Association between community characteristics and implementation of community programmes and policies addressing childhood obesity: the Healthy Communities Study

Autor:	Vicki Collie-Akers, Stephen B. Fawcett, Suzanne Rauzon, Andrew J. Landgraf, S. Sonia Arteaga, L C Nebeling, Healthy Communities Study Team, Jyothi Nagaraja, Stephanie Weber, Warren J. Strauss, Jerry A. Schultz, Kerry L. McIver
Rok vydání:	2018
Předmět:	Nutrition and Dietetics business.industry Health Policy Public Health Environmental and Occupational Health Physical activity Ethnic group 030209 endocrinology & metabolism Context (language use) Healthy eating medicine.disease Obesity Childhood obesity 03 medical and health sciences 0302 clinical medicine Environmental health Pediatrics Perinatology and Child Health Medicine 030212 general & internal medicine Duration (project management) Association (psychology) business
Zdroj:	Pediatric Obesity. 13:93-102
ISSN:	2047-6302
DOI:	10.1111/ijpo.12432
Popis:	Background Little is known about whether characteristics of communities are associated with differential implementation of community programmes and policies to promote physical activity and healthy eating. This study examines associations between community characteristics (e.g. region and race/ethnicity) and the intensity of community programmes and policies implemented to prevent childhood obesity. It explores whether community characteristics moderate the intensity of community efforts to prevent childhood obesity. Objective The objective of this study is to investigate associations between community characteristics and the intensity of community policies and programmes to prevent childhood obesity documented in the Healthy Communities Study that engaged a diverse sample of US communities. Method Programmes and policies were documented in 130 communities across the USA, reporting over 9000 different community programmes and policies to prevent obesity among children ages 4-15. We examined associations between community characteristics and the intensity of community programmes and policies implemented (i.e. their amount and reach, duration and strength of change strategy). Conclusion Community characteristics explain 25% of the variability in the intensity of community programmes and policies implemented in communities. Particular characteristics - urbanicity, region, being a large county and the per cent of African-Americans in a community - contributed to more (over 18% of the 25%) of the observed variability.
Databáze:	OpenAIRE
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