Advancing Health Equity Efforts to Reduce Obesity: Changing the Course
Shiriki Kumanyika
Abstract
Population-based solutions are needed to stabilize and then reverse the continued upward trends in obesity prevalence in the US population and worldwide. This review focuses on the related, urgent issue of disparities in obesity prevalence affecting US racial/ethnic minority and other socially marginalized populations. The review provides background on these disparities from a health equity perspective and highlights evidence of progress in equity-focused obesity efforts. Five recommendations for advancing equity efforts are offered as potential approaches to build on progress to date: ( a) give equity issues higher priority, ( b) adopt a health equity lens, ( c) strengthen approaches by using health equity frameworks, ( d) broaden the types of policies considered, and ( e) emphasize implementation science concepts and tools. Potential challenges and opportunities are identified, including the prospect of longer-term, transformative solutions that integrate global and national initiatives to address obesity, undernutrition, and climate change.