Department of Public Health, Sacred Heart University, 5151 Park Ave, Fairfield, CT 06825. E-mail:
Department of Physical Therapy and Human Movement Science, Sacred Heart University, Fairfield, Connecticut.
Prev Chronic Dis. 2018 Mar 1;15:E28. doi: 10.5888/pcd15.170331.
We examined the relative importance of 23 community issues among elected officials and health directors in Connecticut in 2016. For this cross-sectional study, 74 elected officials (40.7% response rate) and 47 health directors (62.7% response rate), who were purposively sampled, completed a questionnaire to rate their perceived importance of 23 community issues. Eight of these issues were related to active living, healthy eating, or obesity. We used χ tests to evaluate differences in responses. Compared with elected officials, health directors significantly more often perceived obesity, access to healthy groceries, poor nutrition, lack of pedestrian walkways, and pedestrian safety as important. Elected officials significantly more often than health directors perceived lack of good jobs, quality of public education, and cost of living as important. Health advocates should work with both groups to develop and frame policies to address both upstream (eg, jobs, education) and downstream (eg, healthy eating policies) determinants of obesity.
我们在 2016 年调查了康涅狄格州当选官员和卫生局长对 23 个社区问题的相对重视程度。在这项横断面研究中，74 名当选官员（40.7%的回复率）和 47 名卫生局长（62.7%的回复率）作为有目的的抽样对象，完成了一份问卷，对 23 个社区问题的重要性进行了评价。其中 8 个问题与积极生活、健康饮食或肥胖有关。我们使用 χ 检验来评估应答差异。与当选官员相比，卫生局长更经常认为肥胖、获得健康食品、营养差、缺乏行人道和行人安全是重要问题。当选官员比卫生局长更经常认为缺乏好工作、公共教育质量和生活成本是重要问题。健康倡导者应与这两个群体合作，制定和制定政策，以解决肥胖的上游（如工作、教育）和下游（如健康饮食政策）决定因素。
