Hagen Susanne, Helgesen Marit, Torp Steffen, Fosse Elisabeth
Department of Health Promotion, Buskerud and Vestfold University College, Norway
Norwegian Institute for Urban and Regional Research, Norway.
Scand J Public Health. 2015 Aug;43(6):597-605. doi: 10.1177/1403494815585614. Epub 2015 May 14.
The public health coordinator (PHC) is a municipal-government position in Norway whose role is to organise and oversee municipal policies and functions to support national public health goals. This cross-sectional study investigates conditions associated with use of PHCs by Norwegian municipalities in the period immediately before the new Public Health Act came into effect in 2012, decentralising responsibility for citizen health to the municipal level. This study provides descriptive baseline data regarding Norwegian municipalities' use of PHCs in this time - a marker for municipal engagement with inter-sectorial collaboration - before this policy was nationally mandated, and explores whether municipal characteristics such as structure, socio-economic status and extent of Health in All Policies (HiAP) implementation were associated factors.
All Norway's municipalities (N=428) were included. We combined Norwegian register data with survey data. Descriptive analyses and bi- and multivariate logistic regression analyses were performed.
A total of 76% of Norwegian municipalities employed a PHC in the period just before 2012. Of the PHCs employed, 22% were employed full time and 28% were located within the staff of the chief executive office. Our study indicates that partnership for health promotion with county councils (OR=7.78), development of a health overview (OR=3.53), collaboration with non-government sectors (OR=2.85) and low socio-economic status (OR=0.46) are significantly associated with Norwegian municipalities having a PHC.
This study suggests that the municipality's implementation of HiAP, as well as lower socio-economic indicators, is associated with the use of PHCs in Norway, but not factors related to municipal structure.
公共卫生协调员（PHC）是挪威市政府的一个职位，其职责是组织和监督市政政策及职能，以支持国家公共卫生目标。这项横断面研究调查了在2012年新的《公共卫生法》生效前不久，挪威各市镇使用公共卫生协调员的相关情况，该法案将公民健康责任下放到市镇层面。本研究提供了关于这一时期挪威各市镇使用公共卫生协调员的描述性基线数据——这是在该政策成为国家强制要求之前，市镇参与部门间合作的一个标志，并探讨了诸如结构、社会经济地位和“健康融入所有政策”（HiAP）实施程度等市政特征是否为相关因素。
纳入了挪威所有的市镇（N = 428）。我们将挪威的登记数据与调查数据相结合。进行了描述性分析以及二元和多变量逻辑回归分析。
在2012年之前的时期，共有76%的挪威市镇聘用了公共卫生协调员。在聘用的公共卫生协调员中，22%为全职工作，28%隶属于行政长官办公室工作人员。我们的研究表明，与郡议会开展促进健康的伙伴关系（比值比[OR]=7.78）、制定健康概况（OR = 3.53）、与非政府部门合作（OR = 2.85）以及社会经济地位较低（OR = 0.46）与挪威市镇聘用公共卫生协调员显著相关。
本研究表明，挪威市镇实施“健康融入所有政策”以及较低的社会经济指标与使用公共卫生协调员有关，但与市政结构相关的因素无关。
