Preventing Childhood Obesity through State Policy: Qualitative Assessment of Enablers and Barriers

被引:55
作者
Dodson, Elizabeth A. [1 ,2 ]
Fleming, Chris [2 ,3 ]
Boehmer, Tegan K. [2 ,4 ]
Haire-Joshu, Debra [2 ,5 ,6 ]
Luke, Douglas A. [2 ,7 ]
Brownson, Ross C. [2 ,8 ]
机构
[1] Washington Univ, George Warren Brown Sch Social Work, Prevent Res Ctr St Louis, St Louis, MO 63110 USA
[2] St Louis Univ, Sch Publ Hlth, St Louis, MO 63103 USA
[3] Math Policy Res Inc, Washington, DC USA
[4] Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Atlanta, GA USA
[5] Washington Univ, George Warren Brown Sch Social Work, Ctr Obes Prevent & Policy Res, St Louis, MO 63110 USA
[6] Washington Univ, Sch Med, St Louis, MO 63110 USA
[7] Washington Univ, George Warren Brown Sch Social Work, Ctr Tobacco Policy Res, St Louis, MO 63110 USA
[8] Washington Univ, Sch Med, Siteman Canc Ctr, Dept Surg, St Louis, MO 63110 USA
关键词
children; legislators; obesity; policy; LESSONS; HEALTH; PREVALENCE; LAW;
D O I
10.1057/jphp.2008.57
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
As the prevalence of obesity rapidly climbs among youth in the United States, public health practitioners and policymakers seek effective means of slowing and reversing these trends. Recently, many state laws and regulations addressing childhood obesity have been introduced and enacted. Understanding determinants of such legislation may inform the development and passage of future policies. For this study, key-informant interviews were conducted with 16 legislators and staffers from 11 states in 2005-2006 to examine qualitative factors that enable and impede state-level childhood obesity prevention legislation. Commonly cited factors positively influencing the passage of childhood obesity prevention legislation included national media exposure, introduction of the policy by senior legislators, and gaining the support of key players including parents, physicians, and schools. Noteworthy barriers included powerful lobbyists of companies that produce unhealthy foods and misconceptions about legislating foods at schools. Although the total number of informants was modest, their valuable insights provide policymakers and practitioners with a set of enablers and barriers to be considered when pursuing state-level policy.
引用
收藏
页码:S161 / S176
页数:16
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