ArticlePreventing chronic disease2014
State practitioner insights into local public health challenges and opportunities in obesity prevention: a qualitative study.
Article in Preventing chronic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- "It's good to feel like you're doing something": a qualitative study examining state health department employees' views on why ineffective programs continue to be implemented in the USA.Implementation science communications · 2022Article
- Use and Awareness of The Community Guide in State and Local Health Department Chronic Disease Programs.Preventing chronic disease · 2020Article
- Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost.Frontiers in public health · 2018Article
- Development of a community health inclusion index: an evaluation tool for improving inclusion of people with disabilities in community health initiatives.BMC public health · 2015Article
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Authors and funding
4 authors.
Funding
Abstract
introductionThe extent of obesity prevention activities conducted by local health departments (LHDs) varies widely. The purpose of this qualitative study was to characterize how state obesity prevention program directors perceived the role of LHDs in obesity prevention and factors that impact LHDs' success in obesity prevention.
methodsFrom June 2011 through August 2011, we conducted 28 semistructured interviews with directors of federally funded obesity prevention programs at 22 state and regional health departments. Interviews were transcribed verbatim, coded, and analyzed to identify recurring themes and key quotations.
resultsMain themes focused on the roles of LHDs in local policy and environmental change and on the barriers and facilitators to LHD success. The role LHDs play in obesity prevention varied across states but generally reflected governance structure (decentralized vs centralized). Barriers to local prevention efforts included competing priorities, lack of local capacity, siloed public health structures, and a lack of local engagement in policy and environmental change. Structures and processes that facilitated prevention were having state support (eg, resources, technical assistance), dedicated staff, strong communication networks, and a robust community health assessment and planning process.
conclusionsThese findings provide insight into successful strategies state and local practitioners are using to implement innovative (and evidence-informed) community-based interventions. The change in the nature of obesity prevention requires a rethinking of the state-local relationship, especially in centralized states.
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