作者: Jay E Maddock , Meta T Lee , Evan Mosier , James Davis , Jennifer Bracamontes
DOI:
关键词: Economic growth 、 Built environment 、 Childhood obesity 、 Social group 、 Public health 、 Behavior change 、 Environmental health 、 Pacific islanders 、 Health promotion 、 Smoking cessation 、 Medicine
摘要: Childhood obesity is rapidly increasing in Hawai‘i and the United States.1 Recent research indicates that changes food built environment may be contributing to this increase obesity.2 While individual behavior change programs are important, populationbased strategies needed. The Centers for Disease Control Prevention has identified policy environmental as a key component stopping epidemic.3 However, most public health practitioners cannot directly policies or environments. Other methods needed influence decision makers. One potential tool influencing development of coalitions. Coalitions represent diverse groups people coming together around common goal often formal, multipurpose include long term alliances between agencies.4 Public coalitions started late 1980s have become across many issues.5 despite their promise half all fail within first year.6 To successful, should keep structure simple, benefits membership outweigh costs, active involvement volunteer agencies, create culture trust sharing, evaluate progress.5 To address childhood epidemic well an overall lack physical activity poor nutrition Nutrition Physical Activity Coalition was developed. rest paper will describe coalition current direction.