A myriad of socio-economic factors – including income, housing, education, access to space, exposure to advertising and sale of unhealthy foods – impact upon whether we can be active or eat healthily and thus ultimately our risk of developing obesity. The predominant driver of all of these factors is what we eat, which in turn is shaped by our food environment, and we need to understand how this plays a key role in driving health inequalities between people living in advantaged and disadvantaged circumstances. For example, for one in five people in England, who are living in poverty, eating healthy food is secondary to eating at all.
Access to healthy food should be a right and not a privilege.
The impact of deprivation on obesity rates is deeply concerning, with adults in the most deprived regions having almost double the prevalence of obesity compared with the least deprived (36% compared with 20%). The effect of deprivation upon childhood obesity is even more alarming. In 2018/19, the prevalence of obesity in children aged 10–11 was 27% in the most deprived areas and 13% in the least deprived areas. The gap in obesity prevalence between children from the most deprived and least deprived areas is stark and growing, with an increase from 8.5% in 2006/7 to 13.9% in 2018/19.
It is clear that socio-economic factors such as under-employment or poverty play a key role in driving obesity and poor health, and that a whole-government approach is critical in order to reduce health inequalities and obesity rates.
