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Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress (2013)

Chapter: Appendix G: Community Health Assessment and Surveillance Resources

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Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
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G

Community Health Assessment and Surveillance Resources

The Committee located examples of community health assessments from across the United States (see Chapter 7). Table G-1 identifies indicator topics reported in the sample of community health assessment reports the Committee was able to identify.

Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×

TABLE G-1 Examples of Indicator Topics Reported in Community Health Assessment

Indicator Small Counties ( <50,000 population)*
Cherokee County, NCa Hill County, MTb Lincoln, MAc McKean County, PAd
Overarching (obesity/overweight)
Obese adults (age, gender, race/ethnicity)
Overweight adults (age, gender, race/ethnicity)
Overweight/obese adults (ages, gender, race/ethnicity)
Overweight/obese mothers
Healthy weight adults
Obese children (age, gender)
Overweight children (age)
Overweight low-income infants and children (age)
Students classify themselves as overweight
Overweight/obese children (gender, age, race/ethnicity)
Goal Area 1: Physical Activity Environmenti
Adult leisure time physical activity
Adult physical activity
Use of public outdoor recreation areas
Use of public outdoor trails
Awareness of available community centers
Which of these community features do you use?
Reasons these community features are difficult to use
Safety for cyclists
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Large Counties ( >50,000 population)*
Contra Costa County, CAe Dutchess County, NYf Lawrence-Douglas County, KSg Lee County, NCh
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Indicator Small Counties ( <50,000 population)*
Cherokee County, NCa Hill County, MTb Lincoln, MAc McKean County, PAd
Elderly physical activity programs
Goal Area 2: Food and Beverage Environmenti
Adult consumption of fruits and vegetables
Access to affordable healthy foods
Reasons it is difficult to buy healthy food
Goal Area 3: Message Environmenti
Goal Area 4: Health Care and Worksite Environmenti
Obese, received advice from doctor to lose weight in the past year
Adults, told by health care professional they are overweight/obese
Breastfeeding rate
Any/exclusive breastfeeding initiation (race/ethnicity)
Community-based prevention health services and programs
Availability and scope of health care
Effectiveness of health care system
Goal Area 5: School Environmenti
Other: Norms/Attitudes, Obesity-related
Health-related issues
Priority issues in community
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Large Counties ( >50,000 population)*
Contra Costa County, CAe Dutchess County, NYf Lawrence-Douglas County, KSg Lee County, NCh
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Indicator Small Counties ( <50,000 population)*
Cherokee County, NCa Hill County, MTb Lincoln, MAc McKean County, PAd
Priority issues facing youth
Unhealthy behaviors
Activities needed in a community
Perceived challenges of community
Perceived strengths of community
Community health needs
Factors that contribute to the health of community
Factors that prevent the health of community

* Small counties’ population of less than 50,000 residents; large counties’ population is greater than 50,000 residents.

SOURCES: a County of Cherokee (2008); b Larson (no date); c Communities Opportunities Group, Inc. (2010); d Center for Rural Health Practice and University of Pittsburgh at Bradford (2005); e Contra Costa Health Services Public Health Division (2010); f Center for Governmental Research (2009a,b); g Collie-Akers and Holt (2012); h Lee County Public Health Assessment Team and LeeCAN “A Healthy Carolinians Partnership” (2010).

i These are goal areas identified in the Accelerating Progress in Obesity Prevention report (IOM, 2012a).

Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Large Counties ( >50,000 population)*
Contra Costa County, CAe Dutchess County, NYf Lawrence-Douglas County, KSg Lee County, NCh
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×

REFERENCES

Center for Governmental Research. 2009a. Appendix B—Survey script. http://www.co.dutchess.ny.us/CountyGov/Departments/Health/Publications/HDICASurveyAppB.pdf (accessed April 24, 2013).

Center for Governmental Research. 2009b. Dutchess County ICA community health survey final report. http://www.co.dutchess.ny.us/CountyGov/Departments/Health/Publications/HDICASurvey.pdf (accessed April 24, 2013).

Center for Rural Health Practice and University of Pittsburgh at Bradford. 2005. Community health needs assessment. McKean County, Pennsylvania. http://www.upb.pitt.edu/uploadedFiles/About/Sponsored_Programs/Center_for_Rural_Health_Practice/CHA%20Final.pdf (accessed April 22, 2013).

Collie-Akers, V., and C. Holt. 2012. Douglas County community health assessment report. Community Health Improvement Partnership, Lawrence-Douglas County Health Department, Work Group for Community Health and Development.

Communities Opportunities Group, Inc. 2010. Town of Lincoln community health assessment & planning project. http://www.lincolntown.org/Adobe%20Acrobat%20Files/Healthy%20Community/Lincoln%20Healthy%20 Communities%20Final%20Report%20071210.pdf (accessed April 22, 2013).

Contra Costa Health Services Public Health Division. 2010. Community health indicators for Contra Costa county. http://cchealth.org/health-data/hospital-council/2010/pdf/2010_community_health_indicators_report_complete.pdf (accessed April 22, 2013).

County of Cherokee. 2008. Cherokee County community health assessment (CHA). http://www.mahec.net/media/nccha/cherokee.pdf (accessed April 22, 2013).

Larson, K. no date. Hill county community health assessment 2010-2011. http://www.dphhs.mt.gov/publichealth/accreditation/documents/hill-cha.pdf (accessed April 22, 2013).

Lee County Public Health Assessment Team and LeeCAN “A Healthy Carolinians Partnership.” 2010. Lee County North Carolina. Access to the world. Community health assessment. http://www.leecountync.gov/LinkClick.aspx?fileticket=YcCnyE8Z68k%3D&tabid=205 (accessed April 22, 2013).

Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 413
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 414
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 415
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 416
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 417
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 418
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 419
Suggested Citation:"Appendix G: Community Health Assessment and Surveillance Resources." Institute of Medicine. 2013. Evaluating Obesity Prevention Efforts: A Plan for Measuring Progress. Washington, DC: The National Academies Press. doi: 10.17226/18334.
×
Page 420
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Obesity poses one of the greatest public health challenges of the 21st century, creating serious health, economic, and social consequences for individuals and society. Despite acceleration in efforts to characterize, comprehend, and act on this problem, including implementation of preventive interventions, further understanding is needed on the progress and effectiveness of these interventions.

Evaluating Obesity Prevention Efforts develops a concise and actionable plan for measuring the nation's progress in obesity prevention efforts—specifically, the success of policy and environmental strategies recommended in the 2012 IOM report Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation. This book offers a framework that will provide guidance for systematic and routine planning, implementation, and evaluation of the advancement of obesity prevention efforts. This framework is for specific use with the goals and strategies from the 2012 report and can be used to assess the progress made in every community and throughout the country, with the ultimate goal of reducing the obesity epidemic. It offers potentially valuable guidance in improving the quality and effect of the actions being implemented.

The recommendations of Evaluating Obesity Prevention Efforts focus on efforts to increase the likelihood that actions taken to prevent obesity will be evaluated, that their progress in accelerating the prevention of obesity will be monitored, and that the most promising practices will be widely disseminated.

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