The obesity epidemic is a significant issue for health and social policy, with major ramifications for economic productivity across the globe. In Western industrialized countries, however, it impacts on the population along traditional lines of economic disadvantage, its incidence being inversely related to income and education. As a health issue and matter for policy intervention, obesity is frequently presented in public discourse within an existing moral framework which links illness with moral failure. This is reminiscent of the historical treatment of poverty. It will be argued in this paper that the convergence of moralized discourses around poverty and illness is represented most visibly and powerfully in the issue of obesity, resulting in policy which addresses these moral `shortcomings' at the expense of attention to the structures which create ill health and poverty. An alternative social-structural perspective will be proposed as a potentially more helpful frame for addressing the obesity issue.
Abbott, T. (2005) `Generation O', Four Corners programme, Australian Broadcasting Commission, broadcast 17 October. [http://www.abc.net.au/4corners/content/2005/s1484310.htm ], accessed 1 July 2008.
2.
Abbott, T. (2006) Opening address to the Queensland Obesity Summit , Brisbane, Queensland, 3 May.
3.
Australian Council of Social Service (2006 ) `Welfare to Work Policy', Factsheet [ http://www.acoss.org.au/upload/publications/papers/1029__info%20Welfare%20to%20Work%20Summary.pdf ], accessed 2 July 2008.
4.
Australian Institute of Health and Welfare ( 2003) `Are All Australians Gaining Weight?', Bulletin Issue11 (December).
5.
Australian Institute of Health and Welfare ( 2004) `Risk Factors Data Briefing Number 2', October.
6.
Baum, F. (2007) `Health in the Suburbs', Flinders University News and Research Stories, 16 March.
7.
Baum, F. (2008) The New Public Health. Melbourne : Oxford University Press.
8.
Bessant, J., Watts, R., Dalton, T. and Smyth, P. (2006) Talking Policy: How Social Policy is Made. Sydney: Allen & Unwin.
9.
Blair, A. (2006) `I've Had a Gutful of this Gluttony', Sunday Mail 10 September.
10.
Blair, S. and Brodney, S. (1999) `Effects of Physical Inactivity and Obesity on Morbidity and Mortality: Current Evidence and Research Issues', Medicine and Science in Sports and Exercise31(11 Suppl.): 646-62.
11.
Blair, S. and LaMonte, M. (2006) `Current Perspectives on Obesity and Health: Black and White, or Shades of Grey?', International Journal of Epidemiology35: 69-72.
12.
Broom, D. (2007) `Hazardous Good Intentions', lecture given at `Re-Imagining Preventive Health: Theoretical Perspectives'Conference , Adelaide, 8 February.
13.
Burns, C. and Friel, S. (2007) `It's Time to Determine the Cost of a Healthy Diet in Australia', Australian and New Zealand Journal of Public Health31(4): 363-5.
14.
Cannon, G. (2007) `Out of the Box', editorial, Public Health Nutrition10(5): 432-5.
15.
Carney, T. (2007) `Welfare Reform? Following the "Work-First" Way' , Social Policy Working Paper No. 7, January. Melbourne : Brotherhood of St. Laurence and the Centre for Public Policy.
16.
Carter, P. (2006) `PE Should be Compulsory: Federal Govt', AAP Bulletin 24 October.
17.
Commission on Social Determinants of Health ( 2007) Health Equity: From Root Causes to Fair Outcomes. Interim Statement. Geneva: Commission on Social Determinants of Health.
18.
Council of Australian Governments (2006) `Australian Better Health Initiative' [http://www.ahmac.gov.au/cms_documents/2006-April%207%20AHMC%20Obesity%20Action%20Plan%20Media%20Release.doc], accessed 1 July 2008.
19.
Crawford, R. (1984) `A Cultural Account of "Health": Control, Release and the Social Body', pp. 60-103 in J. B. McKinlay (ed.) Issues in the Political Economy of Health Care. London: Routledge and Kegan Paul.
20.
Crawford, R. (1994) `The Boundaries of the Self and the Unhealthy Other: Reflections on Health, Culture and AIDS', Social Science and Medicine38(10): 1347-65.
21.
Crawford, R. (2006) `Health as a Meaningful Social Practice', Health10(4): 401-20.
22.
Crouch, B. (2007) `Will the Obese be Left to Die? SA Facing Health Cost Time Bomb', Sunday Mail 25 March.
23.
Dixon, J. and Broom, D. (2007) Preface and Conclusion, pp. x-xii and 172-87 in J. Dixon and D. Broom (eds) The Seven Deadly Sins of Obesity: How the Modern World is Making Us Fat. Sydney: University of New South Wales Press.
24.
Drewnowski, A. and Darmon, N. (2005) `Food Choices and Diet Costs: An Economic Analysis' , Journal of Nutrition135(4): 900-4.
25.
Drewnowski, A. and Specter, S.E. (2004) `Poverty and Obesity: The Role of Energy Density and Energy Costs', American Journal of Clinical Nutrition79: 6-16.
26.
Egger, G. and Swinburn, B. (1997) `An "Ecological" Approach to the Obesity Pandemic' , British Medical Journal315 (23 August): 477-80.
27.
Elliott, A. and Lemert, C. (2006) The New Individualism: The Emotional Costs of Globalization . London: Routledge.
28.
Fitzpatrick, M. (2001) The Tyranny of Health: Doctors and the Regulation of Life-style. London: Routledge .
29.
Flegal, K.M., Graubard, B.I., Williamson, D.F. and Gail, M.H. (2007) `Cause-Specific Excess Deaths Associated with Underweight, Overweight, and Obesity', Journal of the American Medical Association298(17): 2028-37.
30.
Foresight Programme (2007) Tackling Obesities: Future Choices - Project Report. October. UK Government Office for Science.
31.
French, C. (2007) `Obese Boy's Family Accused of Neglect', The Advertiser 28 February.
32.
Friel, S. and Broom, D. (2007) `Unequal Society, Unhealthy Weight', pp. 148-71 in J. Dixon and D. Broom (eds) The Seven Deadly Sins of Obesity: How the Modern World is Making Us Fat. Sydney: University of New South Wales Press.
33.
Friel, S., Walsh, O. and McCarthy, D. (2006) `The Irony of a Rich Country: Issues of Financial Access to and Availability of Healthy Food in the Republic of Ireland', Journal of Epidemiology and Community Health60: 1013-19.
34.
Henman, P. (2002) `The Poverty of Welfare Reform Discourse', pp. 180-91 in T. Eardley and B. Bradbury (eds) Competing Visions: Refereed Proceedings of the National Social Policy Conference 2001. SPRC Report 1/02. Sydney: Social Policy Research Centre, University of New South Wales.
35.
International Obesity Taskforce Working Group (IOTF) (2007) `The Sydney Principles' [ http://www.iotf.org/sydneyprinciples], accessed 11 September 2007.
36.
Irish National Taskforce on Obesity (2005) Obesity, the Policy Challenges: The Report of the National Taskforce on Obesity 2005. Dublin: Department of Health and Children.
37.
Jones, H. (1994) Health and Society in Twentieth-Century Britain . Harlow: Longman.
38.
Jones, H.B. (1997) `The Protestant Ethic: Weber's Model and the Empirical Literature', Human Relations50(7): 757-78.
39.
Kersh, R. and Morone, J. (2002) `How the Personal Becomes Political: Prohibitions, Public Health, and Obesity', Studies in American Political Development16 (Fall): 162-75.
40.
Kickbusch, I. (2007a) `Global Health in the 21st Century', public lecture delivered at Flinders University, Adelaide, 12 February.
41.
Kickbusch, I. (2007b) `Responding to the Health Society', Health Promotion International22(2): 89-91.
42.
Kickbusch, I. and Payne, L. (2004) `Constructing Global Public Health in the 21st Century', paper presented at Meeting on Global Health Governance and Accountability, Harvard University , Cambridge, MA, 2-3 June.
43.
Lakoff, G. (2004) Don't Think of an Elephant! Know Your Values and Frame the Debate. White RiverJunction, VT: Chelsea Green Press.
44.
Leichter, H.M. (2003) `"Evil Habits" and "Personal Choices": Assigning Responsibility for Health in the 20th Century', The Milbank Quarterly81(4): 603-26.
45.
McCarthy, M. (2004) `The Economics of Obesity', The Lancet364(9452): 2169-70.
46.
Magnusson, R. (2006) Private conversation at symposium `Obesity: Should There be a Law Against It?', University of Sydney, 28 September.
47.
Manly Daily (2006) `Obesity: Parents to Blame', 21 September.
48.
Mendes, P. (2003) Australia's Welfare Wars: The Players, the Politics and the Ideologies. Sydney: University of New South Wales Press.
49.
Mills, C.W. (1970) The Sociological Imagination. Harmondsworth: Penguin.
50.
O'Hara, L. and Gregg, J. (2006) `The War on Obesity: A Social Determinant of Health' , Health Promotion Journal of Australia17: 260-3.
51.
Orbach, S. (2006) `Commentary: There is a Public Health Crisis - It's not Fat on the Body but Fat in the Mind and the Fat of Profits', International Journal of Epidemiology35: 67-9.
52.
Pengelley, J. (2007) `Surgery Ban: QEH Snub for Smokers and the Obese' , The Advertiser 3 September.
53.
Prentice, A.M. and Jebb, S.A. (1995) `Obesity in Britain: Gluttony or Sloth?', British Medical Journal311 (12 August): 437-9.
54.
Prentice, A.M. and Jebb, S.A. (2003) `Fast Foods, Energy Density and Obesity: A Possible Mechanistic Link', Obesity Reviews4: 187-94.
55.
Rigby, N. (2006) `Counterpoint to Campos et al.', International Journal of Epidemiology35: 79-80.
56.
Saguy, A. and Almeling, R. (2005) `Fat Devils and Moral Panics: News Reporting on Obesity Science', Draft Paper, UCLA.
57.
Saguy, A. and Almeling, R. (2006) `Fat in the Fire? Science, the News Media, and the "Obesity Epidemic"', Draft Paper, UCLA.
58.
Saguy, A.C. and Riley, K. (2005) `Weighing Both Sides: Morality, Mortality, and Framing Contests over Obesity', Journal of Health Politics, Policy, and Law30(5): 869-921.
59.
Sax, S. (1990) Health Care Choices and the Public Purse. Sydney: Allen & Unwin.
60.
Shepherd, T. (2007) `Our Dual Time Bombs', The Advertiser 14 March.
61.
Short, S. (2004) `Fat is a Fairness Issue', Griffith Review no. 4`Making Perfect Bodies' , J. Schultz (ed.): 95-100.
62.
Sobal, J. (2001) `Globalization and the Epidemiology of Obesity' , International Journal of Epidemiology30: 1136-7.
63.
Stark, J. (2006) `Abbott Lashes Coca-Cola Over Child Obesity Crisis' , The Age 14 November.
64.
Stunkard, A.J. (1976) The Pain of Obesity. Palo Alto, CA: Bull Publishing.
65.
Swinburn, B. (2008) `Obesity Prevention: The Role of Policies, Laws and Regulations', Australia and New Zealand Health Policy5: 12.
66.
Swinburn, B. and Egger, G. (2004) `The Runaway Weight Gain Train: Too Many Accelerators, Not Enough Brakes', British Medical Journal329 (25 September): 736-9.
67.
Swinburn, B., Egger, G. and Raza, F. (1999) `Dissecting Obesogenic Environments: The Development and Application of a Framework for Identifying and Prioritizing Environmental Interventions for Obesity', Preventive Medicine29: 563-70.
68.
Tesh, S. (1990) Hidden Arguments: Political Ideology and Disease Prevention Policy. New Brunswick, NJ: Rutgers University Press.
69.
Travers, P. and Richardson, S. (1993) Living Decently: Material Well-being in Australia . Melbourne: Oxford University Press .
70.
World Health Organization (2000) `Obesity: Preventing and Managing the Global Epidemic', WHO Technical report Series 894, Report of a WHO Consultation, Geneva.
71.
World Health Organization (2006) `Obesity and Overweight', Factsheet No. 311, September [ http://www.who.int/mediacentre/factsheets/fs311/en/print.html], accessed 11 September 2007.
