south la healthy eating active communities initiative the built environment: environment and health...
TRANSCRIPT
South LA Healthy Eating Active South LA Healthy Eating Active Communities InitiativeCommunities Initiative
The Built Environment: Environment The Built Environment: Environment and Health Presentationand Health Presentation
October 18th, 2007
Jeremiah R. Garza, MA, MPH, CHES
Health Sector Project Coordinator
AgendaAgenda
• LA County and S. LA LA County and S. LA Obesity DataObesity Data
• S. LA HEAC & S. LA HEAC & sustainable community-sustainable community-based prevention based prevention activitiesactivities
• ResourcesResources
Prevalence of Obesity Among Adults in Prevalence of Obesity Among Adults in Los Angeles County, 1997-2005Los Angeles County, 1997-2005
14.3%16.7%
19.3%20.9%
0%
10%
20%
30%
40%
1997 1999 2002 2005
Year
Pre
va
len
ce
(%
)
Prevalence of Overweight Among Prevalence of Overweight Among Los Angeles County School Children Los Angeles County School Children
California Physical Fitness Testing 1999-2006California Physical Fitness Testing 1999-2006
18.9%20.4% 20.9%
22.2%23.3%
23.0%18.2%
0%
5%
10%
15%
20%
25%
30%
35%
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Ove
rwei
gh
t P
reva
len
ce
Healthy People 2010 Goal (<5%)
Prevalence of Overweight
Projected overweight prevalence assuming linear trend
Prevalence of Overweight Among Prevalence of Overweight Among Los Angeles County School Children by Race/Ethnicity,Los Angeles County School Children by Race/Ethnicity,
California Physical Fitness Testing 1999-2006California Physical Fitness Testing 1999-2006
13.1%
21.8%
12.2%
12.3%
27.5%
22.9%
16.7%
10.2%
0%
10%
20%
30%
40%
1999 2001 2002 2003 2004 2005 2006
Ove
rwei
gh
t P
reva
len
ce
White
Latino
African American
Asian
Prevalence of Childhood Overweight by Prevalence of Childhood Overweight by Health District, Los Angeles County, 2006Health District, Los Angeles County, 2006
Why are we concerned?Why are we concerned?
“I think we’re looking at a first generation of children who
may live less long than their parents as a result of the
consequences of overweight and type 2 diabetes.”
Francine Ratner Kaufman, MDHead, Division of Endocrinology & MetabolismChildren’s Hospital Los Angeles
South LA Healthy Eating Active South LA Healthy Eating Active Communities InitiativeCommunities Initiative
Funded by The California Endowment, March 2005Funded by The California Endowment, March 2005
Four-year statewide initiativeFour-year statewide initiative
Collaboration between:Collaboration between:
•HEAC is designed to demonstrate that working collaboratively can help change environmental risk factors.
Connecting the Connecting the dots…dots…
South LA Healthy Eating Active South LA Healthy Eating Active Communities InitiativeCommunities Initiative
9000790007 9001190011
Neighborhood Survey DataNeighborhood Survey Data
Number of Fast Food Restaurants in a few Low-Income California Cities
McDonalds Burger King
KFC Taco Bell Total
South LA (with in 5 miles of zip code: 90007)
50 25 23 21 119
Neighborhood Survey: Spring 2006 & Spring 2008 Neighborhood Survey: Spring 2006 & Spring 2008 (20-minute survey w/ 122 parents/legal guardians)(20-minute survey w/ 122 parents/legal guardians)
Lack of access to healthy food – 69%
Not enough healthy food choices in restaurants – 68%
Not enough safe places for PA – 88%
Supermarkets in neighborhoods – 64%
Restaurants post calories – 71%Source: Fast Food Industry Brief prepared for Strategic Alliance
Community Engagement & Sustainable Community Engagement & Sustainable ActivitiesActivities
Youth Leadership Development: Youth Leadership Development: “Where do I get my 5-A-Day?”“Where do I get my 5-A-Day?”
Community Engagement & Sustainable Community Engagement & Sustainable ActivitiesActivities
Youth Leadership Development: Youth Leadership Development: “Where do I get my 5-A-Day?”“Where do I get my 5-A-Day?”
Community Engagement & Sustainable Community Engagement & Sustainable ActivitiesActivities
Mercado La Paloma: Mercado La Paloma: “Salud Con Sabor”“Salud Con Sabor”
• Build healthful & Build healthful & culturally culturally appropriate appropriate business practicebusiness practice
• Protect & Empower Protect & Empower customers (Trans-customers (Trans-Fat Free)Fat Free)
• New menus/menu New menus/menu boards kick-offboards kick-off
NYC Auntie Anne’sNYC Auntie Anne’s
Community Plan Update:Community Plan Update:
•Collaboration maximizes resources! Collaboration maximizes resources!
•Assessing OpportunitiesAssessing Opportunities
•Community Planning SchoolsCommunity Planning Schools
Community Engagement & Sustainable Community Engagement & Sustainable ActivitiesActivities
Helpful Internet ResourcesHelpful Internet Resources
• Health Assessment Unit,Health Assessment Unit, http://ladpublichealth.org/ha/http://ladpublichealth.org/ha/ • California Center for Physical Activity, California Center for Physical Activity,
http://www.caphysicalactivity.org/http://www.caphysicalactivity.org/
• California Nutrition Network Map Viewer, http://www.cnngis.org/California Nutrition Network Map Viewer, http://www.cnngis.org/
• The California Endowment, http://www.calendow.org/The California Endowment, http://www.calendow.org/
• Prevention Institute, Prevention Institute, http://www.preventioninstitute.org/builtenv.html#pdfshttp://www.preventioninstitute.org/builtenv.html#pdfs
• Local Government Commission, http://www.lgc.orgLocal Government Commission, http://www.lgc.org
• Public Health Institute, http://www.phi.org/index.htmlPublic Health Institute, http://www.phi.org/index.html
To Get Involved in S. LA, Contact:To Get Involved in S. LA, Contact:
Jeremiah R. Garza, MA, MPH, [email protected]
Pri De Silva, [email protected]
““It is unreasonable to It is unreasonable to expect that people will expect that people will change their behavior so change their behavior so easily when so many easily when so many forces in the social, forces in the social, cultural, and physical cultural, and physical environment conspire environment conspire against change”against change”
- Institute of Medicine- Institute of Medicine