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Community Assets to Support Healthy Eating

This symposium explores the connection between health and wealth, highlighting the importance of community assets and support for healthy eating. It discusses the impact of behavior, environment, and exposures on health and safety, and emphasizes the need for comprehensive prevention strategies focused on the community environment. The symposium also addresses the role of medical care, genetics, and factors influencing health, and examines the return on investment with prevention. It looks at the quality of prevention efforts and emphasizes the need for changes in norms to make healthy choices easier. The symposium also highlights the inequities in medical care and the importance of addressing social determinants of health. It explores the elements of community health, including place, equitable opportunity, and the role of people in creating a healthy community. The symposium showcases examples of successful initiatives, such as Complete Streets in Oakland, CA, and Healthy Food Retail and Access in Rochester, NY.

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Community Assets to Support Healthy Eating

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  1. Community Assets to Support Healthy Eating Health-Wealth Connection Symposium June 23, 2010 “A Holistic View of Assets: Family, Community, Equity” Leslie MikkelsenManaging Director www.preventioninstitute.org

  2. What’s Health Got To Do With It?

  3. Photo Courtesy of: http://www.chrisstroud.net/blog/fremont-union-city-farmers-markets/

  4. Photo Courtesy of Google Images

  5. Photo Courtesy of: Don Dommer Associates at http://www.flickr.com/photos/dondommerassociates/3254703816/

  6. BEHAVIOR BEHAVIOR ENVIRONMENT EXPOSURES HEALTH & SAFETY

  7. It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change. ” Institute of Medicine

  8. Current Health Care Spending $2.2 Trillion Behaviors & Environment Genetics Medical Care 70% 20% 10% Factors InfluencingHealth National Health Expenditures SOURCE: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000

  9. Current Health Care Spending $2.2 Trillion Behaviors & Environment 70% Genetics 20% Medical Care, 10% Factors InfluencingHealth National Health Expenditures SOURCE: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000

  10. Current Health Care Spending $2.2 Trillion Prevention, 4% Behaviors & Environment 70% Medical Services 96% Genetics 20% Medical Care, 10% Factors InfluencingHealth National Health Expenditures SOURCE: Centers for Disease Control and Prevention, Blue Sky Initiative, University of California at San Francisco, Institute of the Future, 2000

  11. Return on Investment with Prevention Savings at 5 years $16 Billion Annual Savings In 5 Years $5.60 Return on Investment $1 Investment SOURCE: Prevention for A Healthy America: Investments in Disease Prevention Yield Significant Savings, Stronger Communities, Trust for America’s Health, July 2008

  12. QUALITY Prevention is the Prescription • Comprehensive • Aimed at the community environment • Changes norms: makes the healthy choice the easy choice

  13. TwoSteps to Prevention Medical Care Exposures & Behaviors Environment

  14. Source: Actual Causes of Deaths in the US, 2000, Centers for Disease Control and Prevention, 2004

  15. Medical care, costs, and inequities Heart Disease Cancer Stroke Diabetes Injuries & Violence Leading Causes of Death

  16. Photo courtesy of http://tycohealth-ece.com/files/d0003/ty_rn33d7.jpg

  17. Medical Care Alone Cannot Reduce Injuries and Inequities • Not the primary determinant of health • Treats one person at a time • Often comes late; can’t always restore health

  18. Let’s take a step... Medical Care Exposures & Behaviors

  19. Let’s take another step... Exposures & Behaviors Environment

  20. VS. What’s Sold and Promoted Industry Low-Wealth High-Wealth Group Neighborhood Neighborhood Supermarkets 7 27 26 24 35 11 Carry-out eating places Bars/Taverns SOURCE: Morland K, Wing S, Diez Roux A, Poole C. Neighborhood characteristics associated with the location of food stores and food service places. Am J Prev Med. 2002;22:23-9.

  21. VS. What’s Sold and Promoted Industry Low-Wealth High-Wealth Group Neighborhood Neighborhood Supermarkets 7 27 26 24 35 11 Carry-out eating places Bars/Taverns SOURCE: Morland K, Wing S, Diez Roux A, Poole C. Neighborhood characteristics associated with the location of food stores and food service places. Am J Prev Med. 2002;22:23-9.

  22. Elements of Community Health PLACE • What’s sold & how it’s promoted

  23. Elements of Community Health EQUITABLE OPPORTUNITY • Racial justice • Jobs & local ownership • Education PLACE • What’s sold & how it’s promoted • Look, feel & safety • Parks & open space • Getting around • Housing • Air, water, soil • Arts & culture PEOPLE • Social networks & trust • Participation & willingness to act for the common good • Acceptable behaviors & attitudes

  24. Elements of Community Health EQUITABLE OPPORTUNITY MEDICAL SERVICES • Preventative services • Access • Treatment quality, disease management, in-patient services, & alternative medicine • Cultural competence • Emergency response • Racial justice • Jobs & local ownership • Education PLACE • What’s sold & how it’s promoted • Look, feel & safety • Parks & open space • Getting around • Housing • Air, water, soil • Arts & culture PEOPLE • Social networks & trust • Participation & willingness to act for the common good • Acceptable behaviors & attitudes

  25. Complete Streets Oakland, CA

  26. Healthy Food Retail and Access Rochester, NY Source: Partners Through Food

  27. Increasing Access to Healthy Food Upper Falls Community: Rochester, New York “Life was there again. It transformed the neighborhood.” Hank Herrera, President/CEO Center for Popular Research Education and Policy

  28. Fresh Food Financing

  29. Alameda County CCNI West Oakland – Hoover District

  30. Alameda County CCNI Photo courtesy of: http://www.acphd.org/healthequity/ccni/docs/youth/SP_keeping_it_real_final_rpt.pdf Sobrante Park

  31. Focus on Safety “Violence is not the problem of one neighborhood or group…Coming together and owning this problem and the solutions are central.” -Dr. Deborah Prothrow-Stith, Harvard School of Public Health, UNITY Co-Chair

  32. Health Reform Legislation • Community Transformation Grants • Prevention and Wellness Fund • Health Empowerment Zones • Workforce training in community prevention • National strategy and inter-agency efforts

  33. Federal Funding: Other Opportunities • Stimulus (ARRA) • Health Equity and Accountability Act of 2009 (H.R. 3090) • Transportation Reauthorization • Child Nutrition Reauthorization • Preventing violence • The next Farm Bill

  34. “It wouldn't have happened except for the fact that people worked to make it happen. Every time I go by that corner, I remember people saying ‘Face reality. There will never be a grocery store there,’ and I smile.” - Hank Herrera President/CEO, Center for Popular Research, Education, and Policy

  35. TOOLS www.preventioninstitute.org www.eatbettermovemore.org

  36. THRIVETool for Health and Resilience In Vulnerable Environments http://preventioninstitute.org/thrive/index.php

  37. ENACT Environmental Nutrition & ActivityCommunity Tool www.eatbettermovemore.org

  38. www.preventioninstitute.org • 221 Oak Street Oakland, California 94607 phone: 510-444-7738 fax: 510-663-1280

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