title: Framing the consequences of childhood obesity to increase public support for obesity prevention policy.
abstract: OBJECTIVE
  We examined the effects of messages describing consequences of childhood obesity on public attitudes about obesity prevention policy.
  
  
  METHODS
  We collected data from 2 nationally representative Internet-based surveys. First, respondents (n = 444) evaluated the strength of 11 messages about obesity's consequences as reasons for government action. Second, we randomly assigned respondents (n = 2494) to a control group or to treatment groups shown messages about obesity consequences. We compared groups' attitudes toward obesity prevention, stratified by political ideology.
  
  
  RESULTS
  Respondents perceived a message about the health consequences of childhood obesity as the strongest rationale for government action; messages about military readiness, bullying, and health care costs were rated particularly strong by conservatives, moderates, and liberals, respectively. A message identifying the consequences of obesity on military readiness increased conservatives' perceptions of seriousness, endorsement of responsibility beyond the individual, and policy support, compared with a control condition.
  
  
  CONCLUSIONS
  The public considers several consequences of childhood obesity as strong justification for obesity prevention policy. Activating new or unexpected values in framing a health message could raise the health issue's salience for particular subgroups of the public.
authors.affiliation: Sarah E. Gollust is with the Division of Health Policy and Management, the University of Minnesota School of Public Health, Minneapolis. Jeff Niederdeppe is with the Department of Communication, Cornell University, Ithaca, NY. Colleen L. Barry is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Gollust
authors.forename: Jeff
authors.initials: J
authors.lastname: Niederdeppe
authors.forename: Colleen L
authors.initials: CL
authors.lastname: Barry
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D058015:Health Communication / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006293:Health Promotion / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000517:prevention & control*; D063766:Pediatric Obesity / Q000150:complications*; D011057:Politics; D011639:Public Opinion; D055815:Young Adult
references.citation: Pediatrics. 2008 Aug;122(2):e298-304
references.pmid: 18676515
references.citation: Health Econ. 2012 Nov;21(11):1348-66
references.pmid: 21971919
references.citation: Milbank Q. 2009 Mar;87(1):295-316
references.pmid: 19298424
references.citation: J Nutr Educ Behav. 2007 Mar-Apr;39(2 Suppl):S45-50
references.pmid: 17336805
references.citation: Am J Public Health. 2009 Dec;99(12):2160-7
references.pmid: 19833981
references.citation: J Health Polit Policy Law. 2005 Oct;30(5):923-54
references.pmid: 16477792
references.citation: Pediatrics. 2011 Jul;128(1):132-45
references.pmid: 21690111
references.citation: J Health Econ. 2012 Jan;31(1):219-30
references.pmid: 22094013
references.citation: Public Opin Q. 2000 Winter;64(4):464-94
references.pmid: 11171027
references.citation: Am J Public Health. 2005 Apr;95(4):567-70
references.pmid: 15798110
references.citation: Health Aff (Millwood). 2005 May-Jun;24(3):770-9
references.pmid: 15886172
references.citation: Health Aff (Millwood). 2010 Mar-Apr;29(3):364-71
references.pmid: 20194974
references.citation: Psychol Bull. 2007 Jul;133(4):557-80
references.pmid: 17592956
references.citation: Am J Prev Med. 2013 Jul;45(1):36-48
references.pmid: 23790987
references.citation: Milbank Q. 2009 Mar;87(1):7-47
references.pmid: 19298414
references.citation: Arch Pediatr Adolesc Med. 2003 Aug;157(8):733-8
references.pmid: 12912777
references.citation: Health Aff (Millwood). 2010 Mar-Apr;29(3):379-87
references.pmid: 20194976
references.citation: N Engl J Med. 2012 Aug 2;367(5):389-91
references.pmid: 22853011
references.citation: J Health Commun. 2009 Mar;14(2):174-88
references.pmid: 19283540
references.citation: Breastfeed Med. 2010 Oct;5(5):205-6
references.pmid: 20942695
references.citation: Arch Pediatr Adolesc Med. 2008 Nov;162(11):1079-83
references.pmid: 18981357
references.citation: N Engl J Med. 2005 Mar 17;352(11):1138-45
references.pmid: 15784668
references.citation: Am J Prev Med. 2005 Jan;28(1):26-32
references.pmid: 15626552
references.citation: Obesity (Silver Spring). 2014 Feb;22(2):466-73
references.pmid: 23836508