The environmental account of obesity: a case for feminist skepticism

There is an emerging consensus among public health advocates that combating obesity is best done by restructuring the environment rather than by stigmatizing individuals. Although feminist scholars have not been major participants in debates over antiobesity policy, recently there has been a move toward adopting the environmental account of obesity as a feminist solution because of its potential to respond to health inequalities along race, class, and gender lines. This article aims to trouble the embrace of the environmental approach by feminist scholars, however, and to resurrect and redirect feminist criticism toward attendant problems of moralism, backlash, and the surveillance and rehabilitation of poor women of color. Despite its overwhelming popularity among policy elites and health researchers, I argue that the environmental account of obesity is not likely to promote structural change and broad redistributions. Rather it makes problematic assumptions about the relationship between health and fat and about the efficacy of intervention strategies, masks moralism with health discourse, and legitimizes punitive, ineffective, and patronizing interventions.