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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Consolidated state political party control and the enactment of obesity-related policies in the United States
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Consolidated state political party control and the enactment of obesity-related policies in the United States

机译：合并国家政党控制和美国肥胖相关政策的颁布

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Abstract States play a key role in addressing obesity and its risk factors through policymaking, but there is variation in state activity nationally. The goal of this study was to examine whether the presence of a consolidated Democratic or Republican “trifecta” – when a state's governorship and both houses of the legislature are dominated by the same political party – or divided government (i.e., without a trifecta) is associated with obesity-related policy content and enactment. In 2016 and 2017, we gathered state bills and laws utilizing the CDC Chronic Disease State Policy Tracking System, and examined the association between state-level political party control and the enactment of state-level obesity-related policies in all states during 2009–2015. The three areas of interest included: policies specifically addressing obesity, nutrition, or physical activity in communities, schools, or workplaces using a public health framework; neutral policies, such as creating government task forces; and policies that employed a business-interest framework (e.g., Commonsense Consumption Acts that prohibit consumer lawsuits against restaurant establishments). Using divided governments as the reference group, we found that states with Democratic trifectas enacted significantly more laws, and more laws with a public health framework. Republican trifecta states enacted more laws related to physical activity, and in some states like Texas, Republican trifectas were exceptionally active in passing policies with a public health framework. States with Republican trifectas enacted a statistically similar amount of laws as states with divided governments. These findings suggest promise across states for obesity-related public health policymaking under a variety of political regimes. Highlights ? There is variation in state public health policymaking nationally. ? States play a key role in addressing obesity and its risk factors through policy. ? State political party control is associated with enactment of obesity-related laws. ? Certain policies are more likely under different political regimes.
机译：摘要各国通过政策制定解决肥胖症及其风险因素的关键作用，但国家活动的变化全国。本研究的目标是审查是否存在综合民主或共和党“三转派” - 当国家的州长和立法机关的两个房屋都是由同一个政党或分割政府（即没有三十二份）的主导与肥胖相关的政策内容和制定相关。 2016年和2017年，我们收集了利用CDC慢性疾病国家政策跟踪系统的国家账单和法律，并在2009 - 2015年期间审查了国家级政党控制与国家级肥胖相关政策的协会。其中三个感兴趣的领域：政策专门针对使用公共卫生框架的社区，学校或工作场所的肥胖，营养或体育活动;中立政策，例如创建政府工作队;聘用了业务利益框架的政策（例如，禁止消费者诉讼的致法性消费行为）。使用划分的政府作为参考组，我们发现具有民主三叶草的国家颁布了更多的法律，以及具有公共卫生框架的更多法律。共和党三方面国家制定了更多与体育活动的法律，在德克萨斯州的一些国家，共和党三方面在与公共卫生框架中通过政策时异常活跃。与共和党三方体的国家颁布了统计上类似的法律，作为分民政府的国家。这些调查结果建议在各种政治制度下对各国进行肥胖相关的公共卫生决策。强调 ？国家公共卫生政策制定的各种国家。还各国通过政策解决肥胖症及其风险因素来发挥关键作用。还国家政党控制与肥胖相关法律的制定有关。还在不同的政治制度下，某些政策更有可能。

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