Obesity Prevention and Diabetes Screening at Local Health Departments

Datos Bibliográficos

ID11040019
AutoresXinzhi Zhang (0000-0003-3479-9327, Xinzhi Zhang, Edward W. Gregg, Qaiser Mukhtar, Mark Rivera, Lawrence Barker, and Ann Albright are with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Huabin Luo is with the Department of Health Care Management, Mount Olive College, Research Triangle Park, NC.), Huabin Luo (0000-0002-5144-3210, Xinzhi Zhang, Edward W. Gregg, Qaiser Mukhtar, Mark Rivera, Lawrence Barker, and Ann Albright are with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Huabin Luo is with the Department of Health Care Management, Mount Olive College, Research Triangle Park, NC.), Edward W Gregg (0000-0003-2381-6822, Xinzhi Zhang, Edward W. Gregg, Qaiser Mukhtar, Mark Rivera, Lawrence Barker, and Ann Albright are with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Huabin Luo is with the Department of Health Care Management, Mount Olive College, Research Triangle Park, NC.), Qaiser Mukhtar (Xinzhi Zhang, Edward W. Gregg, Qaiser Mukhtar, Mark Rivera, Lawrence Barker, and Ann Albright are with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Huabin Luo is with the Department of Health Care Management, Mount Olive College, Research Triangle Park, NC.), Mark Rivera (0000-0002-0532-7219, Xinzhi Zhang, Edward W. Gregg, Qaiser Mukhtar, Mark Rivera, Lawrence Barker, and Ann Albright are with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Huabin Luo is with the Department of Health Care Management, Mount Olive College, Research Triangle Park, NC.), Lawrence Barker (Xinzhi Zhang, Edward W. Gregg, Qaiser Mukhtar, Mark Rivera, Lawrence Barker, and Ann Albright are with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Huabin Luo is with the Department of Health Care Management, Mount Olive College, Research Triangle Park, NC.), Ann Albright (Xinzhi Zhang, Edward W. Gregg, Qaiser Mukhtar, Mark Rivera, Lawrence Barker, and Ann Albright are with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Huabin Luo is with the Department of Health Care Management, Mount Olive College, Research Triangle Park, NC.)
Año2010
Volumen100
Número8
Páginas1434-1441
Fecha de publicación2010-08-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2009.168831
PMID20558810
PMCIDPMC2901291
OpenAlexW1972456336
IdiomaEN
Citas recibidas4
Referencias citadas26

Objectives. We assessed whether local health departments (LHDs) were conducting obesity prevention programs and diabetes screening programs, and we examined associations between LHD characteristics and whether they conducted these programs. Methods. We used the 2005 National Profile of Local Health Departments to conduct a cross-sectional analysis of 2300 LHDs nationwide. We used multivariate logistic regressions to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Results. Approximately 56% of LHDs had obesity prevention programs, 51% had diabetes screening programs, and 34% had both. After controlling for other factors, we found that employing health educators was significantly associated with LHDs conducting obesity prevention programs (OR = 2.08; 95% CI = 1.54, 2.81) and diabetes screening programs (OR = 1.63; 95% CI = 1.23, 2.17). We also found that conducting chronic disease surveillance was significantly associated with LHDs conducting obesity prevention programs (OR = 1.66; 95% CI = 1.26, 2.20) and diabetes screening programs (OR = 2.44; 95% CI = 1.90, 3.15). LHDs with a higher burden of diabetes prevalence were more likely to conduct diabetes screening programs (OR = 1.20; 95% CI = 1.11, 1.31) but not obesity prevention programs. Conclusions. The presence of obesity prevention and diabetes screening programs was significantly associated with LHD structural capacity and general performance. However, the effectiveness and cost-effectiveness of both types of programs remain unknown

Confidence interval · Diabetes mellitus · Environmental health · Family medicine · Logistic regression · Obesity · Odds ratio · Public health · Type 2 diabetes · Endocrinology · Internal Medicine · Medicine · Nursing · Obesity and Health Practices · Obesity, Physical Activity, Diet · Public Health Policies and Education · Gerontology