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Creating Equal Opportunities for a Healthy Weight. Shiriki Kumanyika, Chair, IOM Committee on Childhood Obesity Prevention. Question 1. What does “accelerating progress” mean when It comes to creating equal opportunities for a healthy weight?. How can equity be achieved?.

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Creating equal opportunities for a healthy weight

Creating Equal Opportunities for a Healthy Weight

  • Shiriki Kumanyika, Chair, IOM Committee on Childhood Obesity Prevention


Question 1
Question 1

  • What does “accelerating progress” mean when It comes to creating equal opportunities for a healthy weight?


How can equity be achieved
How can equity be achieved?

Population oriented approaches

Community engagement

Changing environments

Policies and policies

Reaching people



Meeting the challenge of achieving equity
Meeting the Challenge of Achieving Equity

  • Transform inequitable environments

    • Physical Activity

    • Food and Beverage

    • Message

  • Target Critical Settings

    • Schools

    • Worksites

    • Health Care


Figure 2. How health disparities are produced and reproduced across a life-time and generations, and possible points to intervene. Adapted from framework by Finn Diderichsen of the Karolinska Institute. From Paula Braveman, Preventing Chronic Diseases, July 2009


Environment reproduced across a life-time and generations, and possible points to intervene. Adapted from framework by Finn

size

Micro-environment Macro-environment

(settings) (sectors)

Food PA Food PA

Physical What is/isn’t available?

Economic What are the financial factors?

Policy What are the rules?

Socio-cultural What are the attitudes, beliefs,

perceptions values and practices?

Environment

type

ANGELO Framework(Analysis Grid for Environments Linked to Obesity)

Swinburn et al Prev Med 1999


What makes a community high risk
What makes a community “high-risk” reproduced across a life-time and generations, and possible points to intervene. Adapted from framework by Finn

Based on ANGELO –Analysis Grid for Environments Linked to Obesity

Swinburn et al, Preventive Medicine, 1999. From Yancey AK et al, Prev Chronic Dis. 2004 Jan;1(1):A09.


Available at www.aacorn.orghttp://www.aacorn.org/AbouComm-2517.html


Questions
Questions www.aacorn.orghttp://www.aacorn.org/AbouComm-2517.html

  • Which of the APOP recommendations are the most important for making progress in creating equal opportunities, and why?

  • How can implementation be tailored for maximum effectiveness?


Questions1
Questions www.aacorn.orghttp://www.aacorn.org/AbouComm-2517.html

  • What are possible gaps in the APOP recommendations?

  • What evidence, including qualitative data and stories, do we have to inform action?

    • Lumping or splitting?

  • What are some important next steps?


  • For more information on obesity prevention visit http www iom edu obesity
    For more information on obesity prevention, visit: www.aacorn.orghttp://www.aacorn.org/AbouComm-2517.htmlhttp://www.iom.edu/obesity

    Thank you!


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