[Public policies and interventions to prevent excess weight in Mexico: analysis from an intersectional perspective].

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ciencia & saude coletiva Pub Date : 2024-09-01 Epub Date: 2023-09-20 DOI:10.1590/1413-81232024299.04142023
Natalia Tumas, Candela de la Vega, Mariana Gutiérrez-Zamora Navarro, Lucinda Cash-Gibson, Paula Carreño, Juan M Pericàs, Joan Benach
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Abstract

The scope of this article is to analyze public policies and interventions (PPI) prevailing in 2022 at the national level for the prevention of excess weight (overweight and obesity) in the adult population of Mexico, from an intersectional perspective. We performed documental analysis of PPI to prevent excess weight in Mexico in adulthood by applying a methodology for policy analysis based on intersectionality (Intersectionality-Based Policy Analysis Framework). A total of nine PPI were analyzed. The extent to which the PPI design considers an intersectional perspective is heterogeneous in the documents analyzed. In the definition of the problem, we identified two main tendencies, namely reductionist and holistic. Both are combined in a variable way in the PPI, revealing internal contradictions in their design. Most PPI consider relatively few cases of social inequality, and as an additive rather than an intersectional consideration. Overall, the PPI consider social inequalities predominantly in the definition of the problem and, to a far lesser extent, in the proposed solutions and in the consultation and negotiation processes. The consideration of the intersectional nature of the problem of excess weight in PPI is important to address the unequal epidemic of excess weight.

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[墨西哥防止体重超标的公共政策和干预措施:从跨部门的角度进行分析]。
本文旨在从交叉性角度分析 2022 年墨西哥在全国范围内为预防成年人口体重超标(超重和肥胖)而实施的公共政策和干预措施(PPI)。我们采用基于交叉性的政策分析方法(基于交叉性的政策分析框架),对预防墨西哥成年人口体重超标的公共干预措施进行了文献分析。共分析了九项公共宣传计划。在所分析的文件中,PPI 设计考虑交叉性观点的程度各不相同。在问题定义方面,我们发现了两种主要倾向,即还原论和整体论。这两种倾向在公众宣传计划中以不同的方式结合在一起,揭示了其设计中的内部矛盾。大多数公众宣传计划考虑的社会不平等情况相对较少,而且是作为一种叠加考虑,而不是交叉考虑。总体而言,公众宣传主要是在界定问题时考虑社会不平等问题,而在建议的解决方案以及磋商和谈判过程中考虑社会不平等问题的程度要低得多。在公众宣传中考虑体重超标问题的交叉性对于解决体重超标的不平等流行问题非常重要。
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来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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