| Obesity prevention and diabetes screening at local health departments. | |
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MedLine Citation:
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PMID: 20558810 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Xinzhi Zhang; Huabin Luo; Edward W Gregg; Qaiser Mukhtar; Mark Rivera; Lawrence Barker; Ann Albright |
Publication Detail:
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Type: Journal Article Date: 2010-06-17 |
Journal Detail:
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Title: American journal of public health Volume: 100 ISSN: 1541-0048 ISO Abbreviation: Am J Public Health Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-12 Completed Date: 2010-07-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1254074 Medline TA: Am J Public Health Country: United States |
Other Details:
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Languages: eng Pagination: 1434-41 Citation Subset: AIM; IM |
Affiliation:
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National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341-3727, USA. XZhang4@cdc.gov |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Community Health Planning Community Health Services / organization & administration* Cross-Sectional Studies Diabetes Mellitus / diagnosis, epidemiology, prevention & control* Health Care Surveys Humans Local Government Logistic Models Mass Screening / organization & administration* Multivariate Analysis Needs Assessment Obesity / diagnosis, epidemiology, prevention & control* Outcome and Process Assessment (Health Care) Population Density Population Surveillance Prevalence Primary Prevention / organization & administration Public Health Practice* / statistics & numerical data Questionnaires State Government United States / epidemiology Urbanization |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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