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Mr Epidemiology

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obesity

Childhood obesity drops 40% in the last decade. Or not really, but who’s checking?

“A lie that is half-truth is the darkest of all lies.”
― Alfred Tennyson

Last week, a study published in the Journal of the American Medical Association looked at the prevalence of childhood obesity over the last 10 years. The study, performed by Cynthia Ogden and colleagues at the CDC, aimed to describe the prevalence of obesity in the US and look at changes between 2003 and 2012. The study itself had several interesting findings, not least among them that the prevalence of obesity seems to have stabilized in many segments of the US population. However, they made one observation that caught the media’s attention:

“There was a significant decrease in obesity among 2- to 5-year-old children (from 13.9% to 8.4%; P = .03)”

This is where things get interesting, as the focus was not on the 5.5 percentage points difference. Instead of reporting the absolute difference, i.e. how much something changed, news outlets focused on the relative difference, i.e. how much they changed compared to each other. In that case, it would be (5.5/13.9 =) 40%. Which is much more impressive than the 5.5% change reported in the study. So you can guess what the headlines loudly proclaimed.

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New Post on PLOS Blogs Sci-Ed: The Power of Words

Words
Words are powerful. Photo courtesy ManchesterMonkey

In public health we’re faced with a dilemma. We want to help people – that’s our goal, that’s why we do what we do. But at the same time, we also need to be careful how we approach public health concerns – the last thing we want to do is further stigmatize the very people we’re trying to help. One of the most subtle, but most powerful ways we can either empower or belittle others is in the language we use.

One area at the forefront of this is the field of mental health research. The “traditional” language would be a “X person,” where X refers to any mental health issue. But this isn’t the best language to use. For one, it defines the person by their illness – not by who they are. They have X, first and foremost. Not their interests, their personalities, their hobbies. They’re labelled and defined.

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