The association between funding for statewide programs and enactment of obesity legislation.
OBJECTIVE
As part of a national effort to prevent and control obesity, the Centers for Disease Control and Prevention's (CDC's) Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases (NPAO) provides funding to states to improve access to healthful food and increase opportunities for physical activity. The CDC also provides funding to states to build Coordinated School Health (CSH) programs across agencies and within schools to help reduce chronic disease risk factors. This paper investigates the possible role of these programs in state policy change.


METHODS
Descriptive study of state legislation targeting obesity prevention passed in 2005. Units of analysis were 135 pieces of obesity-related state legislation identified within 4 legislative databases. Legislation was coded into programmatic setting and obesity-prevention strategy categories.


RESULTS
On average, states receiving NPAO or CSH program funding passed twice as many bills as states not yet funded.


CONCLUSIONS
The statewide obesity prevention and school health programs may have contributed to states enacting more obesity-related legislation. Further research into the process by which state programs influence the enactment and effective implementation of policies could help build the evidence base for policy changes that help prevent obesity.
Hersey
James
J
RTI International, Research Triangle Park, NC, USA. hersey@rti.org
Lynch
Christina
C
Williams-Piehota
Pamela
P
Rooks
Adrienne
A
Hamre
Robin
R
Chappelle
Eileen F
EF
Roussel
Amy
A
O'Toole
Terry
T
Grasso
Tamara
T
Hannan
Casey
C
D002487:Centers for Disease Control and Prevention, U.S.; D016208:Databases, Factual; D015444:Exercise; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006293:Health Promotion / Q000191:economics / Q000331:legislation & jurisprudence* / Q000379:methods*; D006801:Humans; D018673:Nutrition Policy; D009765:Obesity / Q000517:prevention & control*; D012572:School Health Services / Q000191:economics / Q000331:legislation & jurisprudence*; D013219:State Government; D014481:United States