The National Academies of Sciences, Engineering, and Medicine's Roundtable on Obesity Solutions convened a three-part workshop series that explored how structural racism, weight bias and stigma, and health communication intersect with obesity, gaps in the evidence base, and challenges and opportunities for long-term, systems-wide strategies needed to reduce the incidence and prevalence of obesity.

Through diverse examples across different levels and sectors of society, the workshops explored how to leverage the connections between these three drivers and innovative data-driven and policy approaches to inform actionable priorities for individuals, organizations, and policymakers to make lasting systems change.

Contents

• The National Academies of SCIENCES • ENGINEERING • MEDICINE
• PLANNING COMMITTEE ON ADDRESSING STRUCTUAL RACISM, BIAS, AND HEALTH COMMUNICATION AS FOUNDATIONAL DRIVERS OF OBESITY
• ROUNDTABLE ON OBESITY SOLUTIONS
• Reviewers
• 1. Introduction
  • INTRODUCTORY REMARKS
  • ORGANIZATION OF THIS PROCEEDINGS
• 2. An Introduction to the Intersection of Structural Racism, Biased Mental Models, Stigma, Weight Bias, and Effective Health Communication with Obesity Solutions
• 3. The Intersection of Structural Racism and Obesity
  • HOUSING DISCRIMINATION AND DISPARITIES
  • EDUCATION, SEGREGATION, AND STRUCTURAL INEQUALITY
  • PANEL AND AUDIENCE DISCUSSION
• 4. The Intersection of Biased Mental Models, Stigma, Weight Bias, and Obesity
  • OBESITY STIGMA AT WORK: IMPROVING INCLUSION AND PRODUCTIVITY
  • HEALTH CARE SYSTEMS PERSPECTIVES
  • PANEL AND AUDIENCE DISCUSSION
• 5. Reflections on the Intersections of Structural Racism, Biased Mental Models, Stigma, and Weight Bias with Obesity
  • REFLECTIONS
  • PANEL AND AUDIENCE DISCUSSION
• 6. Operationalizing Health Communication for Obesity Solutions
  • WHAT IS MEANT BY HEALTH COMMUNICATION?
  • AUDIENCE DISCUSSION
• 7. Data-Driven Obesity Solutions and Innovative Approaches
  • INNOVATION IN EDUCATION: PHYSICAL ACTIVITY ACROSS THE CURRICULUM
  • INNOVATION IN HEALTH CARE: USING DATA TO GUIDE PERSONALIZED, EVIDENCE-BASED CARE FOR OBESITY USING A CLINICAL DECISION SUPPORT SYSTEM
  • PANEL AND AUDIENCE DISCUSSION
• 8. Innovative Policy Solutions
  • A PERSPECTIVE FROM THE INTERTRIBAL AGRICULTURE COUNCIL
  • A PERSPECTIVE ON INNOVATIVE LOCAL GOVERNMENT APPROACHES
  • PANEL AND AUDIENCE DISCUSSION
• 9. Reflections on Equity-Centered Approaches to Reducing the Prevalence of Obesity
  • REFLECTIONS ON EQUITY-CENTERED APPROACHES TO REDUCING THE PREVALENCE OF OBESITY
  • PANEL DISCUSSION
• 10. Leveraging Data for Systems Change: Connecting Obesity and Its Underlying Determinants
  • HOW DATA SCIENCE, ARTIFICIAL INTELLIGENCE, AND OTHER TECHNOLOGICAL APPROACHES CAN HELP ADDRESS THE SYSTEMS CONTRIBUTING TO OBESITY
  • MORTALITY CONSEQUENCES OF THE U.S. OBESOGENIC ENVIRONMENT
  • PANEL AND AUDIENCE DISCUSSION
• 11. Systems Applications to Address Structural Barriers to Obesity Solutions
  • A STRUCTURAL APPROACH TO POPULATION HEALTH EQUITY
  • STRUCTURAL SOLUTIONS FOR OBESITY: ADDRESSING IMPLICIT BIAS AND STEREOTYPE THREAT
  • PANEL AND AUDIENCE DISCUSSION
• 12. Policy Solutions for Nutrition Security and Obesity
  • USDA PRIORITIES FOR IMPROVING NUTRITION SECURITY
  • SALUD AMERICA!: FUELING ADVOCACY FOR SYSTEMS AND POLICY CHANGE FOR LATINX HEALTH EQUITY
  • PANEL AND AUDIENCE DISCUSSION
• 13. A Multisector Conversation on Systems-Levels Changes for Obesity Solutions
  • OPENING REFLECTIONS
  • PANEL DISCUSSION WITH MEMBERS OF THE ROUNDTABLE ON OBESITY SOLUTIONS
  • CLOSING REMARKS FOR WORKSHOP DAY ONE
• 14. Patient–Provider Communication around Obesity Treatment and Solutions
  • THE ETHICAL DILEMMA OF IMPLEMENTING RECOMMENDATIONS
  • AUDIENCE DISCUSSION
  • THE EFFECT OF OBESITY ON PATIENT–PROVIDER COMMUNICATION
  • AUDIENCE DISCUSSION
  • UNDERUTILIZATION OF BARIATRIC SURGERY: HEALTH INSURANCE DESIGN, WEIGHT STIGMA, AND PATIENT–PROVIDER COMMUNICATION
  • AUDIENCE DISCUSSION
  • IDENTIFYING GAPS AND NEXT STEPS (PANEL AND AUDIENCE DISCUSSION)
• References
• Appendix A. Workshop Agendas
• Appendix B. Acronyms and Abbreviations
• Appendix C. Biographical Sketches of Workshop Speakers and Planning Committee Members

Suggested citation:

National Academies of Sciences, Engineering, and Medicine. 2022. Addressing structural racism, bias, and health communication as foundational drivers of obesity: Proceedings of a workshop series. Washington, DC: The National Academies Press. https://doi.org/10.17226/26437.

Digital Object Identifier: https://doi.org/10.17226/26437

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