How Do You Ecourage People to Take Responsibility for Their Health and Diet Decisions?

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As you think about the choices we make, there are multi-believers, our cultural norms, our environmental norms, our freedom of choices, what the options are. I don't profess to know the answer, I'm not a behaviorist, but there are some things that we can start with. One of those is informing people of what they're consuming, what nutrients they need in creating the balance and I think the most recent publication from the U.

S government of moving from a food pyramid to a plate is a tremendous step forward and is trapped step forward in my mind as a clinician first and foremost because it's simple and it's understandable. I can look at that plate and say Okay, I need this much of my plate is going to be greens and fruits and vegetables, this much is got to be meats derive this much is dairy, and how an can I balance that? So that's the instructional part, but then there is another side to this, how do I make it available? One of the things that's striking is when you look at studies like those that were done in the city of Chicago, you start to learn that we have a problem, we have food deserts.

We have food deserts in our city, in communities that might not have transportation, might not have safe transportation, might not be able to drive. These mothers are living at relatively long distances from the nearest supermarket. How do we address that? So how does that mother make a choice? How do you effect behavior there? That's going to be very different to a middle class or affluent family living in a suburb, they'll get into their car and go to the supermarket, so I think the issue around affecting behavior is very complex but it isn't just the individual responsibility, that's part of the equation.

It is a whole issue around situational pressures, situational influences, and that we have to take into.