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The increasing global prevalence of obesity and nutrition-based
non-communicable disease has many causes, including food
availability; social norms as evidenced in local foodways; genetic
predisposition; economic circumstance; cultural variation in norms
surrounding body composition; and policies affecting production,
distribution, and consumption of food locally and globally. The
Applied Anthropology of Obesity: Prevention, Intervention, and
Identity advances understanding of the many cultural factors
underlying increased global obesity prevalence. This collection of
chapters showcase the value of anthropology's holistic approach to
human interaction by exploring how human identity associated with
obesity/overweight is affected by cultural norms, policy decisions,
and perceptions of cultural change. They also demonstrate best
practices for the application of anthropological skillsets to
develop culturally-appropriate nutritional behavior change across
multiple levels of analysis, from local programming to policy
decisions at local and national levels. In addition to soliciting
explanatory models used by respondents in different cultures and
situations, anthropologists find themselves on the front lines of
public health and policy attempts at affecting behavioral change.
As such, this applied-focused volume will be of utility to scholars
and practitioners in applied and medical anthropology, as well as
to scholars and professionals in public health and other
disciplines. The volume's authors are professional and student
anthropologists from both public health practice and academia.
Chapters are geographically diverse, containing lessons learned
from attempts to combat obesity by anthropologically focusing on
culture, history, economy, and power relative to obesity causation,
prevention, and intervention. The Applied Anthropology of Obesity:
Prevention, Intervention, and Identity candidly provides rich
information about social identity, obesity, and treatment.
A study that explores patients' perspectives on a life-altering
surgery Bariatric surgery rates around the world have increased
exponentially over the past decade. In Extreme Weight Loss,
anthropologists Sarah Trainer, Alexandra Brewis, and Amber Wutich
provide us with an inside look at how patients experience this
medical procedure, as well as its far-reaching and complex personal
implications. Drawing on patient interviews, survey data, and more,
Trainer, Brewis, and Wutich explore why people decide to undergo
bariatric surgery, and how that decision transforms their lives.
They show, in painstaking detail, how the journey to weight loss is
can be at once painful and liberating, dispiriting and
self-affirming. Extreme Weight Loss explores questions about which
bodies are treated as though they belong in modern societies, and
which bodies are treated as unwanted. It considers how people
challenge and manage these unfair standards, illuminating what it
means to be large-bodied in America's diet-obsessed culture.
How stigma derails well-intentioned public health efforts, creating
suffering and worsening inequalities. 2020 Winner, Society for
Anthropological Sciences Carol R. Ember Book Prize,Shortlisted for
the British Sociological Association's Foundation for the Sociology
of Health and Illness Book Prize Stigma is a dehumanizing process,
where shaming and blaming are embedded in our beliefs about who
does and does not have value within society. In Lazy, Crazy, and
Disgusting, medical anthropologists Alexandra Brewis and Amber
Wutich explore a darker side of public health: that
well-intentioned public health campaigns can create new and
damaging stigma, even when they are otherwise successful. Brewis
and Wutich present a novel, synthetic argument about how stigmas
act as a massive driver of global disease and suffering, killing or
sickening billions every year. They focus on three of the most
complex, difficult-to-fix global health efforts: bringing
sanitation to all, treating mental illness, and preventing obesity.
They explain how and why humans so readily stigmatize, how this
derails ongoing public health efforts, and why this process
invariably hurts people who are already at risk. They also explore
how new stigmas enter global health so easily and consider why
destigmatization is so very difficult. Finally, the book offers
potential solutions that may be able to prevent, challenge, and fix
stigma. Stigma elimination, Brewis and Wutich conclude, must be
recognized as a necessary and core component of all global health
efforts. Drawing on the authors' keen observations and decades of
fieldwork, Lazy, Crazy, and Disgusting combines a wide array of
ethnographic evidence from around the globe to demonstrate
conclusively how stigma undermines global health's basic goals to
create both health and justice.
How stigma derails well-intentioned public health efforts, creating
suffering and worsening inequalities. 2020 Winner, Society for
Anthropological Sciences Carol R. Ember Book Prize,Shortlisted for
the British Sociological Association's Foundation for the Sociology
of Health and Illness Book Prize Stigma is a dehumanizing process,
where shaming and blaming are embedded in our beliefs about who
does and does not have value within society. In Lazy, Crazy, and
Disgusting, medical anthropologists Alexandra Brewis and Amber
Wutich explore a darker side of public health: that
well-intentioned public health campaigns can create new and
damaging stigma, even when they are otherwise successful. Brewis
and Wutich present a novel, synthetic argument about how stigmas
act as a massive driver of global disease and suffering, killing or
sickening billions every year. They focus on three of the most
complex, difficult-to-fix global health efforts: bringing
sanitation to all, treating mental illness, and preventing obesity.
They explain how and why humans so readily stigmatize, how this
derails ongoing public health efforts, and why this process
invariably hurts people who are already at risk. They also explore
how new stigmas enter global health so easily and consider why
destigmatization is so very difficult. Finally, the book offers
potential solutions that may be able to prevent, challenge, and fix
stigma. Stigma elimination, Brewis and Wutich conclude, must be
recognized as a necessary and core component of all global health
efforts. Drawing on the authors' keen observations and decades of
fieldwork, Lazy, Crazy, and Disgusting combines a wide array of
ethnographic evidence from around the globe to demonstrate
conclusively how stigma undermines global health's basic goals to
create both health and justice.
Traits that signal belonging dictate our daily routines, including
how we eat, move, and connect to others. In recent years, "fat" has
emerged as a shared anchor in defining who belongs and is valued
versus who does not and is not. The stigma surrounding weight
transcends many social, cultural, political, and economic divides.
The concern over body image shapes not only how we see ourselves,
but also how we talk, interact, and fit into our social networks,
communities, and broader society. Fat in Four Cultures is a
co-authored comparative ethnography that reveals the shared
struggles and local distinctions of how people across the globe are
coping with a bombardment of anti-fat messages. Highlighting
important differences in how people experience "being fat," the
cases in this book are based on fieldwork by five anthropologists
working together simultaneously in four different sites across the
globe: Japan, the United States, Paraguay, and Samoa. Through these
cases, Fat in Four Cultures considers what insights can be gained
through systematic, cross-cultural comparison. Written in an
eye-opening and narrative-driven style, with clearly defined and
consistently used key terms, this book effectively explores a
series of fundamental questions about the present and future of fat
and obesity.
The average size of human bodies all over the world has been
steadily rising over recent decades. The total count of people
clinically labeled “obese” is now at least three times what it
was in 1980. Fat Planet represents a collaborative effort to
consider at a global scale what fat stigma is and what it does to
people. Making use of an array of social science perspectives
applied in multiple settings, the authors examine the interplay of
weight, wealth, history, culture, and meaning to fat and its social
rejection. They explore the notion of symbolic body capital—the
power of non-fat bodies to do what people need or want. In so
doing, they illustrate the complex and quickly shifting dynamics in
thinking about fat—often considered personal yet powerfully
influenced by and influential upon the broader world in which we
live.
A study that explores patients' perspectives on a life-altering
surgery Bariatric surgery rates around the world have increased
exponentially over the past decade. In Extreme Weight Loss,
anthropologists Sarah Trainer, Alexandra Brewis, and Amber Wutich
provide us with an inside look at how patients experience this
medical procedure, as well as its far-reaching and complex personal
implications. Drawing on patient interviews, survey data, and more,
Trainer, Brewis, and Wutich explore why people decide to undergo
bariatric surgery, and how that decision transforms their lives.
They show, in painstaking detail, how the journey to weight loss is
can be at once painful and liberating, dispiriting and
self-affirming. Extreme Weight Loss explores questions about which
bodies are treated as though they belong in modern societies, and
which bodies are treated as unwanted. It considers how people
challenge and manage these unfair standards, illuminating what it
means to be large-bodied in America's diet-obsessed culture.
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