So far in the posts I’ve done on obesity, I have been focused on the biology behind obesity. Part of that is due to my class and what this particular section of the course covered—showing them a biological approach to a health problem. But as I have been going over research on obesity, I’ve collected a number of links and articles on culture, social class, and obesity. So I am going to share those here.
Culture
Let me say one thing. In biomedicine and particularly in epidemiology, there is an overarching orientation towards the individual. It is how treatment is planned, how data is collected and analysis proceeds. This approach misses out on the central insight of culture theory—that aspects of our environment get bundled together due to accumulating human action and our cultural systems of meaning making. Epidemiology, by separating out factors, has little recourse to understand the dynamics of these larger patterns. At least in epidemiology, one alternative might be Nancy Krieger’s ecosocial framework (pdf), complemented by James Trostle’s Epidemiology and Culture and Carol Worthman and Brandon Kohrt’s Biocultural Approaches to Public Health Paradoxes.
In any case, some cultural anthropology and obesity. First, check out Gina Kolata’s article Chubby Gets a Second Look, including quotes from Emory anthropologists Peter Brown and George Armelagos, teachers of mine when I was in graduate school. “Being thin really isn’t about health, anyway, but about social class and control. When food was scarce and expensive, they say, only the rich could afford to be fat… Those notions of fashion gradually gave way to a more streamlined physique… The body mass indexes of Miss America winners, according to a 2000 study, have been steadily decreasing since 1922, so much so that for most winners in the last three decades their indexes would cause them to be considered underweight.”
Continue reading “Culture and Inequality in the Obesity Debate”