Abstract
Among affluent countries, those with market-liberal regimes (which are also English-speaking) tend to have the highest prevalence of obesity. The impact of cheap, accessible high-energy food is often invoked in explanation. An alternative approach is that overeating is a response to stress, and that competition, uncertainty and inequality make market-liberal societies more stressful. This chapter reports an ecological regression meta-study that pools 96 surveys from 11 countries, using data collected in the years 1994 to 2004. The fast-food ‘shock’ impact is found to work most strongly in market-liberal countries. Economic insecurity, measured in several different ways, is almost twice as powerful, while the impact of inequality is weak.
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