As a companion to the online course titled Partnering4Health: Approaches to Sustaining Healthy Communities, SOPHE has developed a toolkit to provide guidance and resources for those who seek to carry out the sustainability activities described in the course. Whereas the online course provides guidance about the steps that can be taken to ensure sustainability, the toolkit provides the tools and resources that can help public health professionals and educators, community-based organizations, and community members who are passionate about improving the health of their communities to take those steps toward sustaining healthy communities.
From the Ballot Box to the Grocery Store, Nielsen’s fifth report on the Latino consumer in the annual Diverse Intelligence Series, shows that Hispanic power and influence is surging.
PRESENTATION DESCRIPTION DRAWING THE IMPOSSIBLE MAP ONE APPROACH TO CREATE A SIDEWALK INVENTORY IN UTAH – Working with partners to develop a sidewalk inventory was much more complicated than originally conceived. Rather than flipping a switch, identifying an overall sidewalk network required multiple approaches to collect data into a regional map, as well as building relationships with key people to make the map mean something to all users. Both challenges and approaches to develop this network map will be discussed, as well as where this map leads the Utah Department of Health and its partners in future projects. USING THE GEORGIA TECH SIDEWALK QUALITY AND SAFETY ASSESSMENT SYSTEM TO INVENTORY AND MANAGE COMMUNITY SIDEWALK ASSETS – An accessible pedestrian environment, characterized by well-maintained sidewalks and curb ramps, helps ensure the safety and comfort of pedestrians of all abilities. However, prioritizing annual sidewalk repairs in a constrained budget is especially difficult for communities that have a significant repair backlog. The absence of comprehensive and transparent sidewalk asset management plans also make sidewalk prioritization difficult for local agencies. Over the last several years, researchers from the Georgia Institute of Technology have been developing the Sidewalk Quality and Safety Assessment System (SQSA) that communities can use to inventory, assess, prioritize, and manage sidewalk improvements. Georgia Tech researchers will present on the SQSA and how the tools that comprise this system have helped communities strategically manage and improve their sidewalk assets. The presentation will begin with a brief overview of the requirements in the Americans with Disabilities Act that pertain to sidewalks. Next it will showcase the capabilities of the SQSA tools•Sidewalk Scout A crowdsourcing smartphone app used by agencies and the public to report sidewalk problems. The app allows users to submit a picture and a detailed description of a sidewalk problem and automatically geotags the location of the report.•Sidewalk Sentry A tablet application used to inventory sidewalks and assess sidewalk quality. A smart tablet attached to a basic wheelchair collects and geocodes sidewalk attribute and quality data.•The Sidewalk Quality Index A prioritization and programming tool. An online survey gathers input from the community on their preferences for sidewalk investment, which is utilized as part of a locally-responsive sidewalk rating and ranking system.Finally, the presentation will provide an example of how the SQSA has been successfully utilized for sidewalk asset management and planning in East Point, GA.
PRESENTATION DESCRIPTION – EPA’s Office of Sustainable Communities provides smart growth strategies to help communities grow in ways that expand economic opportunity while protecting human health and the environment. EPA’s Smart School Siting Tool was developed to help local government and school agencies work together to make better-informed decisions about school siting or renovation by considering established community goals. The Smart School Siting Tool emphasizes •Choosing school locations that provide safe routes to school, foster active lifestyles, and promote community health;•Coordinating school planning processes with local government land use planning priorities to use taxpayer dollars more efficiently; and•Siting schools close to existing neighborhoods and infrastructure (e.g., water, sewer, sidewalks, walking and bike paths, and public transit) to make efficient use of past infrastructure investments and improve safe and active transportation options. A school that’s safe and easy for students, teachers, parents, and other community members to reach on foot or by bicycle encourages physical activity and reduces air pollution from automobile use. Students who walk or bike to school achieve a portion of their suggested daily physical activity requirements during their commute. Neighborhood schools that have joint use agreements for their gyms and playgrounds can provide more options for children’s physical activity after school hours and on weekends. EPA’s Smart School Siting Tool enables communities to evaluate the environmental and public health risks and benefits of potential locations as part of a holistic school siting process. It also demonstrates how well-located schools can encourage students, families, faculty and staff to engage in active transportation and healthy living. The University of Arizona Nutrition Network (UANN), in partnership with the Arizona Department of Health Services (ADHS), has implemented the Active School Neighborhood Checklist (ASNC) project over the past two years. The ASNC is a tool for assessing the walkability, bikeability, and safety of school site and was co-created by the ADHS and the Arizona Department of Transporation – Safe Routes to School Program. In Phase I of the project, the UANN assessed 10 Title I elementary schools the Sunnyside Unified School District (SUSD) of Tucson, AZ. In Phase II, in partnership with a local non-profit The Living Streets Alliance, two of the SUSD schools assessed will be chosen to receive walking and biking maps to use with their school community. Schools will be selected by their ASNC score as well as by a myriad of other local factors such as planned infrastructure improvements, strength of parent involvement in the school/school health advisory council, distance from bicycle boulevards, and future Cyclovia route locations, etc.
The Safe Routes to School National Partnership is a nonprofit organization that improves quality of life for kids and communities by promoting healthy living, safe infrastructure, and physical activity, starting with bicycling and walking to school and beyond. We advance policy change; catalyze support with a network of more than 750 partner organizations, as well as schools, policy makers, and grassroots supporters; and we share our deep expertise at national, state and local levels with those helping propel our mission.
This report, part of the Gallup-Healthways State of American Well-Being series, examines the active living environment within 48 medium- to large-size metro communities across the U.S. and the associated impact on various aspects of residents’ well-being. Our research shows that active living environments—those communities that invest in bike paths, parks, walkability and public transit—have residents who have better outcomes in key aspects of well-being. Across the communities that we studied nationwide, residents in the five highest active living communities have, on average, significantly lower rates of smoking, obesity, diabetes, high blood pressure, high cholesterol and depression; and significantly higher rates of exercise, healthy eating, fresh produce consumption, and those thriving in physical well-being as compared to residents in communities with low activeliving infrastructure.
Childhood obesity has more than doubled in children and tripled in adolescents in the past 30 years. Diets high in calories, fat and sugars are contributing to this epidemic. Most of the food and beverages marketed to youth is unhealthy. Marketing is effective, influencing what children and adolescents want to eat and drink. Here is information to help get you started to combat the advertising efforts of the food and beverage industry, organizations and individuals can take action.
In many urban and rural communities, corner stores, convenience stores, bodegas and gas stations are the only nearby places to buy food. But small food stores commonly sell highly processed foods that are high in fat and low in nutrients. For that reason, health advocates across the country are encouraging corner store operators to sell healthier foods, such as fresh fruits and vegetables.This toolkit developed by American Heart Association includes a comprehensive guide, fact sheets, and promotional materials.
Healthy food financing initiatives attract investment in underserved communities by providing criticalloan and grant financing. These resources help healthy food retailers overcome the higher initial barriersto entry into underserved, low-income urban and rural communities, and support renovation andexpansion of existing stores so they can provide the healthy foods that communities want and need.This toolkit developed by American Heart Association on healthy food financing includes a comprehensive guide, fact sheets, promotional materials and more.
Because children and adolescents can consume up to 50 percent of their daily calories at school, it is important to ensure that all schools offer nutritious options to our children. This toolkit developed by American Heart Association on competitive foods includes a comprehensive guide, fact sheets, and promotional materials.
Obesity and chronic diseases are public health concerns that can be addressed by increasing access to healthy food outlets. Farmers markets are a potential strategy to increase access to nutrient dense foods in communities. This webinar will define farmers markets in the context of public health, discuss how to conduct a farmers market audit, and explore findings and recommend strategies for farmers markets to serve as a food outlet that increases healthy food access.
In 1985, the United States Department of Health and Human Services (HHS) released a landmark report, the Secretarys Task Force Report on Black and Minority Health (Heckler Report). It documented the existence of health disparities among racial and ethnic minorities in the United States and called such disparities an affront both to our ideals and to the ongoing genius of American medicine.
The Community Preventive Services Task Force recommends the implementation and maintenance of school-based health centers (SBHCs) in low-income communities, based on sufficient evidence of effectiveness in improving educational and health outcomes.
Although African American families are at particular riskfor obesity and its associated health comorbidities, fewinterventions have directly targeted low-income membersof this group living in subsidized public housing. Using a consensual qualitative research approach, we conducted11 interviews with African American mothers living intwo public housing communities to enhance understandingof their perceived barriers and facilitators to health.Five primary domains emerged, including barriers(access, financial, personal, and neighborhood concerns),resources (personal and community), current behaviors(diet, physical activity, and program participation), definition of health (mental well-being, physical well-being, and health behaviors), and needs/interests in programming (health behavior-specific programs, non–health related programs, child-focused programming, and qualities of programs and their leaders). Results demonstrate the complex interaction among social, environmental, and personal factors on health behaviors for this priority population, and highlight the need for community members’ involvement in the development of community- based obesity prevention programming.
Pregnancy is an opportune time to initiate diabetes prevention strategies for minority and underserved women, using culturally tailored interventions delivered by community health workers. A community-partnered randomized controlled trial (RCT) with pregnant Latino women resulted in significantly improved vegetable, fiber, added sugar, and total fat consumption compared to a minimal intervention group. However, studying RCT intervention effects alone does not explain the mechanisms by which the intervention was successful or help identify which participants may have benefitted most. Purpose. To improve the development and targeting of future community health worker interventions for high-risk pregnant women, we examined baseline characteristics (moderators) and potential mechanisms (mediators) associated with these dietary changes. Method. Secondary analysis of data for 220 Latina RCT participants was conducted. A linear regression with effects for intervention group, moderator, and interaction between intervention group and moderator was used to test each hypothesized moderator of dietary changes. Sobel–Goodman mediation test was used to assess mediating effects on dietary outcomes. Results. Results varied by dietary outcome. Improvements in vegetable consumption were greatest for women who reported high spousal support at baseline. Women younger than age 30 were more likely to reduce added sugar consumption than older women. Participants who reported higher baseline perceived control were more likely to reduce fat consumption. No examined mediators were significantly associated with intervention effects. Conclusion. Future interventions with pregnant Latinas may benefit from tailoring dietary goals to consider age, level of spousal support, and perceived control to eat healthy.
This comprehensive toolkit is intended for anyone interested in building healthier communities through more collaborative and efficient policymaking, and includes best practices and lessons learned from community leaders who are doing exactly that.
To advance research and practice in the context of race and ethnicity in food systems work, JAFSCDsought commentaries this summer from activists of color, leaders, consultants, white advocates and projectpartners, nonprofit organization staff and board members, public agency staff, and academics (scholars,students, and program staff). In this issue we offer 24 thoughtful and challenging commentaries spanning awide range of communities Native peoples, migrant workers, African Americans, and exploited ethnicgroups, to name a few. The authors speak of the misperceptions, stereotypes, and misunderstandings thathappen when well-meaning folks arrive in their communities with ready-made tools, strategies, andprograms—many under the guise of empowerment.
Action Learning Collaboratives (ALCs), whereby teamsapply quality improvement (QI) tools and methods,have successfully improved patient care delivery andoutcomes. We adapted and tested the ALC model as acommunity-based obesity prevention interventionfocused on physical activity and healthy eating.Method. The intervention used QI tools (e.g., progressmonitoring) and team-based activities and was implementedin three communities through nine monthlymeetings. To assess process and outcomes, we used alongitudinal repeated-measures and mixed-methodstriangulation approach with a quasi-experimentaldesign including objective measures at three timepoints. Results. Most of the 97 participants were female(85.4%), White (93.8%), and non-Hispanic/Latino(95.9%). Average age was 52 years; 28.0% had annualhousehold income of $20,000 or less; and mean bodymass index was 35. Through mixed-effects models, wefound some physical activity outcomes improved.Other outcomes did not significantly change. Althoughparticipants favorably viewed the QI tools, componentsof the QI process such as sharing goals and data onprogress in teams and during meetings were limited.Participants’ requests for more education or activitiesaround physical activity and healthy eating, ratherthan progress monitoring and data sharing required forQI activities, challenged ALC model implementation.Conclusions. An ALC model for community-based obesityprevention may be more effective when applied topreexisting teams in community-based organizations.
CHSI 2015 is an interactive web application that produces health profiles for all 3,143 counties in the United States. Each profile includes key indicators of health outcomes, which describe the population health status of a county and factors that have the potential to influence health outcomes, such as health care access and quality, health behaviors, social factors and the physical environment.
The Community Tool Box is a free, online resource for those working to build healthier communities and bring about social change. It offers thousands of pages of tips and tools for taking action in communities.Topics covered include community assessment, planning, intervention, evaluation, advocacy, and others. There are 46 Chapters that offer practical, step-by-step guidance in community-building skills as well as 16 toolkits which offer short outlines for key tasks.