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All health is local: state and local planning for physical activity promotion.
MedLine Citation:
PMID:  23529051     Owner:  NLM     Status:  In-Data-Review    
CONTEXT: : Physical activity is a leading cause of death in the world. Although state and local public health planning is a useful strategy to address noncommunicable disease health concerns such as heart disease, diabetes, cancer, and obesity, physical activity frequently is subsumed in such disease-centric planning efforts. This strategy could dilute broader efforts to promote physical activity, create administrative silos that may be trying to accomplish similar goals, and weaken efforts to more collectively address a variety of noncommunicable diseases. Currently, few stand-alone state plans directed specifically at physical activity exist. The reasons and barriers for this situation are not understood.
OBJECTIVE: : In 2011, we surveyed public health care practitioners to describe state and local efforts for physical activity planning.
DESIGN: : Cross-sectional study.
SETTING: : Survey of physical activity practitioners in the United States.
PARTICIPANTS: : A total of 227 former or current members of the US National Society of Physical Activity Practitioners in Public Health who completed a survey.
RESULTS: : Overall, 48.0% of respondents indicated that they were aware of public health plans for physical activity promotion in their state, whereas 36.6% indicated that they did not know. Respondents at the state level more frequently reported awareness of a plan (62.1%) than those with local-level (52.4%) or other job responsibilities (36.0%). A greater proportion of respondents reported that stand-alone physical activity plans existed in their state than actually did exist in the respective states. Integration with the National Physical Activity Plan was least often identified as a moderately or extremely relevant aspect of a state-level physical activity plan, although it was chosen at a high percentage (75.7%). Respondents identified financial support (88.0%) and political will and support (54.6%) most frequently as very or somewhat difficult barriers to moving forward with state-level physical activity plans.
CONCLUSIONS: : These data suggest that despite efforts to increase development and use of stand-alone physical activity plans, most practitioners rely on existing chronic disease- or obesity-related plans to guide their efforts. Barriers to developing stand-alone physical activity plans must be addressed to develop such plans.
Harold W Kohl; Sara B Satinsky; Geoffrey P Whitfield; Kelly R Evenson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of public health management and practice : JPHMP     Volume:  19     ISSN:  1550-5022     ISO Abbreviation:  J Public Health Manag Pract     Publication Date:    2013 May-Jun
Date Detail:
Created Date:  2013-03-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505213     Medline TA:  J Public Health Manag Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S17-22     Citation Subset:  T    
Division of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center-Houston, Austin (Dr Kohl and Mr Whitfield); Department of Kinesiology and Health Education, University of Texas at Austin (Dr Kohl); and Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina-Chapel Hill (Ms Satinsky and Dr Evenson).
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