A Tale of Two ObesCities: The Role of Municipal Governance in Reducing Childhood Obesity in New York City and London
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As rates of childhood obesity and overweight rise around the world, researchers and policy makers seek new ways to reverse these trends. Given the concentration of the world’s population, income inequalities, unhealthy diets, and patterns of physical activity in cities, urban areas bear a disproportionate burden of obesity. To address these issues, in 2008, researchers from the City University of New York and London Metropolitan University created the Municipal Responses to Childhood Obesity Collaborative. The Collaborative examined three questions: What role has city government played in responding to childhood obesity in each jurisdiction? How have municipal governance structures in each city influenced its capacity to respond effectively? How can policy and programmatic interventions to reduce childhood obesity also reduce the growing socioeconomic and racial/ethnic inequities in its prevalence? Based on a review of existing initiatives in London and New York City, the Collaborative recommended 11 broad strategies by which each city could reduce childhood obesity. These recommendations were selected because they can be enacted at the municipal level; will reduce socioeconomic and racial/ethnic inequalities in obesity; are either well supported by research or are already being implemented in one city, demonstrating their feasibility; build on existing city assets; and are both green and healthy.
KeywordsChildhood obesity Municipal governance Health inequities Urban health
The City University of New York (CUNY)/London Metropolitan University (London Met) Collaborative on Municipal Responses to Childhood Obesity was supported by the Chancellors of CUNY and London Met and by the President and Provost of Hunter College. The views in this article are of those of the authors and do not necessarily reflect the views of the universities, the governments of New York City or London, or the participants in the Collaborative. We gratefully acknowledge the advice, suggestions, and wisdom of the following participants from New York: Sonia Angell, Marissa Anto, Mary Bassett, Sabrina Baronberg, Tracy Cashin, Lauren Dinour, Jonathan Deutsch, Eric Goldstein, Rhonda Johnson, Hollie Jones, Maura Kennelly, Amy Kwan, Karen Lee, Trudy Lieberman, Maria Isabel G. Loureiro, Kate MacKenzie, Herman McKie, Iris Mercado, Lorraine Mongiello, Cathy Nonas, Kenneth Olden, Roger Platt, Jan Poppendieck, Joan Seigel, Lynn Silver, Arlene Spark, Scott Stringer, Anahi Viladrich, and Ming-Chin Yeh; and from London: Deb Albon, Julia Atkins, Bob Aylett, Anna Baker, Alex Bax, Dee Bhakta, Duncan Bowie, Rachel Cook, Michael Crawford, Daniel Cohen, Helen Davies, George Ellison, Graeme Evans, Gail Findlay, Ruzanna Gevorgyan, Christine Hogg, Bobbie Jacobson, Tim Lobstein, David McCarthy, Livingstone Musoro, Grant Pettit, and Neville Rigby.
- 3.Khan LK, Sobush K, Keener D, et al. Recommended community strategies and measurements to prevent obesity in the United States. MMWR Recomm. 2009;58(RR-7):1-26.Google Scholar
- 4.Institute of Medicine. Local Government Actions to Prevent Childhood Obesity. Washington DC: National Academies Press; 2009.Google Scholar
- 8.Committee on Progress in Preventing Childhood Obesity. Progress in Preventing Childhood Obesity: How Do We Measure Up? Washington DC: National Academies Press; 2007.Google Scholar
- 15.Libman K, Freudenberg N, O’Keefe E. A tale of two ObesCities: comparing responses to childhood obesity in London and New York City. New York and London: City University of New York and London Metropolitan University Childhood Obesity Collaborative; January, 2010. http://web.gc.cuny.edu/che/childhood_obesity.pdf. Accessed May 6, 2010.
- 16.New York City Department of Health and Mental Hygiene. New York City health code: rules of the City of New York title 24. New York City: NYCDOHMH; 2009. http://126.96.36.199/nyc/RCNY/r724h011.asp?zoom_highlight=New+York+City+Health+Code. Accessed May 6, 2010.
- 19.Weed M, Coren E, Fiore J. A systematic review of the evidence base for developing a physical activity and health legacy from the London 2012 Olympic and Paralympic Games. Centre for Sport. Canterbury: Physical Education and Activity Research Canterbury Christ Church University; 2009. http://www.london.nhs.uk/webfiles/Independent%20inquiries/Developing%20physical%20activity%20and%20health%20legacy%20-%20full%20report.pdf. Accessed May 6, 2010.
- 20.Sparrow A. Boris Johnson names Rosie Boycott as food adviser. Guardian. Aug 5, 2008. http://www.guardian.co.uk/politics/2008/aug/05/boris.london. Accessed May 6, 2010.
- 21.Frug GE. Empowering the city: London/New York. Urban Age Bulletin. 2005;I(Frug GE):1-3.Google Scholar
- 22.Fainstein SF, Gordon I, Harloe M, eds. Divided Cities: New York and London in the Contemporary World. Oxford: Blackwell Publishers; 1992.Google Scholar
- 23.Frug, GE. Delivering urban governance in London. Urban Age Bulletin. 2005 November 1.Google Scholar
- 24.Office of the Mayor. PlaNYC: a greener and greater New York. New York City: Office of the Mayor; 2007. http://www.nyc.gov/html/planyc2030/downloads/pdf/full_report.pdf. Accessed May 6, 2010.
- 25.Mayor of London. The London plan: spatial development strategy for greater London. London: Greater London Authority; 2004. http://www.london.gov.uk/mayor/strategies/sds/index.jsp Accessed May 6, 2010.
- 26.Wilkinson R, Pickett K. The Impact of Income Inequality On Sustainable Development in London. London: London Sustainable Development Commission; 2010.Google Scholar
- 28.Kingdon JW. How do issues get on public policy agendas? In: Kingdon J, ed. Sociology and the Public Agenda. Newbury Park: Sage Press; 1993:40-50.Google Scholar
- 30.Greater London Authority. London health inequalities strategy. London: Greater London Authority; 2010. http://www.london.gov.uk/sites/default/files/LondonHealthInequalitiesStrategy.pdf. Accessed May 6, 2010.
- 32.Lucadamo K. City council speaker Christine Quinn’s latest beef: fast food in city zones. New York Daily News. March 24, 2010. http://www.nydailynews.com/news/2010/03/24/2010-03-24_quinns_latest_beef_fast_food_in_city_zones.html#ixzz0mgfBqa3M. Accessed May 6, 2010.
- 33.National Institute for Health and Clinical Evidence. Preventing obesity: a whole-system approach: call for evidence. London, England: NIHCE; 2010. http://www.nice.org.uk/guidance/index.jsp?action=folder&o=48269. Accessed May 6, 2010.
- 34.US Census Bureau. American Community Survey 2005-2007, 3 year estimates. Washington DC: US Census Bureau; 2008. http://www.census.gov/acs/www/Products/users_guide/2005_2007/index.htm. Accessed May 6, 2010.
- 35.Greater London Authority. Focus on London, London: 2007. http://www.statistics.gov.uk/downloads/theme_compendia/fol2007/Focus_on_London_2007.pdf. Accessed May 6, 2010.
- 36.Department of City Planning. New York a city of neighborhoods. New York, 2009. http://www.nyc.gov/html/dcp/pdf/neighbor/neighbor.pdf Accessed May 6, 2010.
- 37.BBC News. Jobless rate rise across London. BBC News. May 14, 2009. http://news.bbc.co.uk/2/hi/uk_news/england/london/8050268.stm. Accessed May 6, 2010.
- 38.New York State Department of Labor. Statewide unemployment rate edged down in July 2009. Albany, New York: NYSDOL; August, 2009. http://www.labor.state.ny.us/pressreleases/2009/August20_2009.htm. Accessed May 6, 2010.
- 39.New York City Department of Health, New York City Department of Education. Childhood obesity is serious concern in New York City. Vital Signs. 2009;8:1.Google Scholar
- 40.London Health Observatory. Weighty matters: The London findings of the National Child Measurement Programme 2006-2008. May 2009.Google Scholar
- 41.Noyes P, Alberti P, Ghai N. Health Behaviours among Youth in East and Central Harlem, Bedford Stuyvesant and Bushwick, and the South Bronx. NYC DOHMH DPHO, 2008.Google Scholar