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BMC Obesity

, 3:49

Policies, socioeconomic aspects, and health systems research

Abstract

BackgroundAdult obesity rates in the United States have reached epidemic proportions, yet vary considerably across states and counties. We sought to explore community-level factors that may be associated with reduced adult obesity rates at the county level.

MethodsWe identified six U.S. counties that were positive deviants for adult obesity and conducted semi-structured interviews with community leaders and government officials involved in efforts to promote healthier lifestyles. Using site visits and in-depth qualitative interviews, we identified several recurrent themes and strategies.

ResultsParticipants: 1 developed a nuanced understanding of their communities; 2 recognized the complex nature of obesity, and 3 implemented a county-wide strategic approach for promoting healthy living. This county-wide approachwas used to a break down silos and build partnerships, b access community resources and connections, and c transfer ownership to community members.

ConclusionsWe found that county leaders focused on establishing a county-wide structure to connect and support community-led initiatives to promote healthy living, reduce obesity, and foster sustainability. Findings from this study can help inform county-level efforts to improve healthy living and combat the multi-faceted challenges of adult obesity across the U.S.

KeywordsOrganizational factors Community dynamics Strategic thinking AbbreviationsBMIBody mass index

ICDInternational Statistical Classification of Diseases and Related Health Problems

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Autor: Maureen E. Canavan - Emily Cherlin - Stephanie Boegeman - Elizabeth H. Bradley - Kristina M. Talbert-Slagle

Fuente: https://link.springer.com/







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