Americans' View on Obesity is Changing: Fewer Adults See it as a Personal Problem of Bad Choices

U.S. Public & Healthcare Professionals Increasingly See Obesity as a Community Problem of Shared Risks

5-Nov-2014 11:00 AM EST

Obesity Society

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Newswise — BOSTON, MA – New research evaluating the opinions of both the American public and healthcare professionals during the past year finds a shift in perception toward obesity as a community problem of risks related to food and inactivity. For adults in the United States, perception has moved away from seeing obesity as a personal problem resulting from bad choices. Healthcare professionals were already less likely than the public to view obesity as a personal problem of bad choices. These findings will be presented during a poster session on Wednesday, Nov. 5 at The Obesity Society Annual Meeting at ObesityWeek 2014 in Boston, MA.

"Despite the high prevalence of obesity in the U.S. and worldwide, weight bias and stigma continue to complicate clinical and policy approaches to obesity treatment," said study author Ted Kyle, RPh, MBA, of ConscienHealth in Pittsburgh, PA. "The goal of our study was to measure any shifts that might affect or result from public policy changes."View on Obesity Is Changing Infographic 2014 10 27

Kyle and his colleagues Diana Thomas, PhD, professor at Montclair State University, and Adam Tsai, MD, an obesity medicine expert at Kaiser Permanente of Colorado, conducted an online survey of a representative sample of 54,111 U.S. adults (POP) and 5,024 healthcare professionals (HCP), who were asked whether they viewed obesity primarily as a personal problem of bad choices, a community problem of bad food and inactivity, or a medical problem. Responses were collected in five different time periods: Feb 2013, Mar 2013, Aug 2013, and May 2014. The HCP sample included registered nurses, physicians, dietitians and nutritionists, and healthcare policy/management professionals. Researchers analyzed how demographic variables (age, gender, income, region, urban density) were associated with the changing views of the public and HCPs.

"Our results show a significant shift in perceptions of obesity in 2014, with the percent of Americans seeing obesity as a community problem increasing as much as 13% and the percent of healthcare professionals increasing 18%," said Kyle. "Surprisingly, the healthcare professionals who view obesity primarily as a medical problem actually decreased between 2013 and 2014. This trend bears watching."

Data also show differences among various demographic groups. In 2014, younger and higher income respondents more likely view obesity as a community problem. Older respondents more likely view it as a medical problem. Male and rural respondents more likely view obesity as a personal problem of bad choices.

The researchers observed little evidence of impact from the 2013 decision of American Medical Association to classify obesity as a chronic disease, but concluded that substantial news and social media attention for the documentary film Fed Up may have influenced perceptions of obesity.

"Obesity is one of the most complex, chronic medical conditions and successful treatment often requires the support and care of healthcare professionals," said Rebecca Puhl, PhD, Deputy Director at Yale University's Rudd Center for Food Policy & Obesity speaking on behalf of The Obesity Society. "These trends are encouraging because they suggest a shift away from simplistic, biased views that focus on personal blame. The more that people recognize shared risks for obesity, the more likely they are to support evidence-based approaches to reducing obesity's impact."

In May 2013, TOS launched the Treat Obesity Seriously campaign with the goal of encouraging the treatment of obesity as more than a personal problem – a disease that warrants serious, evidence-based medical care. The effort is intended to help healthcare professionals better understand obesity, its causes, effects and treatments. During ObesityWeek, attendees will be given the opportunity to support the treatment of obesity as a disease by signing the Obesity Pledge and sending a letter to their members of Congress in support of the Treat and Reduce Obesity Act.

"Addressing weight bias is essential in efforts to effectively prevent and treat obesity, and will bring us one step closer to improving the quality of life for people affected by obesity," said Dr. Puhl.

Additional efforts to address weight bias and stigma will be presented at ObesityWeek and include a keynote by Dr. Puhl entitled, "Addressing Obesity Stigma in Health Care: Challenges, Remedies and Implications for Bariatric Care," a symposium entitled, "Framing obesity: how public communication influences private conversation," and several other abstract presentations.

Read the full abstract online and find out more about other events at ObesityWeek in the online schedule. #   #   # About The Obesity SocietyThe Obesity Society (TOS) is the leading professional society dedicated to better understanding, preventing and treating obesity. Through research, education and advocacy, TOS is committed to improving the lives of those affected by the disease. For more information visit: www.Obesity.org. Connect with TOS on social media: Twitter, Facebook and LinkedIn. Find TOS disclosures here.

About ObesityWeekObesityWeek is the premier, international event focused on the basic science, clinical application, prevention and treatment of obesity. TOS and the American Society for Metabolic and Bariatric Surgery (ASMBS) host the world's pre-eminent conference on obesity, ObesityWeek 2014, Nov. 2-7, at the Boston Convention and Exhibition Center in Boston, Mass. For the second year, both organizations hold their respective annual scientific meetings under one roof to unveil exciting new research, discuss emerging treatment and prevention options, and network and present. Connect and share with ObesityWeek on Twitter and Facebook, or by using #OW2014.

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