Abstract
Childhood obesity is a complex and multi-faceted problem, with contributors ranging from individual health behaviors to public policy. For clinicians who treat pediatric obesity, environmental factors that impact this condition in a child or family can be difficult to address in a clinical setting. Community-clinic partnerships are one method to address places and policies that influence a person's weight and health; however, such partnerships are typically geared toward community-located health behavior change rather than the deeper social determinants of health (SDH), limiting effective behavioral change. Community-engaged research offers a framework for developing community-clinic partnerships to address SDH germane to obesity treatment. In this paper, we discuss the relationship between SDH and pediatric obesity treatment, use of community-clinic partnerships to address SDH in obesity treatment, and how community engagement can be a framework for creating and harnessing these partnerships. We present examples of programs begun by one pediatric obesity clinic using community-engagement principles to address obesity.
Highlights
Over a third of children in the US have overweight or obese [1], and increasing numbers of children are classified as having severely obese [2]
We provide an example of one pediatric obesity clinic using community-engagement principles to address obesity treatment
Our vignettes describe “non-traditional’ approaches to community partnerships to support the health of individual children and their families, those burdened by obesity, poverty, and lack of access to care.”
Summary
Over a third of children in the US have overweight or obese [1], and increasing numbers of children are classified as having severely obese [2]. Community engagement [10], as a research approach, offers a framework for developing community-clinic partnerships to address the SDH affecting obesity treatment. Clinicians can engage with community organizations to address challenges inhibiting healthy behavior change.
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