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Park audits Park audits were performed by a member of your analysis group utilizing the Physical Activity Resource Assessment (PARA) tool.23 This tool assesses variety, features, amenities, qualities, and incivilities (e.g., graffiti) of PA sources utilizing a rating scale ranging from "not present (0)", poor (1)", mediocre (2), and "good (three)" for features and amenities, and "not present" (0), "good" (1)," mediocre" (two), and "poor" (3) for incivilities, such that a higher incivilities score indicates far more incivilities.23 Parks have been those listed around the Lenoir County Parks and Recreation Department site, with more parks getting discovered in the course of community audits. A total of 17 parks in 15 distinct census block groups (CBGs) had been audited (two CBGs had two parks each and every.) Community Advisory Committee (CAC) Feedback on `Winnability' of Nutrition and PA Policies To discover much more about winnable obesity-prevention policies in the Lenoir County context, we employed the Centers for Illness Handle and Prevention "Common Community Measures for Obesity Prevention" (COCOMO), a list of 24 advisable and evidence-based tactics and accompanying measures to guide mce MedChemExpress communities in identifying and implementing obesityprevention policies.24 Applying the COCOMO methods, we facilitated discussion among our CAC members concerning obesity-prevention policies, as described in detail elsewhere.25 In brief, 19 CAC members scored each and every listed COCOMO encouraged tactic primarily based upon how realistic it was for the Lenoir County community context, existing infrastructureNIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author ManuscriptFam Neighborhood Health. Author manuscript; accessible in PMC 2014 September 05.Jilcott Pitts et al.Pagesupport, leadership assistance, and obtainable resources. Responses had been aggregated, and we announced the "biggest loser" (the least winnable tactic), plus the "biggest winner" (probably the most winnable, or feasible, policy modify approach) to CAC members, who were then prompted to go over facilitators and barriers to the identified policy adjust strategies. Quantitative information analysis We examined how community-level socioeconomic characteristics were associated with geographic access to nutrition and PA resources. 1st, we examined NEMS scores for food shops and restaurants. Larger NEMS scores indicate higher availability, improved price and greater good quality of healthful foods. We also compared PARA scores involving parks in lowversus high-income Census Block Groups (CBGs). We calculated the median household income for the CBGs that contained parks, and then split the sample by the median household revenue. We sorted the 17 parks by CBG median household revenue and removed the park within the middle, to get an even quantity (eight) of parks in high- and low-income CBGs. We calculated the sub-scores (features, amenities, and incivilities) and all round PARA scores for every in the eight parks in high-income CBGs and for every from the eight parks in low-income CBG groups, and after that compared PARA scores for parks in high- versus lowincome CBGs. We did not conduct any significance tests from the differences in PARA scores due to the little sample size. Additionally, PA and nutrition sources had been mapped making use of GIS (ArcGIS, version 9.3). Public PA facilities (n = 23) have been discovered through neighborhood audits and had been also those listed around the Lenoir County Department of Parks and Recreation web site.