J A Schultz1, V L Collie-Akers1, S B Fawcett1, W J Strauss2, J Nagaraja3, A J Landgraf3, K L McIver4, S A Weber3, S S Arteaga5, L C Nebeling6, S M Rauzon7. 1. Work Group for Community Health and Community Development, University of Kansas, Lawrence, Kansas, USA. 2. Health Analytics Hub, LLC, Lewis Center, OH, USA. 3. Battelle Health and Analytics, Columbus, Ohio, USA. 4. Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA. 5. National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA. 6. National Cancer Institute, Bethesda, Maryland, USA. 7. Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Oakland, California, USA.
Abstract
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.
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.
Authors: Laurie L Lachance; Christy R Houle; Elaine F Cassidy; Emily Bourcier; Jennifer H Cohn; Carlyn E Orians; Kathleen Coughey; Xin Geng; Christine L M Joseph; Michael D Lyde; Linda Jo Doctor; Noreen M Clark Journal: Health Promot Pract Date: 2006-04
Authors: Lisa V John; Maria Gregoriou; Russell R Pate; Stephen B Fawcett; Patricia B Crawford; Warren J Strauss; Edward A Frongillo; Lorrene D Ritchie; Catherine M Loria; Melinda Kelley; Howard A Fishbein; S Sonia Arteaga Journal: Am J Prev Med Date: 2015-10 Impact factor: 5.043
Authors: S Sonia Arteaga; Catherine M Loria; Patricia B Crawford; Stephen B Fawcett; Howard A Fishbein; Maria Gregoriou; Lisa V John; Melinda Kelley; Russell R Pate; Lorrene D Ritchie; Warren J Strauss Journal: Am J Prev Med Date: 2015-10 Impact factor: 5.043
Authors: Shiriki K Kumanyika; Eva Obarzanek; Nicolas Stettler; Ronny Bell; Alison E Field; Stephen P Fortmann; Barry A Franklin; Matthew W Gillman; Cora E Lewis; Walker Carlos Poston; June Stevens; Yuling Hong Journal: Circulation Date: 2008-06-30 Impact factor: 29.690
Authors: Vicki L Collie-Akers; Stephen B Fawcett; Jerry A Schultz; Kandace K Fleming; Rebecca E Swinburne Romine; Lorrene D Ritchie; Edward A Frongillo; S Sonia Arteaga Journal: Prev Chronic Dis Date: 2020-05-07 Impact factor: 2.830