How Far Have We Come in Reducing Health Disparities? Progress Since 2000: Workshop Summary (2012) / Chapter Skim
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5 Promising Practices in Addressing Social Determinants: Obesity Prevention
5 Promising Practices in Addressing Social Determinants: Obesity Prevention
Pages 53-68
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. THE PRESIDENT'S TASK FORCE ON CHILDHOOD OBESITY Susan Sher is an assistant to the president and chief of staff for First Lady Michelle Obama.
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Sher noted that the obesity problem has reached "epidemic proportions." Let's Move In response to the obesity epidemic, Sher highlighted First Lady Michelle Obama's Let's Move campaign to solve the problem of childhood obesity. As a mother struggling to balance a healthy lifestyle with her family's hectic schedule, Mrs.
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The program establishes rigorous standards for school food quality, meal programs, physical activity, and nutritional education. The third pillar is "increasing access to healthy, affordable foods." An important component of this pillar is the establishment of a new program, the Healthy Food Financing Initiative.
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Recommendations relevant to the third pillar, access to healthy and affordable food, will include a focus on the elimination of food deserts. Food pricing, particularly the relative pricing for healthy and unhealthy foods, will be considered.
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Several other programs are related to the Obama administration's efforts to reduce childhood obesity. The first program is the White House Task Force described earlier, which establishes an interagency task force on childhood obesity with the Department of Health and Human Services (HHS)
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Her work focuses on understanding community factors that affect health disparities and identifies practice and policy changes needed to improve individual, family, and community health. Thompson began her comments by noting the shared focus of her work with First Lady Michelle Obama's Let's Move initiative described by Susan Sher.
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. SOURCE: Data retrieved from the Child and Adolescent Health Measurement Initiative, 2007 National Surveys of Children's Health, Data Resource Center for Child and Adolescent Health website (www.nschdata.org [accessed May 26, 2009]
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Kresge Foundation, Kaiser Permanente, the Nemours Foundation, The California Endowment, the Kellogg Foundation, and CDC, all of which are working to create healthy people in healthy places. This partnership, administered by PolicyLink in partnership with the Prevention Institute, seeks to support regional and national efforts to reduce obesity by focusing on creating healthy environments, both the food environment and the physical environment (www.convergencepartnership.org)
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The educational environment should be changed to improve children's health, Thompson said. Low-Income Communities of Communities Opportunity Good Health Status • Parks • Fast Food Restaurants • Grocery Stores • Liquor Stores • Financial Institutions • Unsafe/Limited Parks • Better-Performing • Poor-Performing Poor Health Status Schools Schools • Good Public • Increased Pollution and Contributes to health disparities: Transportation Toxic Waste Sites •Obesity • Limited Public •Diabetes Transportation •Asthma •Infant mortality FIGURE 5-3 Communities of opportunity versus low-income communities.
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Additionally, access to fresh, healthy foods is critical to battling obesity. As mentioned earlier by Sher, one federal effort to increase access to fruits and vegetables is based on the Fresh Food Financing Initiative, a successful statewide model in Pennsylvania.
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to place moratoriums on the number of new fast food restaurants in communities that are already filled with fast food choices. THE CALIFORNIA ENDOWMENT'S BUILDING HEALTHY COMMUNITIES INITIATIVE Mary Lou Fulton is program officer for The California Endowment's (TCE's)
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BOX 5-2 The California Endowment's Building Healthy Communities Initiative Ten Outcomes and Four Big Results Ten outcomes • All children have health coverage • Families have access to a "health home" that supports healthy behaviors • Health and family-focused human services shift resources toward prevention • esidents live in communities with health-promoting land use, transportation, R and community • Children and families are safe from violence in their homes and neighborhoods • Communities support healthy youth development • eighborhood and school environments support improved health and healthy N behaviors • Community health improvements are linked to economic development • Health gaps for boys and young men of color are narrowed • California has a shared vision of community health Four big results (indicators of achievement) • Provide a "health home" for all children • Reverse the childhood obesity epidemic • Increase school attendance • Reduce youth violence SOURCE: http://calendow.org/healthycommunities and http://MidCityCAN.org.
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The Building Healthy Communities Initiative began in City Heights, Ross described, with Mid-City CAN convening a public community forum that was attended by about 300 residents and nonprofits. Next, the MidCity CAN Coordinating Council called for residents to submit their names for the Resident Selection Committee.
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Two lenses were used during the prioritization process: the lens of data and the lens of the importance of early wins. City Heights residents believed that it was critical that any strategies arising from the priority setting in particular or from the Building Healthy Communities Initiative in general should directly affect the City Heights community in the form of real, tangible changes.
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This initiative has now expanded to Detroit, Michigan, and New York City as well, with the Obama administration trying to take it to the national level with the Healthy Food Financing Initiative. Mary Lou Fulton of TCE explained that it is critical to focus funding on both place and policy.
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2004. Pennsylvania Fresh Food Financing Initiative: Encouraging the Devel opment of Food Retail in Underserved Pennsylvania Communities.
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