Cross-Sector Responses to Obesity Models for Change: Workshop Summary (2015) / Chapter Skim
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2 Health Equity
2 Health Equity
Pages 9-18
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From page 9... ...
• An explicit focus on the issue of health equity when drafting policy, practicing solutions, and developing research agendas and policy options can help organizations make progress on the issue. • Programs that involve people from the community in decision making roles have the most impact in achieving their goals.
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From page 10... ...
In low-income communities, many schools do not even offer advanced placement classes. Thus, when students get As in their courses, they think they are ready for college, but they later real Communities of Low-Income Opportunity Communities Good Health • Parks Status • Fast-Food Restaurants • Grocery Stores • Liquor Stores • Financial InsƟtuƟons • Unsafe/Limited Parks • BeƩer-Performing • Poor-Performing Schools Schools • Toxic Waste Sites • Good Public Transit Poor Health • Limited Public Status TransportaƟon Contributes to • Increased Crime health disparities: • Obesity • Diabetes • Asthma • Increased injury FIGURE 2-1 For communities, an abundance or lack of opportunities and income plays a direct role in influencing health outcomes.
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Department of Education program that intends to improve educational outcomes for students in distressed urban, rural, and tribal communities. The program funds nonprofit organizations and higher education institutions to design comprehensive community programs and "cradle-to-career" services.
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If the future workforce lacks the education needed for the available jobs, the result will be poor economic outcomes not only for people with low educational attainment but also for businesses and employers that lack adequately skilled workers, she noted. PolicyLink has been studying institutions and organizations across the United States that are working on issues of health equity, asking about their work, their funding, their outcomes, and their partners.
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Reprinted with permission from the Georgetown Center on Education and the Workforce. R02812 Figure 2-2 vector editable
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From page 14... ...
• What opportunities are you creating to have community members actively participate? Expanding on this final area as an example of how to move forward, Thompson noted that consensus exists on the value of community engagement, but the challenge lies in engaging communities in a substantive way.
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"All involvement is not equal," Thompson said. However, community engagement also requires capacity building, so that community members will have the skills and the opportunities to understand the need to focus on racial and economic equity.
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These conversations provide encouragement and can result in referrals to such activities as Zumba classes, yoga, hiking clubs, and other community resources. Most important, Thompson noted that a 2014 study found that asking patients about their exercise habits was associated with modest weight loss in overweight patients and some improved glucose control among diabetics (Grant et al., 2014)
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From page 17... ...
These steps included • adopting new physical education curricula to improve the quality of physical education classes; • implementing teacher training to maximize adherence to state standards; • adopting physical activity standards in after-school programs to improve the quality and quantity of physical activity; • advocating for park development, maintenance, or improvement, thus creating safe and appealing spaces for physical activity; and • instituting pedestrian safety improvements -- installing traffic sig nals, employing crossing guards, establishing walking clubs, and creating safe walking paths between residential areas and schools -- to encourage walking to and from school in all sites under the Healthy Eating, Active Communities program in California. "We saw major changes happen as a result of these strategies that were put in place across the state of California," Thompson said.
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From page 18... ...
Furthermore, success requires humility: if we all acknowledge that we do not know everything and are open to continuously learning, everyone benefits. When a community says a particular approach is not working, programs need to be willing and able to adjust.
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