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Lancet. 2015 Jun 13;385(9985):2422-31. doi: 10.1016/S0140-6736(14)61743-8. Epub 2015 Feb 19.

Mobilisation of public support for policy actions to prevent obesity.

Author information

1
City University of New York, School of Public Health, New York, NY, USA; University of Nebraska Medical Centre, College of Public Health, Omaha, NE, USA. Electronic address: terry.huang@sph.cuny.edu.
2
Department of Policy and Management and Department of Economics, Cornell University, Ithaca, NY, USA.
3
ChangeLab Solutions, Oakland, CA, USA.
4
City University of New York, School of Public Health, New York, NY, USA; University of Nebraska Medical Centre, College of Public Health, Omaha, NE, USA.
5
University of Nebraska Medical Centre, College of Public Health, Omaha, NE, USA.
6
National Public Health Institute, Cuernavaca, Mexico.
7
Lombardi Comprehensive Cancer Center, Georgetown University, Washington DC, USA.
8
Center on Social Dynamics and Policy, The Brookings Institution, Washington DC, USA.
9
MRC Research Unit for Exercise Science and Sports Medicine, University of Cape Town, South Africa.
10
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Abstract

Public mobilisation is needed to enact obesity-prevention policies and to mitigate reaction against their implementation. However, approaches in public health focus mainly on dialogue between public health professionals and political leaders. Strategies to increase popular demand for obesity-prevention policies include refinement and streamlining of public information, identification of effective obesity frames for each population, strengthening of media advocacy, building of citizen protest and engagement, and development of a receptive political environment with change agents embedded across organisations and sectors. Long-term support and investment in collaboration between diverse stakeholders to create shared value is also important. Each actor in an expanded coalition for obesity prevention can make specific contributions to engaging, mobilising, and coalescing the public. The shift from a top-down to a combined and integrated bottom-up and top-down approach would need an overhaul of current strategies and reprioritisation of resources.

PMID:
25703113
DOI:
10.1016/S0140-6736(14)61743-8
[Indexed for MEDLINE]

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