Understanding and Addressing Barriers to Implementation of Environmental and Policy Interventions to Support Physical Activity and Healthy Eating in Rural Communities
Understanding and Addressing Barriers to Implementation of Environmental and Policy Interventions to Support Physical Activity and Healthy Eating in Rural Communities
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DOI：
10.1111/j.1748-0361.2012.00431.x
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发表时间：
2013-12-01
影响因子：
4.9
通讯作者：
Brownson, Ross C.
中科院分区：
文献类型：
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作者：
Barnidge, Ellen K.;Radvanyi, Catherine;Brownson, Ross C.
研究目的：农村居民比城市和郊区居民有更大的肥胖风险。未能满足身体活动和健康饮食的建议发挥了作用。新出现的证据表明，环境和政策干预措施在促进体育活动和健康饮食方面是有效的。然而，大多数证据来自城市和郊区社区。本研究的目的是（1）确定在农村社区实施的环境和政策干预措施的类型，以促进体育活动或健康饮食，（2）确定实施环境或政策干预措施的障碍，（3）确定农村社区为克服这些障碍而采用的策略。方法：2010年，对在美国农村地区工作的公共卫生专业人员进行了关键知情人访谈。一个有目的的样本包括15名从事规划，实施或评估环境或政策干预措施，以促进体育活动或健康饮食的从业人员。调查结果：我们的研究结果表明，农村社区的障碍包括文化差异，人口规模，有限的人力资本，以及难以证明社会和经济政策与健康结果之间的联系。主要的信息提供者提出了一些克服这些障碍的战略，例如发展基础广泛的伙伴关系和利用现有的基础设施。结论：最近的证据表明，环境和政策干预措施有可能在人口一级促进体育活动和健康饮食。为了取得积极成果，必须提供机会，实施这些类型的干预措施，并记录其在农村社区的成效。
Purpose: Rural residents are at greater risk of obesity than urban and suburban residents. Failure to meet physical activity and healthy eating recommendations play a role. Emerging evidence shows the effectiveness of environmental and policy interventions to promote physical activity and healthy eating. Yet most of the evidence comes from urban and suburban communities. The objectives of this study were to (1) identify types of environmental and policy interventions being implemented in rural communities to promote physical activity or healthy eating, (2) identify barriers to the implementation of environmental or policy interventions, and (3) identify strategies rural communities have employed to overcome these barriers. Methods: Key informant interviews with public health professionals working in rural areas in the United States were conducted in 2010. A purposive sample included 15 practitioners engaged in planning, implementing, or evaluating environmental or policy interventions to promote physical activity or healthy eating. Findings: Our findings reveal that barriers in rural communities include cultural differences, population size, limited human capital, and difficulty demonstrating the connection between social and economic policy and health outcomes. Key informants identified a number of strategies to overcome these barriers such as developing broad-based partnerships and building on the existing infrastructure. Conclusion: Recent evidence suggests that environmental and policy interventions have potential to promote physical activity and healthy eating at the population level. To realize positive outcomes, it is important to provide opportunities to implement these types of interventions and document their effectiveness in rural communities.