Transcript Policy-making for Healthy and Active Communities

Presenter Disclosure Information
In compliance with the accrediting board policies,
the American Diabetes Association requires the
following disclosure to the participants:
NAME OF PRESENTER:
Mary Guzman, BS, RD, LD
Disclosed no conflict of interest
Obesity Prevention in Texas:
Policy and Environmental Change for
Diabetes Care and Control
6th Annual Diabetes Summit: Innovations and Quality
Care
April 3 & 4, 2009
Mary Guzman
Nutrition, Physical Activity & Obesity
Prevention Program
Texas Department of State Health Services
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Population Served by
DSHS Health Services
Regions
N Dakota
PHR 10
733,000
Vermont
PHR 01
791,000
PHR 02
546,000
Hawaii
PHR 03
5,929,000
PHR 04
1,043,000
Delaware
PHR 09
526,600
PHR 07
2,477,000
S Dakota
PHR 08
2,258,000
Wyoming
Indiana
Source: Center for Health Statistics, Population Estimates for Counties, 2003
PHR 06
5,200,500
Maryland
W Virginia
2006 Texas Population,
23,500,000
PHR 05
748,000
PHR 11
1,866,000
Mississippi
Nevada
Ten Fastest Growing States
2000-2007
Percent of Growth Due to
Each Ethnicity in Texas
2007
19,281,932
-23,904,380 total
-8,791,986 Latino/a
8,791,986
2040 (Projected)
- 34,433,790 total
-19,281,932 Latino/a
36.8%
Sources: U.S. Census Counts, and State Data Center Projection
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55.9%
Obese or Overweight Adults
1995-2007
Source: Centers for Disease Control, BRFSS
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Projected Increase in Number of
Obese* Adults in Texas, 2006-2040
16,000,000
14,656,539
14,000,000
12,000,000
9,407,802
10,000,000
Anglo
Black
8,000,000
Latino/a
6,000,000
Total
4,000,000
2,000,000
0
2006
2010
2020
2030
Source: Office of State Demographer, Moderate Projection
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2040
*BMI>=30
Obesity in Adults by Race/Ethnicity
2006
Source: Office of State Demographer, “Moderate” Projection
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2040
*BMI>=30
Obesity & Adult Latinos: Key
Findings
• Heavier
– 71.4% versus 62.9%
• Eat poorer quality diets
– 76.9% versus 73.4%
• Less physically active
– 55.7% versus 50.3%
• Higher risk for Diabetes
– 12.3% versus 8.5%
• Will be majority in all state areas
– MSA/Urban (triple)
– Rural (double)
• Will account for most of the projected changes in
obesity
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Social Ecological Model
Social Norms
and Values
 Home and Family
 Food and
Beverage Industry
 School
Sectors of
Influence
 Community
 Agriculture
 Education
 Work Site
 Media
 Healthcare
 Government
Behavioral
Settings
 Public Health
Systems
 Healthcare
Industry
 Genetics
 Psychosocial
Individual
Factors
 Other Personal
Factors
Food and
Beverage Intake
 Business and
Workers
Physical
Activity
Energy Intake
 Leisure and
Recreation
Energy Expenditure
Energy Balance
Prevention of Overweight and Obesity
Among Children, Adolescents, and Adults
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 Land Use and
Transportation
Note: Adapted from “Preventing Childhood
Obesity.” Institute of Medicine, 2005.
CDC Targets
• Increase
breastfeeding
initiation, duration,
and exclusivity
• Increase physical
activity
• Increase
consumption of
fruits and
vegetables
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Target Areas
• Decrease
consumption of
sugarsweetened
beverages
• Reduce
consumption of
high-energydense foods
• Decrease
television
viewing
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Healthy Eating
• Preserve farmland for local farmers
• Provide farmers with a reliable
market year round
• Help small farms create marketing
and business plans
• Provide grants, free marketing
opportunities in non-traditional sites
• Create grant programs, economic
incentives for construction &
renovation
• Develop affordable, available food
processing/kitchen space
• Provide refunds, discounts,
voucher/coupon systems using WIC,
food stamps & other programs
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Healthy Eating
•
•
•
•
Price reductions
Paying farmers for surplus produce
Providing coupons/discounts to low-income
Create economic stimulus programs & public/private
partnerships
• Developing land-use policies and joint-use agreements
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Active Living
• Establishing collaboration
between public/privatesector departments
• Supporting school
facilities & policies that
promote active living
• Improving streets, sidewalks & street-crossings
for safer routes to school
• Supporting safe, pedestrian-oriented
transportation
• Supporting land-use planning & development
that encourage active living
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Active Living
• Identifying & creating
funding sources for
active living initiatives
• Publicizing the
availability of active
living resources in the
community
• Supporting parks,
trails & recreation
facilities
• Creating tax and other
incentives to promote
active living in
workplaces,
communities and
households
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DSHS Obesity Prevention Funded Projects
1
El Paso
10
3 Dallas
4
2
Fort Worth/Pantego
9
7Austin
5
8
San Antonio
11
Brownsville
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Healthy Eating in Texas Communities:
Farmers’ Markets, Community Gardens
• Brownsville “Del
Campo a Su Mesa”
Farmers’ Market
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• San Antonio Food Bank
Community Garden
Healthy Eating in Texas: Hospitals,
Worksites
• The Baby Café - El Paso
Community
Breastfeeding Center
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• Family Connections,
Inc.
Austin Breastfeeding
Project
Healthy Eating in Texas: Worksites
• DSHS
•
•
•
•
Main Campus
Howard Lane
WIC Farmers Markets (summer)
Austin State Hospital
• Robert E. Johnson Building
•
•
•
•
State Auditor’s Office
Sunset Commission
Legislative Budget Board
Texas Legislative Council
• Stephen F. Austin Building
•
•
•
•
•
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Texas Department of Agriculture
Comptroller of Public Accounts
General Land Office
Office of Rural Community Affairs
Texas Water Development Board*
Resources
Division of Nutrition, Physical Activity & Obesity State Legislative Database
http://apps.nccd.cdc.gov/DNPALeg/index.asp
National Conference of State Legislatures: Healthy Eating, Physical Activity & Food
Systems to Support Healthy Communities
www.ncsl.org/programs/health/KelloggHealthOverview.htm
National Association of Counties' Healthy Counties Database
www.naco.org
National Association of State Boards of Education
www.nasbe.org
Strategic Alliance (California) ENACT Local Policy Database
www.preventioninstitute.org/sa/policies/
Texas School Nutrition Policy
www.squaremeals.org
DSHS Building Healthy Texans website
www.wellness.state.tx.us/
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Contact us for more information
 Barbara Keir, 512-458-7111 x2610
Acting Director, Health Promotion &
Chronic Disease Prevention Section
[email protected]
 Mary Guzman 512-458-7111 x6525
Manager, NPAO Program
[email protected]
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