Priorities of Municipal Policy Makers in Relation to Physical Activity and the Built Environment: A Latent Class Analysis.
Priorities of Municipal Policy Makers in Relation to Physical Activity and the Built Environment: A Latent Class Analysis.
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DOI：
10.1097/phh.0000000000000289
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发表时间：
2016-05
期刊：
影响因子：
--
通讯作者：
Lemon SC
中科院分区：
文献类型：
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作者：
Wang ML;Goins KV;Anatchkova M;Brownson RC;Evenson K;Maddock J;Clausen KE;Lemon SC
检查政策制定者与体育活动和建筑环境相关的公共政策优先事项，使用潜在类别分析 (LCA) 根据优先事项确定政策制定者的类别，并评估与类别成员资格相关的因素。对美国 6 个州 94 个城镇的市政官员的横断面调查数据进行了分析。参与者（N=423）是选举或任命的市政官员，涵盖公共卫生、规划、交通/公共工程、社区和经济发展、公园和娱乐以及城市管理等领域。参与者评估了11个政策领域（公共卫生、身体活动、肥胖、经济发展、宜居性、气候变化、空气质量、自然资源保护、交通拥堵、交通安全和弱势群体的需求）在日常工作职责中的重要性。 LCA 用于确定响应模式并根据官员的优先事项确定不同的类别。逻辑回归模型评估了与班级成员资格相关的参与者特征。根据政策优先顺序出现了四类官员：1）经济发展和宜居性； 2）经济发展和交通问题； 3）公共卫生； 4) 一般性（所有政策领域都被评为高度重要）。与四级相比，一、三级官员具有研究生学历的比例更高； 2级官员担任公共卫生职务/部门的可能性较小，3级官员担任公共卫生职务/部门的可能性更大。研究结果可以指导公共卫生专业人员与政策制定者进行讨论，以最大限度地发挥公共政策举措（特别是经济发展）的身体活动潜力。
Examine policymakers’ public policy priorities related to physical activity and the built environment, identify classes of policymakers based on priorities using latent class analysis (LCA), and assess factors associated with class membership. Cross-sectional survey data from municipal officials in 94 cities and towns across six U.S. states were analyzed. Participants (N=423) were elected or appointed municipal officials spanning public health, planning, transportation/public works, community and economic development, parks and recreation, and city management. Participants rated the importance of 11 policy areas (public health, physical activity, obesity, economic development, livability, climate change, air quality, natural resource conservation, traffic congestion; traffic safety, and needs of vulnerable populations) in their daily job responsibilities. LCA was used to determine response patterns and identify distinct classes based on officials’ priorities. Logistic regression models assessed participant characteristics associated with class membership. Four classes of officials based on policy priorities emerged: 1) economic development and livability; 2) economic development and traffic concerns; 3) public health; and 4) general (all policy areas rated as highly important). Compared to class 4, officials in classes 1 and 3 were more likely to have a graduate degree; officials in class 2 were less likely to be in a public health job/department, and officials in class 3 were more likely to be in a public health job/department. Findings can guide public health professionals in framing discussions with policymakers to maximize physical activity potential of public policy initiatives, particularly economic development.