TY  - JOUR
AU  - Schwarte, Liz
AU  - Ngo, Samantha
AU  - Banthia, Rajni
AU  - Flores, George
AU  - Prentice, Bob
AU  - Boyle, Maria
PY  - 2014
TI  - Evolution in Obesity and Chronic Disease Prevention Practice in California Public Health Departments, 2010
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E201
VL  - 11
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Local health departments (LHDs) are dedicating resources and attention to preventing obesity and associated chronic diseases, thus expanding their work beyond traditional public health activities such as surveillance. This study investigated practices of local health departments in California to prevent obesity and chronic disease. METHODS  We conducted a web-based survey in 2010 with leaders in California's LHDs to obtain diverse perspectives on LHDs' practices to prevent obesity and chronic disease. The departmental response rate for the 2010 survey was 87% (53 of California's 61 LHDs). RESULTS  Although staff for preventing obesity and chronic disease decreased at 59% of LHDs and stayed the same at 26% of LHDs since 2006, LHDs still contributed the same (12%) or a higher (62%) level of effort in these areas. Factors contributing to internal changes to address obesity and chronic disease prevention included momentum in the field of obesity prevention, opportunities to learn from other health departments, participation in obesity and chronic disease prevention initiatives, and flexible funding streams for chronic disease prevention. LHDs that received foundation funding or had a lead person or organizational unit coordinating or taking the lead on activities related to obesity and chronic disease prevention were more likely than other LHDs to engage in some activities related to obesity prevention. CONCLUSION  California LHDs are increasing the intensity and breadth of obesity and chronic disease prevention. Findings provide a benchmark from which further changes in the activities and funding sources of LHD chronic disease prevention practice may be measured.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd11.120177
DO  - 10.5888/pcd11.120177
ER  - 
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