Journal
AMERICAN JOURNAL OF PUBLIC HEALTH
Volume 105, Issue -, Pages S217-S222Publisher
AMER PUBLIC HEALTH ASSOC INC
DOI: 10.2105/AJPH.2014.302077
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Funding
- New York Academy of Medicine
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Objectives. We assessed how systems science methodologies might be used to bridge resource gaps at local health departments (LHDs) so that they might better implement evidence-based decision-making (EBDM) to address population health challenges. Methods. We used the New York Academy of Medicine Cardiovascular Health Simulation Model to evaluate the results of a hypothetical program that would reduce the proportion of people smoking, eating fewer than 5 fruits and vegetables per day, being physically active less than 150 minutes per week, and who had a body mass index (BMI) of 25 kg/m(2) or greater. We used survey data from the Behavioral Risk Factor Surveillance System to evaluate health outcomes and validate simulation results. Results. Smoking rates and the proportion of the population with a BMI of 25 kg/m 2 or greater would have decreased significantly with implementation of the hypothetical program (P < .001). Two areas would have experienced a statistically significant reduction in the local population with diabetes between 2007 and 2027 (P < .05). Conclusions. The use of systems science methodologies might be a novel and efficient way to systematically address a number of EBDM adoption barriers at LHDs.
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