ArticleGlobalization and health2015
Understanding the United States and Brazil's response to obesity: institutional conversion, policy reform, and the lessons learned.
Article in Globalization and health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The application of theories of the policy process to obesity prevention: a systematic review and meta-synthesis.BMC public health · 2016Pooled it
- Developments in the field of health policy analysis in low- and middle-income countries: a review of published literature 2008-2023.Health policy and planning · 2026Review
- A scoping review of obesity policies and reimbursement landscape: global insights and lessons for Thailand.Implementation science communications · 2026Article
- Perceptions of obesity among healthcare professionals in Malaysia: a subgroup analysis of the OPEN Models of Care survey.BMC health services research · 2025Article
- Observational
- Policy analysis of system responses to addressing and reversing the obesity trend in China: a documentary research.BMC public health · 2023Article
- Getting to the root of the problem: the international and domestic politics of junk food industry regulation in Latin America.Health policy and planning · 2021Article
- The international and domestic politics of type 2 diabetes policy reform in Brazil.BMJ global health · 2020Article
- A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies.The international journal of behavioral nutrition and physical activity · 2018Article
- Understanding Health Promotion Policy Processes: A Study of the Government Adoption of the Achievement Program in Victoria, Australia.International journal of environmental research and public health · 2018Article
Corrections and comments
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Authors and funding
1 author.
Funding
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Abstract
backgroundIn the United States (US) and Brazil, obesity has emerged as a health epidemic. This article is driven by the following research questions: how did the US and Brazil's federal institutions respond to obesity? And how did these responses affect policy implementation? The aim of this article is therefore to conduct a comparative case study analysis of how these nations' institutions responded in order to determine the key lessons learned.
methodsThis study uses primary and secondary qualitative data to substantiate causal arguments and factual claims.
resultsBrazil shows that converting preexisting federal agencies working in primary healthcare to emphasize the provision of obesity prevention services can facilitate policy implementation, especially in rural areas. Brazil also reveals the importance of targeting federal grant support to the highest obesity prevalence areas and imposing grant conditionalities, while illustrating how the incorporation of social health movements into the bureaucracy facilitates the early adoption of nutrition and obesity policies. None of these reforms were pursued in the US.
conclusionsBrazil's government has engaged in innovative institutional conversion processes aiding its ability to sustain its centralized influence when implementing obesity policy. The US government's adoption of Brazil's institutional innovations may help to strengthen its policy response.
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