Building mutually beneficial partnerships to improve physical activity opportunities through shared-use efforts in under-resourced communities in Los Angeles County

PREVENTIVE MEDICINE

卷:67

Article

Burbage, Lindsey¹  Gonzalez, Eloisa²  Dunning, Lauren¹  Simon, Paul^1,3  Kuo, Tony^1,4 

[1] Los Angeles Cty Dept Publ Hlth, Div Chron Dis & Injury Prevent, Los Angeles, CA 90010 USA

[2] Los Angeles Cty Dept Publ Hlth, Div Chron Dis & Injury Prevent, Los Angeles, CA 90005 USA

[3] Univ Calif Los Angeles, Los Angeles Jonathan & Karin Fielding Sch Publ Hl, Dept Epidemiol, Los Angeles, CA 90095 USA

[4] Univ Calif Los Angeles, David Geffen Sch Med, Dept Family Med, Los Angeles, CA 90024 USA

关键词: Obesity;    Physical activity;    Schools;    Community health planning;    Legal liability;    Shared-use efforts;   

DOI  :  10.1016/j.ypmed.2014.01.001

来源: Elsevier

【 摘 要 】

Objective. To evaluate 18 shared-use agreements (SUAs) implemented in Los Angeles County during 2010-2012. SUAs opened school grounds and/or facilities in seven school districts to increase physical activity opportunities for under-resourced communities with high prevalence of obesity. Methods. We reviewed the extent to which SUAs addressed school district concerns about cost responsibility, sustainability, and scope. A school site and community partner survey was conducted to inform planning and to facilitate comparisons of the types and range of legal clauses (up to 16) contained in the agreements. We used geographic information systems and 2010 United States Census data to estimate the population reached and the potential benefits of the SUAs. Results. SUAs varied in the degree to which they addressed the three categories of concerns. Eight of the 18 agreements included 13 of the 16 legal clauses. We estimate that these SUAs have the potential to reach nearly 165,000 children (ages 5-19) and more than 500,000 adults (ages 20-64) at a cost of about $0.38 per community member reached. Conclusion. SUAs that include legal clauses to address school concerns about factors such as vandalism, staffing and funding represent a promising strategy for increasing physical activity opportunities in under-resourced neighborhoods where the prevalence of obesity is high. (C) 2014 Elsevier Inc. All rights reserved.

【 授权许可】

Free