Implementing Childhood Obesity Policy in a New Educational Environment: The Cases of Mississippi and Tennessee

Our purpose was to investigate the processes involved in, and outcomes of, implementing 3 new state-level, school-oriented childhood obesity policies enacted between 2004 and 2007. We followed policy implementation in 8 high schools in Mississippi and Tennessee. We collected data between 2006 and 20...

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Published in:American journal of public health (1971) 2012-07, Vol.102 (7), p.1406-1413
Main Authors: AMIS, John M, WRIGHT, Paul M, DYSON, Ben, VARDAMAN, James M, FERRY, Hugh
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Children & youth
Educational Measurement
Focus groups
General aspects
Health Policy
Humans
Longitudinal Studies
Medical sciences
Metabolic diseases
Miscellaneous
Mississippi
Obama, Barack
Obesity
Obesity - prevention & control
Physical education
Physical Education and Training
Policy Making
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research and Practice
Schools - organization & administration
Secondary schools
Sports
Students
Studies
Tennessee
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creator AMIS, John M
WRIGHT, Paul M
DYSON, Ben
VARDAMAN, James M
FERRY, Hugh
description Our purpose was to investigate the processes involved in, and outcomes of, implementing 3 new state-level, school-oriented childhood obesity policies enacted between 2004 and 2007. We followed policy implementation in 8 high schools in Mississippi and Tennessee. We collected data between 2006 and 2009 from interviews with policymakers, administrators, teachers, and students; observations of school-based activities; and documents. Significant barriers to the effective implementation of obesity-related policies emerged. These most notably include a value system that prioritizes performances in standardized tests over physical education (PE) and a varsity sport system that negatively influences opportunities for PE. These and other factors, such as resource constraints and the overloading of school administrators with new policies, mitigate against the implementation of policies designed to promote improvements in student health through PE. Policies designed to address health and social problems in high-school settings face significant barriers to effective implementation. To have a broad impact, obesity-related policies must be tied to mainstream educational initiatives that both incentivize, and hold accountable, the school-level actors responsible for their implementation.
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subjects Biological and medical sciences
Child
Children & youth
Educational Measurement
Focus groups
General aspects
Health Policy
Humans
Longitudinal Studies
Medical sciences
Metabolic diseases
Miscellaneous
Mississippi
Obama, Barack
Obesity
Obesity - prevention & control
Physical education
Physical Education and Training
Policy Making
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research and Practice
Schools - organization & administration
Secondary schools
Sports
Students
Studies
Tennessee
title Implementing Childhood Obesity Policy in a New Educational Environment: The Cases of Mississippi and Tennessee
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