Eyler Amy, Chriqui Jamie, Maddock Jay, Cradock Angie, Evenson Kelly R, Gustat Jeanette, Hooker Steven, Lyn Rodney, Segar Michelle, O'Hara Tompkins Nancy, Zieff Susan G
Prevention Research Center, Washington University, St. Louis, MO.
J Phys Act Health. 2014 Jan;11(1):45-50. doi: 10.1123/jpah.2012-0037. Epub 2012 Dec 17.
In the United States, health promotion efforts often begin with state-level strategic plans. Many states have obesity, nutrition, or other topic-related plans that include physical activity (PA). The purpose of this study was to assess PA content in these state plans and make recommendations for future plan development.
Publically available plans were collected in 2010. A content analysis tool was developed based on the United States National PA Plan and included contextual information and plan content. All plans were double coded for reliability and analyzed using SPSS.
Forty-three states had a statewide plan adopted between 2002 and 2010, none of which focused solely on PA. Over 80% of PA-specific strategies included policy or environmental changes. Most plans also included traditional strategies to increase PA (eg, physical education, worksite). Few plans included a specific focus on land use/community design, parks/recreation, or transportation. Less than one-half of plans included transportation or land use/community design partners in plan development.
Though the majority of states had a PA-oriented plan, comprehensiveness varied by state. Most plans lacked overarching objectives on the built environment, transportation, and land use/community design. Opportunities exist for plan revision and alignment with the National PA Plan sectors and strategies.
在美国，健康促进工作通常始于州级战略计划。许多州都有肥胖、营养或其他与主题相关的计划，其中包括身体活动（PA）。本研究的目的是评估这些州计划中的身体活动内容，并为未来计划的制定提出建议。
2010年收集了公开可用的计划。基于美国国家身体活动计划开发了一种内容分析工具，该工具包括背景信息和计划内容。所有计划都进行了双重编码以确保可靠性，并使用SPSS进行分析。
43个州在2002年至2010年间通过了全州范围的计划，其中没有一个仅专注于身体活动。超过80%的特定于身体活动的策略包括政策或环境变化。大多数计划还包括增加身体活动的传统策略（如体育教育、工作场所）。很少有计划特别关注土地利用/社区设计、公园/娱乐或交通。不到一半的计划在计划制定过程中纳入了交通或土地利用/社区设计方面的合作伙伴。
尽管大多数州都有以身体活动为导向的计划，但各州的全面性各不相同。大多数计划缺乏关于建筑环境、交通和土地利用/社区设计的总体目标。存在修订计划并使其与国家身体活动计划的部门和策略保持一致的机会。
