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Community health assessment and improved public health decision-making: A propensity score matching approach

Author

Listed:
  • Rabarison, K.M.
  • Timsina, L.
  • Mays, G.P.

Abstract

Objectives. We analyzed the likelihood of chronic disease prevention activities delivery, as a proxy measure of public health decision-making and actions, given that local health agencies (LHAs) implemented a community health assessment and improvement plan in their communities. Methods. Using a propensity score matching approach, we linked data from the 2010 National Association of County and City Health Officials profile of LHAs and the 2010 County Health Rankings to create a statistically matched sample of implementation and comparison LHAs. Implementation LHAs were those that implemented a community health assessment and improvement plan. We estimated the odds of chronic disease prevention activities delivery and the average treatment effect on the treated. Results. Implementation group LHAs were 2 times as likely (95% confidence interval = 1.60, 2.64) to deliver population-based chronic disease prevention programs than comparison group LHAs. Furthermore, chronic disease prevention activities were more likely to be delivered among implementation group LHAs (6.50-19.02 percentage points higher) than in comparison group LHAs. Conclusions. Our results signal that routine implementation of a community health assessment and improvement plan in LHAs leads to improved public health decision-making and actions.

Suggested Citation

  • Rabarison, K.M. & Timsina, L. & Mays, G.P., 2015. "Community health assessment and improved public health decision-making: A propensity score matching approach," American Journal of Public Health, American Public Health Association, vol. 105(12), pages 2526-2533.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302795_6
    DOI: 10.2105/AJPH.2015.302795
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