GENDERED AND CLASS RELATIONS OF OBESITY

Rising attention to the ‘social determinants of health’ puts questions of gender and class squarely on the public health agenda. Most health outcomes and health risk factors are inversely correlated with social class: people with better education, better jobs and higher incomes typically enjoy better health. By comparison, gender differences in health are quite variable, depending on the health outcome or risk of interest. Furthermore, the distribution of any given risk factor tends to vary from society to society, from time to time, and between specific sub-populations. Public health research rarely considers class and gender together. In this paper we summarise and problematise the interplay between gender and class in empirical research on the ‘problem’ of obesity. We suggest that some of the difficulties in explaining research findings arise from limitations in the evidence base used to measure obesity, conceptual ‘slippage’ between key terms like gender and sex, and an erasure of social class from academic language. It is via an examination of these issues that underpin current obesity research that we offer more innovative and effective ways to approach the underlying theoretical and health promotion problems. Nevertheless, we acknowledge the considerable practical and intellectual challenges of analysing and reporting social determinants like gender and class in an environment that demands certain kinds of scientific evidence.     

“I Got Your Back”: Friends’ Understandings Regarding College Student Spring Break Behavior

Behaviors that pose threats to safety and health, including binge drinking and unprotected sex, increase during a week-long break from university. Understandings with peers regarding these behaviors may be important for predicting behavior and related harms. College students (N = 651; 48% men) reported having understandings with their friends regarding alcohol use (59%) and sexual behavior (45%) during Spring Break. These understandings were to engage in behaviors characterized by risk (e.g., get drunk [23.5%], have sex with someone new [5.2%]) and protection (e.g., drink without getting drunk [17.8%], use condoms [15.8%]). After controlling for previous semester behavior and going on a Spring Break trip, Get Drunk Understandings predicted a greater likelihood of binge drinking and alcohol-related consequences; No/Safe Sex Understandings predicted condom use; and Sex Understandings predicted not using condoms. Understandings with friends regarding Spring Break behavior may be important proximal predictors of risk behaviors and represent potential targets for event-specific prevention.     

Returning to the child welfare system: Understanding the wellbeing,health, education,and placement of children who return

Using longitudinal archival Child Welfare System (CWS) data, this study describes child health and wellbeing at their initial entrance into the CWS and subsequent returns. Associations between child wellbeing, health, placement stability, and frequency of returning to the system were also investigated. Results indicated most children were healthy and developmentally on target. In addition, emotional distress, behavioral concerns, and number of placements in the CWS were significantly correlated with placement stability. Future work should utilize the use of developmental assessments to systematically and reliably document the concerns for children in the system, and investigate factors contributing to stable placements.     

Backloading to extinction: Coping with values conflict in the administration of Australia's federal biodiversity offset policy

Policy-makers are frequently required to consider and manage conflicting public values. An example of this in the environmental domain is biodiversity offset policy, which governments worldwide have adopted as a mechanism to balance environmental protection with socio-economic development. However, little work has examined administrative practices underpinning biodiversity offset policy implementation, and how the adoption of coping strategies to manage value conflicts may influence resulting policy outcomes. This study fills this research gap using a case study of Australia's federal biodiversity offset policy under the Environment Protection and Biodiversity Conservation (EPBC) Act 1999. Using data from 13 interviews of federal policy administrators, I show that the introduction of a new policy in 2012 enabled a shift from the use of precedent to a technical approach for setting offset requirements under the EPBC Act. Yet, multiple sources of policy ambiguity remain, and administrators have adopted post-approval condition-setting, or ‘backloading’—a form of cycling, facilitated by structural separation—to defer detailed assessments of offset requirements until after biodiversity losses are approved. Backloading thus undermines the effectiveness of environmental policy and will persist as coping strategy unless policy ambiguity is reduced via legislative amendments and adequate resourcing of biodiversity conservation.

Points for practitioners

• Biodiversity offset policy requires administrators to manage conflicting environmental and socioeconomic values.
• Technical decision tools reduce reliance on case-by-case decision-making, but multiple ambiguities persist.
• Backloading (post-approval condition-setting) defers values conflict, but reduces transparency, accountability, and policy effectiveness.
• Policy ambiguity must be reduced at the political level to facilitate effective biodiversity conservation.