Surveillance of Obesity-Related Policies in Multiple Environments: The Missouri Obesity, Nutrition, and Activity Policy Database, 2007-2009

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Haire-Joshu, Debra ; Elliott, Michael ; Schermbeck, Rebecca ; Taricone, Elsa ; Green, Scoie ; Brownson, Ross C.
• Description:
  Introduction
  
  The objective of this study was to develop the Missouri Obesity, Nutrition, and Activity Policy Database, a geographically representative baseline of Missouri's existing obesity-related local policies on healthy eating and physical activity. The database is organized to reflect 7 local environments (government, community, health care, worksite, school, after school, and child care) and to describe the prevalence of obesity-related policies in these environments.
  
  Methods
  
  We employed a stratified nested cluster design using key informant interviews and review of public records to sample 2,356 sites across the 7 target environments for the presence or absence of obesity-related policies.
  
  Results
  
  The school environment had the most policies (88%), followed by after school (47%) and health care (32%). Community, government, and child care environments reported smaller proportions of obesity-related policies  but higher rates of funding for these policies. Worksite environments had low numbers of obesity-related policies and low funding levels (17% and 6%, respectively). Sixteen of the sampled counties had high obesity-related policy occurrence; 65 had moderate and 8 had low occurrences.
  
  Conclusion
  
  Except in Missouri schools, the presence of obesity-related policies is limited. More obesity-related policies are needed so that people have access to environments that support the model behaviors necessary to halt the obesity epidemic. The Missouri Obesity, Nutrition, and Activity Policy Database provides a benchmark for evaluating progress toward the development of obesity-related policies across multiple environments in Missouri.
  
  
• Subjects:
  Cluster Analysis Community Health Centers Health Promotion Humans Missouri Nutrition Policy Obesity Physical Education And Training School Health Services
• Source:
  Prev Chronic Dis. 7(4).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Volume:
  7
• Issue:
  4
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:ec893dbf5604a7892a69e2609520a5b4a86beec0728147d3229502957d38f63446bc44ba7d72caf43e9c3257e86fdd13f1c1f6512cb17326a199ccf0536617f5
• Download URL:
  https://stacks.cdc.gov/view/cdc/20482/cdc_20482_DS1.pdf
• File Type:
  [PDF - 392.13 KB ]