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Jan 29 -- The National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) of the Centers for Disease Control and Prevention (CDC) invites public comment by March 1, 2021 regarding OMB approval of the National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living (CBS HEAL).
 
The Division of Nutrition, Physical Activity, and Obesity of the Centers for Disease Control and Prevention (CDC) requests an 24-month OMB approval for a new data collection for a second iteration of the National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living (CBS HEAL). Heart disease and cancer were the leading U.S. causes of death for both men and women in 2017, accounting for 44.3 percent of all deaths.  Millions of Americans live with chronic conditions; more than 93 million Americans have obesity  and over 30 million have type 2 diabetes. Poor nutrition and inadequate physical activity increase risk for chronic diseases including heart disease, cancer, type 2 diabetes, and obesity. However only one-half of adults meet the recommended amounts of physical activity and less than 1 in 10 adults consume enough vegetables.
 
Across the country, public health practitioners are working with communities to improve community levels supports for diet and physical activity. This includes three programs within CDC’s Division of Nutrition, Physical Activity, and Obesity:
•    High Obesity Program (HOP, CDC-RFA-DP18-1809)
•    Racial Ethnic Approaches to Community Health (REACH, CDC-RFA-DP18-1813)
•    State Physical Activity and Nutrition Programs (SPAN, CDC-RFA-DP18-1807)
Local governments can support healthy eating and active living. However, there is limited systematically collected information on the types of policies and practices of local governments that support healthy eating and active living.

In 2014, CDC conducted the first nationally representative CBS HEAL to address this gap. This survey documented the extent to which local communities were implementing strategies consistent with its program strategies and recommendations from expert groups, such as CDC and the Institute of Medicine (IOM) and the characteristics of communities who implement them. The current effort builds upon the 2014 study. CBS-HEAL II will update this information as well as document progress in changing these supports since 2014. Results from this new survey will be used to assess how strategies currently promoted in CDC and other public health programs have changed over time and what strategies are still not being implemented and may need additional support. Specifically it will be used to (1) document the current state and local progress on recommended strategies for communities from CDC and other expert bodies; (2) provide benchmark data for communities nationally; (3) provide participants information on how their community compares to other similar communities; and (4) provide researchers outside of the federal government a dataset to conduct their own analyses.
 
The questionnaire will be administered to a key informant representing each of the 4,417 sampled municipalities. The key informants (city or town managers or planners or persons with similar responsibilities for the sampled municipality) were identified as the individuals possessing the broadest knowledge of the healthy eating and active living policies and practices being implemented within the municipalities. The questionnaire was designed to allow for collaboration with other employees of the sampled municipality, should a respondent need additional information to provide the most accurate information.
 
Analyses of CBS-HEAL I data include: https://www.cdc.gov/pcd/issues/2016/16_0364.htm
https://pubmed.ncbi.nlm.nih.gov/30099046/  
https://www.cambridge.org/core/journals/public-health-nutrition/article/local-government-retail-incentives-for-healthier-food-retailers-in-the-usa-2014/87CDA50762007B7EC713576749A21192

CBS-HEAL II submission to OMB: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202101-0920-015 Click on IC List for survey forms, View Supporting Statement for technical documentation.
FR notice inviting comments: https://www.federalregister.gov/documents/2021/01/28/2021-01913/agency-forms-undergoing-paperwork-reduction-act-review
 
Point of contact:  Deborah Galuska, MPH, PhD, Associate Director of Science, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention 770-488-6017 dbg6@cdc.gov

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