ArticleJournal of public health management and practice : JPHMP
Where is obesity prevention on the map?: distribution and predictors of local health department prevention activities in relation to county-level obesity prevalence in the United States.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Enhancing evidence-based diabetes and chronic disease control among local health departments: a multi-phase dissemination study with a stepped-wedge cluster randomized trial component.Implementation science : IS · 2017Trial
- Patterns and correlates of mis-implementation in state chronic disease public health practice in the United States.BMC public health · 2021Article
- Healthy Eating and Physical Activity Policy, Systems, and Environmental Strategies: A Content Analysis of Community Health Improvement Plans.Frontiers in public health · 2020Article
- SIPsmartER delivered through rural, local health districts: adoption and implementation outcomes.BMC public health · 2019Article
- Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost.Frontiers in public health · 2018Article
- Building new computational models to support health behavior change and maintenance: new opportunities in behavioral research.Translational behavioral medicine · 2015Article
- The Relationship of Policymaking and Networking Characteristics among Leaders of Large Urban Health Departments.International journal of environmental research and public health · 2015Article
- Measuring public health practice and outcomes in chronic disease: a call for coordination.American journal of public health · 2015Article
- Neighborhood disparities in prevalence of childhood obesity among low-income children before and after implementation of New York City child care regulations.Preventing chronic disease · 2014Article
- Community-level determinants of obesity: harnessing the power of electronic health records for retrospective data analysis.BMC medical informatics and decision making · 2014Article
- State practitioner insights into local public health challenges and opportunities in obesity prevention: a qualitative study.Preventing chronic disease · 2014Article
- Geographic variability in the association between socioeconomic status and BMI in the USA and Canada.PloS one · 2014Article
- Patient perception of ideal body weight and the effect of body mass index.Journal of obesity · 2014Article
- The diffusion of evidence-based decision making among local health department practitioners in the United States.Journal of public health management and practice : JPHMPArticle
- What gets measured gets done: an assessment of local data uses and needs in large urban health departments.Journal of public health management and practice : JPHMPArticle
- Factors Facilitating or Hindering Use of Evidence-Based Diabetes Interventions Among Local Health Departments.Journal of public health management and practice : JPHMPArticle
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Authors and funding
6 authors.
Funding
Abstract
contextThe system of local health departments (LHDs) in the United States has the potential to advance a locally oriented public health response in obesity control and reduce geographic disparities. However, the extent to which obesity prevention programs correspond to local obesity levels is unknown.
objectiveThis study examines the extent to which LHDs across the United States have responded to local levels of obesity by examining the association between jurisdiction-level obesity prevalence and the existence of obesity prevention programs.
designData on LHD organizational characteristics from the Profile Study of Local Health Departments and county-level estimates of obesity from the Behavioral Risk Factor Surveillance System were analyzed (n = 2300). Since local public health systems are nested within state infrastructure, multilevel models were used to examine the relationship between county-level obesity prevalence and LHD obesity prevention programming and to assess the impact of state-level clustering.
settingTwo thousand three hundred local health department jurisdictions defined with respect to county boundaries.
participantsPractitioners in local health departments who responded to the 2005 Profile Study of Local Health Departments.
main outcome measuresLikelihood of having obesity prevention activities and association with area-level obesity prevalence.
resultsThe existence of obesity prevention activities was not associated with the prevalence of obesity in the jurisdiction. A substantial portion of the variance in LHD activities was explained by state-level clustering.
conclusionsThis article identified a gap in the local public health response to the obesity epidemic and underscores the importance of multilevel modeling in examining predictors of LHD performance.
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