Allender Steven, Cavill Nick, Parker Mike, Foster Charles
Public Health, University of Oxford, Rosemary Rue Building, Old Road Campus, Old Road, Headington, Oxford OX37LF, UK.
J Public Health Policy. 2009 Apr;30(1):102-16. doi: 10.1057/jphp.2008.43.
A large proportion of non-communicable disease can be attributed to modifiable risk factors such as poor nutrition and physical inactivity. We present data on planning and transport practitioners' perceptions and responses to government public health guidance aimed at modifying environmental factors to promote physical activity. This study was informed by questions on the role of evidence-based guidance, the views of professionals towards the guidance, the links between guidance and existing legislation and policy and the practicality of guidelines. A key informant 'snowball' sampling technique was used to recruit participants from the main professional planning organisations across England. Seventy-six people were interviewed in eight focus groups. We found that evidence-based public health guidance is a new voice in urban and town planning, although much of the advice is already reflected by the 'accepted wisdom' of these professions. Evidence-based health guidance could be a powerful driver affecting planning practice, but other legislated planning guidance may take priority for planning and transport professionals.
很大一部分非传染性疾病可归因于营养不良和缺乏身体活动等可改变的风险因素。我们提供了有关规划和交通从业者对政府旨在改变环境因素以促进身体活动的公共卫生指南的看法和应对措施的数据。本研究基于以下问题展开:循证指南的作用、专业人员对该指南的看法、指南与现有立法及政策之间的联系以及指南的实用性。采用关键信息人“滚雪球”抽样技术,从英格兰各地主要的专业规划组织中招募参与者。在八个焦点小组中对76人进行了访谈。我们发现,循证公共卫生指南在城市和城镇规划中是一种新的声音,尽管其中许多建议已被这些专业的“公认智慧”所体现。循证健康指南可能是影响规划实践的有力驱动力,但其他法定规划指南可能对规划和交通专业人员更为重要。