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More of the same? Conflicting perspectives of obesity causation and intervention amongst overweight people, health professionals and policy makers


  • Greener, Joe
  • Douglas, Flora
  • van Teijlingen, Edwin


This paper presents the findings of a qualitative study conducted in the United Kingdom of the perceptions of overweight individuals, as well as health professionals and policy makers working in the area of obesity prevention and weight management. In 2006-2007, we conducted interviews with 34 men and women (18-50 years old) who self identified as being overweight; 20 health professionals; and 9 policy makers. We explored their understandings of the causes of obesity/overweight; beliefs about factors that enabled or inhibited weight loss/gain; and opinions regarding effective obesity/overweight interventions. We found a range of views, which corresponded with biomedical and socio-ecological perspectives of health and disease. The lay overweight respondents viewed the problem of obesity arising from their personal shortcomings (i.e. motivational and physical), juxtaposed to blame-absolving accounts often involving specific challenges associated with day-to-day living. All respondents presented personal stories of complex battles of short-term weight loss and longer-term weight gain, usually characterised by a sense of failure. All expressed a strong sense of personal responsibility to overcome their weight problems, and looked to another not-yet-tried, technocratic weight loss programme to address the problem, despite all reporting past failures. Health professionals and policy makers on the other hand viewed obesity as a socio-ecologically determined problem, detailing social and environmental explanations. Health professionals were more inclined towards individual-orientated weight management interventions as effective responses. Policy makers considered environmental and social policy changes as most likely to make a substantial difference to current obesity trends, but considered it unlikely that such policies would be implemented without the political will and popular support. Our data highlight dissonance between policy maker, health professional and public obesity perceptions and points to a challenge for those who believe that wholesale systemic change is required if obesity trends are to be reduced or halted.

Suggested Citation

  • Greener, Joe & Douglas, Flora & van Teijlingen, Edwin, 2010. "More of the same? Conflicting perspectives of obesity causation and intervention amongst overweight people, health professionals and policy makers," Social Science & Medicine, Elsevier, vol. 70(7), pages 1042-1049, April.
  • Handle: RePEc:eee:socmed:v:70:y:2010:i:7:p:1042-1049

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    References listed on IDEAS

    1. Jutel, Annemarie, 2006. "The emergence of overweight as a disease entity: Measuring up normality," Social Science & Medicine, Elsevier, vol. 63(9), pages 2268-2276, November.
    2. Throsby, Karen, 2007. ""How could you let yourself get like that?": Stories of the origins of obesity in accounts of weight loss surgery," Social Science & Medicine, Elsevier, vol. 65(8), pages 1561-1571, October.
    3. Eyles, John & Brimacombe, Michael & Chaulk, Paul & Stoddart, Greg & Pranger, Tina & Moase, Olive, 2001. "What determines health? To where should we shift resources? : Attitudes towards the determinants of health among multiple stakeholder groups in Prince Edward Island, Canada," Social Science & Medicine, Elsevier, vol. 53(12), pages 1611-1619, December.
    4. Henderson, Julie & Coveney, John & Ward, Paul & Taylor, Anne, 2009. "Governing childhood obesity: Framing regulation of fast food advertising in the Australian print media," Social Science & Medicine, Elsevier, vol. 69(9), pages 1402-1408, November.
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    Cited by:

    1. repec:eee:socmed:v:204:y:2018:i:c:p:117-124 is not listed on IDEAS
    2. Barlösius, Eva & Philipps, Axel, 2015. "Felt stigma and obesity: Introducing the generalized other," Social Science & Medicine, Elsevier, vol. 130(C), pages 9-15.
    3. Brewis, Alexandra A., 2014. "Stigma and the perpetuation of obesity," Social Science & Medicine, Elsevier, vol. 118(C), pages 152-158.
    4. Lewis, Sophie & Thomas, Samantha L. & Blood, R. Warwick & Castle, David J. & Hyde, Jim & Komesaroff, Paul A., 2011. "How do obese individuals perceive and respond to the different types of obesity stigma that they encounter in their daily lives? A qualitative study," Social Science & Medicine, Elsevier, vol. 73(9), pages 1349-1356.


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