Policy, systems, and environmental approaches for obesity prevention: a framework to inform local and state action.

Academic Article


  • The public health literature has not fully explored the complexities of the policy process as they relate to public health practice and obesity prevention. We conducted a review of the literature across the policy science and public health fields, distilled key theories of policy making, and developed a framework to inform policy, systems, and environmental change efforts on obesity prevention. Beginning with a conceptual description, we focus on understanding three domains of the policy process: the problem domain, the policy domain, and the political domain. We identify key activities in the policy process including the following: (a) assessing the social and political environment; (b) engaging, educating and collaborating with key individuals and groups; (c) identifying and framing the problem; (d) utilizing available evidence; (e) identifying policy solutions; and (f) building public support and political will. The article provides policy change resources and case studies to guide and support local and state efforts around obesity prevention.
  • Authors

  • Lyn, Rodney
  • Aytur, Semra
  • Davis, Tobey A
  • Eyler, Amy A
  • Evenson, Kelly R
  • Chriqui, Jamie F
  • Cradock, Angie L
  • Goins, Karin Valentine
  • Litt, Jill
  • Brownson, Ross C
  • Status

    Publication Date

  • 2013
  • Keywords

  • Environment Design
  • Health Education
  • Health Policy
  • Humans
  • Local Government
  • Obesity
  • Policy Making
  • Politics
  • State Government
  • United States
  • Digital Object Identifier (doi)

    Start Page

  • S23
  • End Page

  • S33
  • Volume

  • 19
  • Issue

  • 3 Suppl 1