Preventing childhood obesity through state policy - Predictors of bill enactment
Preventing childhood obesity through state policy - Predictors of bill enactment
复制标题
DOI：
10.1016/j.amepre.2008.01.003
复制
发表时间：
2008-04-01
影响因子：
5.5
通讯作者：
Brownson, Ross C.
中科院分区：
文献类型：
--
作者：
Boehmer, Tegan K.;Luke, Douglas A.;Brownson, Ross C.
背景资料：为了解决儿童肥胖症的流行，卫生专业人员正在研究解决致胖环境的政策;然而，很少有系统的检查国家在儿童肥胖症预防方面的立法工作。使用政策研究框架，本研究旨在确定因素，预测成功颁布的儿童肥胖症预防在所有50个state.Methods：立法扫描的法案，在2003-2005年期间推出的所有50个州确定了717个法案有关儿童肥胖症预防。在2006年进行多层次逻辑回归模型，以确定法案级（程序，组成和内容）和国家级（社会人口，政治，经济和工业）的因素与法案enlightenment.Results：百分之十七的法案颁布。与颁布可能性增加相关的法案层面因素包括有一个以上的赞助商;两党赞助;在州参议院的介绍;预算提案;以及与安全上学路线，步行/自行车道，模范学校政策，全州范围内的倡议以及工作队和研究相关的内容领域。州一级的政治因素，包括两年的立法会议和民主党对两院的控制，增加了立法。国家社会经济地位的指标与法案颁布呈负相关;经济和工业变量没有显着相关的法案颁布。结论：在一般情况下，法案层面的因素更有影响力的政策制定比国家层面的因素。这项研究为警察，从业人员和倡导团体提供了制定更具政治可行性的儿童肥胖预防政策的策略，包括确定几个可修改的法案特征，这些特征可能会改善法案的制定。
Background: To address the epidemic of childhood obesity, health professionals are examining policies that address obesogenic environments; however, there has been little systematic examination of state legislative efforts in childhood obesity prevention. Using a policy research framework, this study sought to identify factors that predict successful enactment of childhood obesity prevention in all 50 states.Methods: A legislative scan of bills introduced during 2003-2005 in all 50 states identified 717 bills related to childhood obesity prevention. Multilevel logistic regression modeling was performed in 2006 to identify bill-level (procedure, composition, and content) and state-level (sociodemographic, political, economic, and industrial) factors associated with bill enactment.Results: Seventeen percent of bills were enacted. Bill-level factors associated with increased likelihood of enactment included having more than one sponsor; bipartisan sponsorship; introduction in the state senate; budget proposals; and content areas related to safe routes to school, walking/biking trails, model school policies, statewide initiatives, and task forces and studies. State-level political factors, including 2-year legislative session and Democratic control of both chambers, increased enactment. An indicator of state socioeconomic status was inversely associated with bill enactment; economic and industrial variables were not significantly related to bill enactment.Conclusions: In general, bill-level factors were more influential in their effect on policy enactment than state-level factors. This study provides policyrnakers, practitioners, and advocacy groups with strategies to develop more politically feasible childhood obesity prevention policies, including the identification of several modifiable bill characteristics that might improve bill enactment.