Table 1.
Case Selection Criteria
| Domain | Criterion | Description | Values |
|---|---|---|---|
| Structurea | Centralization | Public health system centralization - are local HDs autonomous or centralized under state HD? The model of state and local public health relationships as a reflection of the overall structure of the public health system in a jurisdiction. | Centralized organizational control, Decentralized organizational control, Hybrid |
| Policy Climateb | State Partisan Composition | State partisan control | Democrat, Republican, Split |
| Number of childhood obesity-related bills enacted, by state, 2008–2011 (% of Bills Introduced) | Number of childhood obesity-related bills enacted, by state, 2008–2011; includes nutrition, physical activity, and obesity. | Count (% of all related bills introduced) | |
| ‘07–’08 School Nutrition Policies | Whether policies have been enacted or proposed regarding public school nutrition. | Enacted, proposed, none | |
| ‘07–’08 School PA/PE Policies | Whether policies have been enacted or proposed regarding public school physical activity/physical education. | ||
| 2012 Smoke-free public school Campus Policies | Whether policies have been enacted for smoke free public school campuses. | Yes, No | |
| Capacity | CTGc FUNDED | Whether CTG funding was received by an agency or organization in the CCCP jurisdiction. | Yes, No |
| CTG SCOPE | If CTG FUNDED=Yes, then the jurisdictional/geographic scope of the funding. | County, State, Tribe | |
| CPPWd FUNDED | Whether CPPW funding was received by an agency or organization in the CCCP jurisdiction. | Yes, No | |
| CPPW SCOPE | If CPPW FUNDED=Yes, then the jurisdictional/geographic scope of the funding. | City, Metro, County, State, Tribe | |
| Focus Arease | Systems Change Efforts | General PSE Approaches | “Yes” if it is an area of focus for grantee (as of Sept 2012) |
| Tobacco Control | Primary prevention | ||
| Nutrition | |||
| Physical Activity | |||
| Vaccination | |||
| Sun Safety | |||
| Built Environment | |||
| Radon | |||
| Breast Cancer Screening | Secondary prevention | ||
| Colorectal Cancer Screening | |||
| Patient Navigation | |||
| Worksite Wellness | |||
| Survivorship | Tertiary prevention | ||
| Demographicsf | % Non-Metropolitan | % Rural (% non-Metropolitan) | 0–100% |
| % in Poverty | % under 100% Federal Poverty Level | 0–100% | |
| Health Ranking of the Populationg | America’s Health Rankings | Ranking of each state (but not Cherokee Nation or other tribes/territories) based on the America’s Health Rankings composite health score. | 1–50 |
| Adults 50+ w/preventive screenings & services | The annual percentage of adults age 50 and older who receive recommended screenings and preventive services as an overall indicator. | 0–100% |
Data Source: Page 27 of the 2011 ASTHO report http://www.astho.org/Display/AssetDisplay.aspx?id=2882,
Data Sources: State political party in power: http://www.ncsl.org/documents/statevote/2010_Legis_and_State_post.pdf; CDC Chronic Disease Policy Database: http://apps.nccd.cdc.gov/CDPHPPolicySearch/Default.aspx; RWJ, 2009 report on NPAO policies by state http://www.rwjf.org/files/research/20090330ncsllegislationreport2009.pdf; OSH, http://apps.nccd.cdc.gov/statesystem -interactive data base on specific tobacco policies by state.
The Community Transformation Grant (CTG) program, funded from 2011–2014, helped communities design and carry out local programs to prevent chronic diseases such as obesity, diabetes, and heart disease. Grantees partnered with various sectors of the community to plan and implement programs, using PSE approaches. https://www.cdc.gov/nccdphp/dch/programs/communitytransformation/index.htm
The Communities Putting Prevention to Work (CPPW) program, funded from 2010–2012, supported 50 communities working to reduce obesity and tobacco use. Strategies in this program were directed at the population-level and used PSE approaches. https://www.cdc.gov/nccdphp/dch/programs/communitiesputtingpreventiontowork/index.htm
Data Source: Policy, Systems, and Environmental Education Forum meeting materials, Sept 19–20, 2012, American Cancer Society,
Data Sources: America’s Health Rankings: A call to action for individuals and their communities. 2011 Edition. United Health Foundation, Minnetonka, MN. (Table 1, p. 16); County Rankings: http://www.countyhealthrankings.org/#app