Local Health Department Engagement in Community Physical Activity Policy
Local Health Department Engagement in Community Physical Activity Policy
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DOI：
10.1016/j.amepre.2015.06.033
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发表时间：
2016-01-01
影响因子：
5.5
通讯作者：
Lemon, Stephenie C.
中科院分区：
文献类型：
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作者：
Goins, Karin V.;Ye, Jiali;Lemon, Stephenie C.
简介：本研究评估了自我报告的当地卫生部门（LHD）参与社区政策/宣传活动，支持physical activity.Methods的相关性：在2014年，横截面数据从全国代表性的2013年全国概况地方卫生部门的研究由全国县市卫生官员协会进行了分析。其成果是参与了与城市设计/土地使用、积极的交通和获得娱乐设施有关的政策/宣传活动。自变量包括结构特征、绩效改进努力和协作。结果：490名LHD的代表参加了调查（79%的应答率）。受访者报告了类似的参与城市设计/土地使用（25%）;主动交通（16%）;和娱乐设施访问（23%）政策/宣传。与人口为50万的LHD相比，人口为50万的LHD更有可能报告城市设计/土地使用（p = 0.004）以及积极的交通政策/宣传参与（p = 0.007）。有社区健康改善计划的LHD更有可能参与城市设计/土地使用政策/宣传（p = 0.001）。经常使用社区指南的LHD更有可能报告关于主动交通（p = 0.007）和扩大娱乐设施（p = 0.009）的政策/宣传活动。参与土地利用伙伴关系的LHD更有可能报告城市设计/土地利用（p
Introduction: This study assessed correlates of self-reported local health department (LHD) participation in community policy/advocacy activities that support physical activity.Methods: In 2014, cross-sectional data from the nationally representative 2013 National Profile of Local Health Departments study administered by the National Association of County and City Health Officials were analyzed. Outcomes were participation in policy/advocacy activities related to urban design/land use, active transportation, and access to recreational facilities. Independent variables included structural characteristics, performance improvement efforts, and collaboration. Multivariate logistic regression models were computed.Results: Representatives of 490 LHDs participated (79% response rate). Respondents reported similar participation in urban design/land use (25%); active transportation (16%); and recreational facility access (23%) policy/advocacy. LHDs with populations of Z500,000 were more likely to report urban design/land use (p = 0.004) as well as active transportation policy/advocacy participation (p = 0.007) compared with those with populations of r50,000. LHDs with a community health improvement plan were more likely to participate in urban design/land use policy/advocacy (p = 0.001). LHDs who regularly use the Community Guide were more likely to report policy/ advocacy activity on active transportation (p = 0.007) and expanding access to recreation facilities (p = 0.009). LHDs engaged in a land use partnership were more likely to report urban design/land use (p