Obesity prevention and diabetes screening at local health departments.



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.


Zhang, Xinzhi; Luo, Huabin; Gregg, Edward W; Mukhtar, Qaiser; Rivera, Mark; Barker, Lawrence; Albright, Ann;


  • Community Health Planning
  • Community Health Services/ organization & administration
  • Cross-Sectional Studies
  • Diabetes Mellitus/ diagnosis
  • Diabetes Mellitus/ epidemiology
  • Diabetes Mellitus/ prevention & control
  • Health Care Surveys
  • Humans
  • Local Government
  • Logistic Models
  • Mass Screening/ organization & administration
  • Multivariate Analysis
  • Needs Assessment
  • Obesity/ diagnosis
  • Obesity/ epidemiology
  • Obesity/ prevention & control
  • Outcome and Process Assessment (Health Care)
  • Population Density
  • Population Surveillance
  • Prevalence
  • Primary Prevention/ organization & administration
  • Public Health Practice/ statistics & numerical data
  • State Government
  • Surveys and Questionnaires
  • United States/ epidemiology
  • Urbanization

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