Obesity Prevention: The Impact of Local Health Departments

Objective To examine the association between bodyweight status and provision of population‐based prevention services. Data Sources The National Association of City and County Health Officials 2005 Profile survey data, linked with two cross‐sections of the Behavioral Risk Factor Surveillance System (...

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Bibliographic Details
Published in:Health services research 2013-04, Vol.48 (2pt1), p.603-627
Main Authors: Chen, Zhuo (Adam), Roy, Kakoli, Gotway Crawford, Carol A.
Format: Article
Language:English
Subjects:
Adult
Aged
Behavioral Risk Factor Surveillance System
Body Weight
Chronic diseases
Female
Health
Health Behavior
Health care access
Health care industry
Health risk assessment
Health services
Humans
Local Government
local health departments
Low income groups
Low income women
Male
Middle Aged
multilevel logit
Obese women
Obesity
Obesity - epidemiology
Obesity - prevention & control
obesity prevention
Obesity, Morbid - epidemiology
Obesity, Morbid - prevention & control
Population Health and Obesity Prevention
Prevention
Preventive Health Services - organization & administration
Preventive programmes
Public health
Public Health Practice
Risk factors
Service delivery
Services
Sex Factors
Socioeconomic Factors
Studies
Weight
Women
Young Adult
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Summary:Objective To examine the association between bodyweight status and provision of population‐based prevention services. Data Sources The National Association of City and County Health Officials 2005 Profile survey data, linked with two cross‐sections of the Behavioral Risk Factor Surveillance System (BRFSS) survey in 2004 and 2005. Study Design Multilevel logistic regressions were used to examine the association between provision of obesity‐prevention services and the change in risk of being obese or morbidly obese among BRFSS respondents. The estimation sample was stratified by sex. Low‐income samples were also examined. Falsification tests were used to determine whether there is counterevidence. Principal Findings Provision of population‐based obesity‐prevention services within the jurisdiction of local health departments and specifically those provided by the local health departments are associated with reduced risks of obesity and morbid obesity from 2004 to 2005. The magnitude of the association appears to be stronger among low‐income populations and among women. Results of the falsification tests provide additional support of the main findings. Conclusions Population‐based obesity‐prevention services may be useful in containing the obesity epidemic.
ISSN:0017-9124
1475-6773
DOI:10.1111/j.1475-6773.2012.01447.x