King A C, Jeffery R W, Fridinger F, Dusenbury L, Provence S, Hedlund S A, Spangler K
Stanford University School of Medicine, Palo Alto, CA 94304-1583, USA.
Health Educ Q. 1995 Nov;22(4):499-511. doi: 10.1177/109019819502200407.
The majority of Americans remain inactive despite evidence of significant health benefits from even moderately intense activity. Previous intervention efforts have generally focused on changing individual behavior. This article discusses the use of policy, legislative and regulatory, and environmental interventions in promoting physical activity to prevent cardiovascular disease (CVD) and other chronic diseases. The authors present evidence on the need, formulation, description, and effectiveness of policy and environmental intervention approaches. Types of approaches addressed to promote physical activity include federal, state, and local legislation and regulation, policy development and implementation, and environmental support. They also describe opportunities for state and local health departments to initiate and participate in environmental and policy approaches.
尽管有证据表明，即使是适度的高强度活动也能带来显著的健康益处，但大多数美国人仍然缺乏运动。以往的干预措施通常侧重于改变个人行为。本文讨论了利用政策、立法和监管以及环境干预措施来促进身体活动，以预防心血管疾病（CVD）和其他慢性病。作者提供了有关政策和环境干预方法的必要性、制定、描述和有效性的证据。为促进身体活动而采取的方法类型包括联邦、州和地方法规，政策制定和实施，以及环境支持。他们还描述了州和地方卫生部门发起并参与环境和政策方法的机会。
