Obesity Prevention: The Impact of Local Health Departments
Version of Record online: 20 JUL 2012
© Health Research and Educational Trust
Health Services Research
Volume 48, Issue 2pt1, pages 603–627, April 2013
How to Cite
Chen, Z., Roy, K. and Gotway Crawford, C. A. (2013), Obesity Prevention: The Impact of Local Health Departments. Health Services Research, 48: 603–627. doi: 10.1111/j.1475-6773.2012.01447.x
- Issue online: 8 MAR 2013
- Version of Record online: 20 JUL 2012
- Behavioral risk factor surveillance system;
- multilevel logit;
- local health departments;
- obesity prevention
To examine the association between bodyweight status and provision of population-based prevention services.
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.
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.
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.
Population-based obesity-prevention services may be useful in containing the obesity epidemic.