Presentation on theme: "Division of Nutrition and Physical Activity’s State Legislative Database Tamara S. Grasso, MS, RD DNPA, Office of the Director Tina Lankford, MPH DNPA,"— Presentation transcript:
Division of Nutrition and Physical Activity’s State Legislative Database Tamara S. Grasso, MS, RD DNPA, Office of the Director Tina Lankford, MPH DNPA, Physical Activity and Health Branch
Session Overview Objectives: Introduce and explain the purpose of the state legislative database Provide instructions for how to use the database. Discuss recent findings of impending MMWR article publication on obesity legislation. Share other relevant policy resources in areas of nutrition and physical activity.
Nutrition and Physical Activity Legislative Database Launched November 2003, but contains State legislation from 2001, updated regularly Contains bills addressing nutrition and physical activity in various settings and subtopics. Available on-line: http://apps.nccd.cdc.gov/DNPALeg/index.asp OR link from www.cdc.gov/nccdphp/dnpa
Purpose The database is designed to help professionals at the state and local levels become more aware of legislation facilitate legislative analyses related to nutrition and physical activity topics stimulate discussion about the value of legislation in addressing nutrition and physical activity issues
Legislative Database: Quality Assurance Formed database internal workgroup Developed protocol for entering and revising bills Reviewed and revised existing bills Cross reference bills in the database against subscription system
What can you use it for? Following trends in your state (and others) on the type of legislation introduced and it’s success/failure over time Becoming aware of the content of legislation and areas where you as the practitioner may offer insight to the policy makers and other constituents Gathering examples of other states’ successes and making contact to learn what roles were played in the legislative process
Why Legislation? Legislation is a form of policy Policy Laws, regulations, formal and informal rules that are adopted on a collective basis to guide individual and collective behavior Policy impacts the population, not just individuals
Chronic Disease Prevention Personal behavior change is best achieved if reinforced, stimulated, rewarded, and supported Individual Interpersonal (family, friends, and networks) Organizational policies and procedures Community environment Public policy and legislation
Legislation and Public Health Law is a traditional public health tool to protect or preserve human safety/health Acute issues Worker Safety Motor vehicle safety Emerging diseases SARS and pandemic influenza Chronic issues Tobacco Cessation Reduced tooth decay Childhood immunizations
Obesity Trends 19992004 Overweight US Adults64.5%66.3% Obese US Adults30.5%32.2% At Risk for Overweight US Children and Adolescents 28.2%33.6% Overweight US Children and Adolescents 13.9%17.1% Source: Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of Overweight and Obesity in the United States, 1999-2004. JAMA 2006; 295(13); 1549-55.
State Legislation Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity published in 2001 Recommended formation of task forces and development of plans by state governments to address issue Recommended creation of policies to promote environments that promote healthier eating and greater physical activity States have increased their legislative efforts toward this goal during the past few years Purpose of report is to describe state-specific trends in 2001-2004 obesity-related legislation
Methods Using DNPA’s legislative database, a search across all legislation was performed using keyword “obesity” Cross-checked all bills using state legislative websites Obesity bills were classified according to their focus for action: Task Force School Health Care Community
Key Findings Number of introduced bills aimed at preventing or treating obesity increased from 2001 to 2004 (20 to 64) Largest number of bills introduced was for School environments Largest number of bills enacted was in the Task Force category Reported by: C Hannan, MPH, T Lankford, MPH, T Gust, MPH, RD, T Grasso, MS, RD, T Teuber, MPH, L Kettel Khan, PhD, M Serdula, MD, Div Nutrition and Physical Activity, National Center for Chronic Disease Prevention and Health Promotion, O Abid, MD, EIS Officer, CDC
Table 1. Introduced and Enacted * State Obesity-Related Legislation, by Year and Category, 2001– 2004 Year Task Force School Community Health Care Total 20018 (5)2 (1)2 (0)8 (4) 20 (10) 20025 (0)5 (1)0 (0)2 (0) 12 (1) 2003 17 (8)23 (4)3 (1)7 (1) 50 (14) 200411 (2)23 (6)5 (2)25 (4) 64 (14) Total 41 (15) 53 (12) 10 (3)42 (9) 146 (39) % enacted 37%23%30%21%27% * Numbers of enacted bills are in parentheses.
Limitations Limited ability to ascertain bills with “obesity” due to some state legislative websites not allowing keyword searches Overlap occurs among categories Eg. Bills in task force category may mandate studies on obesity-prevention interventions, including in schools Analysis identifies bills that specifically mention obesity—therefore bills that may impact nutrition and/or physical activity, and hence obesity, are not included
Legislation (Policy) Challenges Difficult to pass/enact Agree on goals; disagree on causes, methods Difficult to implement Competing priorities Typically not no cost Competing priorities Enforcement issues Impact analysis/evaluation
Conclusion Traditional strategies individual behavior change Newer approaches individuals + building supportive environments Guide to Community Preventive Services State legislation can continue to be important when used as part of a comprehensive, multi-level approach that includes policy, education, communication, social marketing, and environmental strategies
Additional Policy Resources CDC Public Health Law Program (est. 2000) www2a.cdc.gov/phlp/ CDC Public Health Training, Policy Research and Development www.cdc.gov/phtrain/policy_research.html Council of State governments www.healthystates.csg.org National Conference of State Legislatures www.ncsl.org/programs/health/phdatabase.htm Center for Health Improvement- Health policy guide www.healthpolicyguide.org/default.asp
We are interested in finding out … How the database has been helpful to you (practitioners) in the past What suggestions you may have for improvement Any other comments you may have
Tina Lankford Email: firstname.lastname@example.org DNPA’s State Legislative Database Tamara S. Grasso Email: email@example.com