Samuels & Associates, Oakland, California 94612, USA.
J Public Health Manag Pract. 2010 Mar-Apr;16(2):E17-28. doi: 10.1097/PHH.0b013e3181af63bb.
The purpose of this research was to assess California public health departments capacity, practices, and resources for changing nutrition and physical activity environments for obesity prevention. The researchers surveyed key public health department personnel representing all 61 health departments in California using a Web-based survey tool. The response rate for the survey was 62 percent. This represented a 93 percent health department response rate. Analysis was conducted on the individual respondent and public health department levels and stratified by metropolitan statistical area and foundation-funded versus not foundation-funded. Public health departments are engaged in obesity prevention including environmental and policy change approaches. The majority of respondents stated that monitoring obesity rates and providing leadership for obesity prevention are important roles for public health. Health departments are involved in advocacy for healthier eating and/or physical activity in school environments and the development and monitoring of city/county policies to improve the food and/or physical activity environments. Funding and staff skill may influence the degree of public health department engagement in obesity prevention. A majority of respondents rate their staffing capacity for improving nutrition and physical activity environments as inadequate. Access to flexible foundation funding may influence how public health departments engage in obesity prevention.
本研究旨在评估加利福尼亚州公共卫生部门在改变营养和身体活动环境以预防肥胖方面的能力、实践和资源。研究人员使用基于网络的调查工具对代表加利福尼亚州所有 61 个卫生部门的关键公共卫生部门人员进行了调查。该调查的回复率为 62%。这代表了 93%的卫生部门的回复率。分析是在个人受访者和公共卫生部门层面进行的，并按都会统计区和有/无基金会资助进行了分层。公共卫生部门参与肥胖预防，包括环境和政策改革方法。大多数受访者表示，监测肥胖率和为肥胖预防提供领导是公共卫生部门的重要角色。卫生部门参与倡导在学校环境中更健康地饮食和/或进行身体活动，以及制定和监测改善食品和/或身体活动环境的城市/县政策。资金和员工技能可能会影响公共卫生部门参与肥胖预防的程度。大多数受访者认为他们在改善营养和身体活动环境方面的人员配备能力不足。灵活的基金会资金的获取可能会影响公共卫生部门参与肥胖预防的方式。
