Priority of activity-friendly community issues among key decision makers in Hawaii

Jay E. Maddock, Bill Reger-Nash, Katie Heinrich, Kevin M. Leyden, Thomas K. Bias

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Background: The U.S. Community Guide to Preventive Services strongly recommends changes in urban design, land use and accessibility to increase physical activity. To achieve these goals, policy change is often needed. This study assessed attitudes of decision makers in Hawaii to determine if physical activity related issues are among their priorities. Methods: State and county officials (n = 179) were mailed surveys. Respondents listed the three most important problems (open-ended) in Hawaii and rated the importance of 23 specified problems, of which six directly related to physical activity. Results: The survey was completed by 126 (70.4%) respondents. The most frequently mentioned categories for the open-ended questions were affordable housing, environment/sustainability, sprawl/traffic/population growth, and healthcare. Among the closed-ended physical activity related items, increasing traffic was ranked highest (43.9%) and fourth overall. Less than 12% of decision makers rated other physical activity issues as important. Conclusions: Future work is needed to increase the visibility and importance of physical activity related issues among policymakers.

Original languageEnglish (US)
Pages (from-to)386-390
Number of pages5
JournalJournal of Physical Activity and Health
Issue number3
StatePublished - May 2009


  • Elected officials
  • Legislation
  • Physical activity
  • Policy

ASJC Scopus subject areas

  • Medicine(all)


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