ArticleInternational journal of environmental research and public health2022
Adolescents' Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Participatory systems mapping: a review of population health research practice.Health research policy and systems · 2026Pooled it
- Application of system dynamics approach in developing health interventions to strengthen health systems to combat obesity: a systematic literature review and critical analysis.BMC public health · 2025Pooled it
- Application of group model building in implementation research: A systematic review of the public health and healthcare literature.PloS one · 2023Pooled it
- Adolescents' perspectives on socio-cultural influences on overweight and obesity in African countries: a systematic scoping review of qualitative studies.Current obesity reports · 2026Article
- Social media, adolescent mental health, and diet: a policy content analysis.BMC public health · 2026Article
- Urban South African Adolescents' Perspectives on Healthy and Unhealthy Foods and the Drivers of Their Food Choices in Their School Food Environment: A Pilot Study.International journal of environmental research and public health · 2026Article
- Article
- Causal Loop Diagrams of Food Systems, Diet, and Obesity: A Scoping Review of Methods, Contextual Factors, and Outcomes.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Systems approaches in public health: beyond mapping the causes.The international journal of behavioral nutrition and physical activity · 2025Review
- Risk behavior for obesity: a conceptual analysis according to Walker and Avant.Revista brasileira de enfermagem · 2025Article
- Article
- Utilizing Group Model Building to Identify Barriers and Facilitators of Hypertension Management in Primary Health Care, China.Risk management and healthcare policy · 2024Article
- Article
- Trends in prevalence of overweight and obesity among South African and European adolescents: a comparative outlook.BMC public health · 2022Article
- Community Co-Design of Regional Actions for Children's Nutritional Health Combining Indigenous Knowledge and Systems Thinking.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Overweight and obesity increase the risk of a range of poor physiological and psychosocial health outcomes. Previous work with well-defined cohorts has explored the determinants of obesity and employed various methods and measures; however, less is known on the broader societal drivers, beyond individual-level influences, using a systems framework with adolescents. The aim of this study was to explore the drivers of obesity from adolescents' perspectives using a systems approach through group model building in four South African schools. Group model building was used to generate 4 causal loop diagrams with 62 adolescents aged 16-18 years. These maps were merged into one final map, and the main themes were identified: (i) physical activity and social media use; (ii) physical activity, health-related morbidity, and socio-economic status; (iii) accessibility of unhealthy food and energy intake/body weight; (iv) psychological distress, body weight, and weight-related bullying; and (v) parental involvement and unhealthy food intake. Our study identified meaningful policy-relevant insights into the drivers of adolescent obesity, as described by the young people themselves in a South African context. This approach, both the process of construction and the final visualization, provides a basis for taking a novel approach to prevention and intervention recommendations for adolescent obesity.
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