural differences are found in particular race/ethnic groups.

Findings – The finding that structural changes in society created and continue to support the obesity epidemic will make it difficult to control by focusing only on health education campaigns aimed at changing individual behaviors.

Contribution to the Field – This chapter offers data and analysis that can support policy making needed to change the structural influences.

Citation

Sullivan, D.A. (2010), "A social change model of the obesity epidemic", Mukherjea, A. (Ed.) Understanding Emerging Epidemics: Social and Political Approaches (Advances in Medical Sociology, Vol. 11), Emerald Group Publishing Limited, Leeds, pp. 315-342. https://doi.org/10.1108/S1057-6290(2010)0000011021