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Obesity prevention and diabetes screening at local health departments.
Zhang, Xinzhi; Luo, Huabin; Gregg, Edward W; Mukhtar, Qaiser; Rivera, Mark; Barker, Lawrence; Albright, Ann.
Afiliação
  • Zhang X; National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341-3727, USA. XZhang4@cdc.gov
Am J Public Health ; 100(8): 1434-41, 2010 Aug.
Article em En | MEDLINE | ID: mdl-20558810
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.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Prática de Saúde Pública / Programas de Rastreamento / Serviços de Saúde Comunitária / Diabetes Mellitus / Obesidade Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Am J Public Health Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Prática de Saúde Pública / Programas de Rastreamento / Serviços de Saúde Comunitária / Diabetes Mellitus / Obesidade Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Am J Public Health Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Estados Unidos