Are ‘Behaviour Change’ Approaches to Obesity and Health Effective? A case Study from Samoa

Main Article Content

Viali Lameko
Penelope Schoeffel

Keywords

obesity, non-communicable diseases, economic behavior change policies, strategic plans

Abstract

‘Behaviour Change’ approaches in public health strategies have been used in Pacific Island countries to address the problem of dietary and lifestyle changes that are believed to be the cause of rising rates of obesity and associated NCDS. We consider the limitations of this approach in the context of Samoa’s socioeconomic situation and public health policy and propose that an ‘obesogenic’ environment and structural factors are causational and require policy measures that go beyond the scope of responsibilities of the Samoa Ministry of Health 

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References


1. Gortmaker SL, Swinburn BA, Levy D, et al. changing the future of obesity: science, policy and action. Lancet 2011; 378: 838-47

2. World Health Organization. STEPS survey: risks factors of NCS: Samoa 2013. World Health Organization 2013. Accessed Jan 3, 2021. Htpp://:/Users/rleach/Downloads/Samoa-Finak-Fact-Sheet-2013/PDF.

3. Western Pacific regional action plan for the prevention control of non-communicable diseases: 2014-2020. World Health Organization. 2014. Accessed Jan 3 2021. http://www.wpro.who.int/publications/PUB_9789290223337/en/


4. McGarvey ST, Seiden A. Health, well-being, and social context of Samoan migrant populations. NAPA Bull. 2010; 34:213–28.
5. Hawley NL, McGarvey ST. Obesity and diabetes in Pacific Islanders: the current burden and the need for urgent action. Currr Diab Rep. 2015; 15(29). Accessed April 14, 2021. Doi:https://doi.org/10.1007/s11892-015-0594-5
6. Lin S, Naseri T, Linhart C, Morrel S, Taylor R, McGarvey ST, Magliano D, Zimmet P. Trends in diabetes and obesity in Samoa over 35 years, 1978-2013. Diabetic Medicine 2016. doi:10.1111/dme.13197
7. McLennan AK, Jayaweera H. Non-communicable diseases and risk factors in migrants from South Asian countries: Literature review and scoping report. University of Oxford. 2014. Accessed January 20, 2021. https://www.compas.ox.ac.uk/wp-content/uploads/RR-2014-Non Communicable_Diseases_South_Asians.pdf
8. Non-Communicable Control Policy: 2018-2023. Samoa Ministry of Health. 2018. Accessed June 1, 2021.
https://www.health.gov.ws/wp-content/uploads/2019/09/Samoa-NCD-Control-Policy-2018-2023.pdf
9. Anderson I. The economic costs of NCDs in Pacific Islands: A Rapid stock take of the situation in Samoa, Tonga, and Vanuatu. The World Bank. 2013. Accessed January 6, 2021. https://openknowledge.worldbank.org/bitstream/handle/10986/17851/865220WP0Econo0Box385176B000PUBLIC0.pdf

10. McCarthy M. World report: the economics of obesity. The Lancet 2004; 2004. Accessed June 30. DOI:https://doi.org/10.1016/S0140-6736(04)17613-7
11. Finkelstein EA, Strombotne KL. The economics of obesity. Am J Clin Nutr 2010; 91:1502S-24S. Accessed June30, 2021. https://doi.org/10.3945/ajcn.2010.28701E
12. World Health Organization. Obesity and overweight: Fact Sheet number 311
Geneva: WHO; 2015. Accessed January 2021. http://www.who.int/mediacentre/factsheets/fs311/en/
13. World Health Organization. Obesity and overweight: Fact sheet 2014. Geneva: WHO, 2014. Accessed Dec 2020. Htpp://www.wpro.who.int/mediacentre/factsheets/obesity/en/.
14. McGarvey ST. Cardiovascular disease risk factors in Samoa and American Samoa, 1990-1995. Pacific Health Dialogue 2001; 891): 157-162
15. Lameko V. Obesity in Samoa: culture, history and dietary practices. Journal of Samoan Studies. 2020;10:30-48
16. McLennan A, Ulijaszek SJ. Obesity why understanding colonial history and social change is important. Public health Nutrition 2014; 18 (8) 1499-1555
17. Parkinson S. Nutrition Trends in Some South Pacific Islands. In RV Cole Ed. Women in Development in South Pacific countries: Barriers and Opportunities. Australian National University Development Studies Center: Canberra, 1985.

18. Minz SW. Sweetness and power: the place of sugar in modern history. Elisabeth Sifton Books, Viking; 1985
19. Global Action Plan for the global strategy for the prevention and control of NCDs: 2013-2020. WHO. 2013. Accessed February 10, 2021. http://whqlibdoc.who.int/publications/2013/eng.pdf
20. Gewertz D, Fujikura T, Errington F. Noodle Narratives: The Global Rise of an Industrial Food into the Twenty-First Century. University of California Press: California, 2013.
21. Coyne T. Lifestyle diseases in pacific communities: technical report. Secretariat of the Pacific Communities. 2000. Accessed March 23, 2021. https://phd.spc.int/programmes/non-communicable-diseases
22. Wang D, Hawley N, Thompson A, “et al.” Dietary pattern are associated with metabolic outcomes among adults Samoans in a cross-sectional study. The Journal of Nutrition 2017. Accessed June 1, 2021. Httpp://jn.nutrition.org
23. Baylin A, Deka R, Tuitele J, “et al.” INSIG2 variants, dietary patterns and metabolic risk in Samoa. European Journal of Clinical Nutrition 2013; 67: 101–107
24. Simoes A. Samoa’s exports and imports. Observatory of Economic Complexity, 2019. Accessed June 1, 2021. https://oec.world/en/profile/country/wsm/.
25. Seiden A, Hawley NL, Schultz D, et al. Long-term trends in food availability, food prices, and obesity in Samoa. Am J Hum Biol 2012; 24:286–95.
26. McGarvey ST et al. Newly found, ‘thrifty’ genetic variant influences Samoan obesity. Brown University News. July 25, 2016. Accessed December 20, 2020. https://www.brown.edu/news/2016-07-25/samoagene
27. Samoa Bureau of Statistics. Report on Samoa Agricultural Survey. Government of Samoa, Apia, 2016.
28. Schoeffel P, Meleisea A. 2016. Pacific Horticultural and Agricultural Market Access Program (Phama) URS Australia Pty Ltd, 2016.
29. O’Meara TJ. Samoan Planters: tradition and economic development in Polynesia (Case Studies in Cultural Anthropology). Chicago, Holt Rinehart and Winston Inc, 1990.
30. Arthur T N. Village Development, Socioeconomic Change and The MIRAB Model 1975-2019: Case Studies Of Four Villages In Samoa. PhD Thesis, National University of Samoa, 2019.
31. Edberg M. Essentials of health behaviour: An introduction to Social and Behavioural Theory Applied to Public Health. Jones & Bartlett Publishers, Inc; 2007.
32. Ajzen I, Fishbein M. Attitudes and normative beliefs as factors influencing behavioural intentions. Journal of Personality and Social Psychology 1972; 21(1):1-9.
33. Ajzen I. (1985). From intention to action: A theory of planned behavior. In: J. Kuhl J, Beckmann J. ed. Action control: From cognition to behavior. Springer-Verlag; 1985: 11-40.
34. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the Health Belief Model. Health Educ Q 1988;15(2): 175-83
35. Swinburn B., Eager G, Raza F. Dissecting obesogenic environments: The development and application of a framework for identifying and prioritizing environmental interventions for obesity. Preventive Medicine 1999; 29(6): 563-70.

36. Ulijaszek S. 2005. Modernization, migration and nutritional health of Pacific Island populations. Environ Sc 2005; 12: 167-76
37. Health Sector Plan: 2018-2023. Samoa Ministry of Health. 2018. Accessed June 2, 2021. Htpp://samoanministryofhealth.gov/
38. National non-communicable diseases control policy: 2017-2022. Samoan Ministry of Health,Apia, 2017.
39. Thow AM, Snowdon W, Schultz J, Leeder S, Vivili P, Swinburn BA. The role of policy in improving diets: experiences from the Pacific Obesity Prevention in Communities food policy project. Obesity Reviews 2011; 12(Suppl.2.): 68-74.
40. Clarke D, McKenzie T. Legislative interventions to prevent and decrease obesity in Pacific Island countries. Allen and Clarke, Policy and Regulatory Specialists Limited. 2007. Date accessed January 25, 2021. Htpp://allenclarke.nz/tobacco/control/

41. Drewnowski A, Darmon N. The economics of obesity: dietary energy density and energy cost. Am J Clin Nutr 2005;82(suppl):265S–73S

42. ADB. ADB and Samoa: poverty data. Asian Development Bank. Metropolitan Manila, Philippines, 2019. Access July 2, 2021. https://www.adb.org/publications/samoa-fact-sheet

43. Matan M. Weight loss diets for the prevention and treatment of obesity. New Engl J Medicine 2009.360: 923-925.

44. Westley H. Thinly living. BMJ 2007. 335:1236

45. Global Action Plan for the global strategy for the prevention and control of NCDs: 2008-2013. WHO. 2008. Accessed February 10, 2021. http://whqlibdoc.who.int/publications/2008/eng.pdf
46. Fa’alili-Fidow J, McCool J, Percival T. Trade and health in Samoa: views from the insiders. BMC Public Health 2014; 14: 309. Accessed November 2, 2020. htpp://www.biomedcentral.com/1471-2458/14/309
47. World Bank. Samoa: agriculture and fisheries productivity and marketing project: ID P165873. The World Bank Group, Washington DC, 2019. Accessed June 25, 2021. https://www.worldbank.org/en/news/loans-credits/2019/07/02/samoa-agriculture-fisheries-productivity-and-marketing-project

48. Agren D. Mexico State of Oaxaca bans sale of sugary drinks and junk food to children. The Guardian. Published August 6, 2020. Accessed February 20, 2021. https://www.theguardian.com/food/2020/aug/06/mexico-oaxaca-sugary-drinks-junk-food-ban-chirldren?CMP-Share_iOSApp_Other
49. Walker P. Unhealthy snacks to be banned from checkouts at supermarkets in England. The Guardian, 2020. Accessed Dec 30, 2020. https://www.theguardian.com/business/2020/dec/28/unhealthy-snacks-to-be-banned-from-checkouts-supermarkets-in-england?CMP=Share_iOSApp_Other