TY - JOUR

T1 - In a class of their own

T2 - the Danish public considers obesity less deserving of treatment compared with smoking-related diseases

AU - Lund, Thomas Bøker

AU - Nielsen, Morten Ebbe Juul

AU - Sandøe, Peter

N1 - Available online 24 September 2014

PY - 2015

Y1 - 2015

N2 - Background/objectives:This study examined public support for publicly funded treatment of obesity (weight-loss surgery and medical treatment) and two pulmonary diseases (chronic obstructive pulmonary disease (COPD) and lung cancer) in Denmark. It also investigated whether beliefs about the causes of lifestyle-related diseases (external environment, genetic disposition and lack of willpower) and agreement that ‘people lack responsibility for their life and welfare’ influenced support.Subjects/methods:This was a questionnaire study in which a sample of 1003 Danes (age 18–65 years) drawn from an Internet database were surveyed.Results:Approximately one in three supported publicly funded weight-loss surgery (30%) and medical treatment of obesity (34.4%). A large majority supported treatment for lung cancer (86.1%), and a clear majority also supported treatment for COPD, whether it was framed as ‘smoker’s lung’ (61.9%) or COPD (71.2%). The belief that lifestyle-related diseases are caused by the external environment or genetic disposition did not systematically influence support. Agreement that ‘people lack responsibility for their life and welfare’ reduced support significantly for all treatment types. However, in contrast with pulmonary diseases, support for publicly funded obesity treatments decreased considerably when beliefs about individual failure (that is that people lack ‘willpower’ and ‘individual responsibility’) were detected.Conclusions:Support for publicly funded COPD and lung cancer treatment is considerably higher than that for obesity treatment. This could encourage institutional discrimination through policies that involve charging patients for the treatment of obesity but not for the treatment of other lifestyle-related diseases.

AB - Background/objectives:This study examined public support for publicly funded treatment of obesity (weight-loss surgery and medical treatment) and two pulmonary diseases (chronic obstructive pulmonary disease (COPD) and lung cancer) in Denmark. It also investigated whether beliefs about the causes of lifestyle-related diseases (external environment, genetic disposition and lack of willpower) and agreement that ‘people lack responsibility for their life and welfare’ influenced support.Subjects/methods:This was a questionnaire study in which a sample of 1003 Danes (age 18–65 years) drawn from an Internet database were surveyed.Results:Approximately one in three supported publicly funded weight-loss surgery (30%) and medical treatment of obesity (34.4%). A large majority supported treatment for lung cancer (86.1%), and a clear majority also supported treatment for COPD, whether it was framed as ‘smoker’s lung’ (61.9%) or COPD (71.2%). The belief that lifestyle-related diseases are caused by the external environment or genetic disposition did not systematically influence support. Agreement that ‘people lack responsibility for their life and welfare’ reduced support significantly for all treatment types. However, in contrast with pulmonary diseases, support for publicly funded obesity treatments decreased considerably when beliefs about individual failure (that is that people lack ‘willpower’ and ‘individual responsibility’) were detected.Conclusions:Support for publicly funded COPD and lung cancer treatment is considerably higher than that for obesity treatment. This could encourage institutional discrimination through policies that involve charging patients for the treatment of obesity but not for the treatment of other lifestyle-related diseases.

U2 - 10.1038/ejcn.2014.185

DO - 10.1038/ejcn.2014.185

M3 - Journal article

C2 - 25248357

VL - 69

SP - 514

EP - 518

JO - European Journal of Clinical Nutrition

JF - European Journal of Clinical Nutrition

SN - 0954-3007

IS - 4

ER -