University of Tennessee Institute of Agriculture, Family and Consumer Sciences, 2621 Morgan Circle, 119 Morgan Hall, Knoxville, TN 37996. Email:
University of Tennessee Institute of Agriculture, Family and Consumer Sciences, Knoxville, Tennessee.
Prev Chronic Dis. 2019 Sep 5;16:E120. doi: 10.5888/pcd16.180678.
Four rural counties in Tennessee adopted the policy, systems, and environment (PSE) approach to address the obesity epidemic in their communities. The community-based participatory initiative, Community Coalitions for Change (C3), was embraced by 67,400 community members and 67 organizations. During year 1, coalition members discussed a need to return to long-held traditions of collective community engagement and action to address rural obesity rates. In response, C3 established 25 community gardens and supported 10 existing gardens, resulting in 8,300 community members who received garden produce. Sites began with an average number of 11 physical activity resources, which increased by year 3 to an average of 13 resources as a result of C3 activities. Overall, 61% (248 of 405) of survey respondents participating in direct education programs reported being more physically active as a result of participating in the programs, 59% (117 of 199) reported eating more fruit, and 66% (131 of 199) reported eating more vegetables. Implications for public health include timing and aligning obesity prevention activities with ongoing initiatives that are working toward similar goals.
田纳西州的四个农村县采用了政策、制度和环境（PSE）方法来解决社区中的肥胖问题。这项基于社区的参与性倡议——社区变革联盟（C3），得到了 67400 名社区成员和 67 个组织的支持。在第一年，联盟成员讨论了需要回归到集体社区参与和行动的长期传统，以解决农村地区的肥胖问题。作为回应，C3 建立了 25 个社区花园，并支持了 10 个现有的花园，共有 8300 名社区成员收到了花园里的农产品。各地点最初平均有 11 个体育活动资源，到第三年，由于 C3 的活动，这一数字增加到了平均 13 个资源。总的来说，参与直接教育项目的调查对象中有 61%（248 名中的 248 名）报告说，由于参与这些项目，他们的身体活动更加频繁；59%（199 名中的 117 名）报告说他们吃了更多的水果；66%（199 名中的 131 名）报告说他们吃了更多的蔬菜。公共卫生的影响包括将肥胖预防活动与正在朝着类似目标努力的现有倡议同时进行。
