Transcript Logic Models for Obesity, Nutrition and Community Health February 2007 Societal policies and processes influencing the population prevalence of obesity INTERNATIONAL FACTORS Globalization of markets NATIONAL/ REGIONAL COMMUNITY LOCALITY Transport Public Transport Urbanization Public Safety Health Health Care Development Social security Media & Culture Media programs &

Logic Models for Obesity,
Nutrition and Community Health
February 2007
Societal policies and processes influencing the population prevalence of obesity
INTERNATIONAL
FACTORS
Globalization
of
markets
NATIONAL/
REGIONAL
COMMUNITY
LOCALITY
Transport
Public
Transport
Urbanization
Public
Safety
Health
Health
Care
Development
Social security
Media &
Culture
Media
programs
& advertising
Sanitation
Manufactured/
Imported
Food
WORK/SCHOOL/ INDIVIDUAL
HOME
POPULATION
Leisure
Activity/
Facilities
Labour
Energy
Expenditure
%
Infections
OBESE
Worksite
Food &
Activity
Family &
Home
AND
Food
intake :
Nutrient
density
OVER-WEIGHT
Education
Food &
Nutrition
Agriculture/
Gardens/
Local markets
School
Food &
Activity
National
perspective
Modified from Ritenbaugh C, Kumanyika S, Morabia A, Jeffery R, Antipathies V. IOTF website 1999: http://www.iotf.org
Logic Framework: Nutrition and Community Health
Interventions
Intermediate Outcomes
Modifiable Determinants
Food Supply Factors
POPULATION FOOD INTAKE
Food Consumption Patterns
(e.g. fruits, vegetables)
• Agriculture policy
• Nutrition policy
• Science and technology
• Food production,
processing, storage
and distribution
• Food fortification
• Food safety
Intake of Nutrients and
Food Components:
Vitamins
Minerals
Fiber
Fats
Other food constituents
Dietary supplements
Alcohol
Energy balance
Environmental Factors
• Food Availability & Price
• Neighborhoods
•Schools
• Worksites
• Homes
• Local, state & national
food assistance programs
Consumer Demand
• Household resources
• Nutrition knowledge
• Cultural practices
• Psychosocial characteristics
• Taste and preferences
• Advertising and marketing
Physical
Activity
Patterns
Life Stage
Requirements
Pregnancy
Lactation
Childhood
Adolescence
Adulthood
Older Adulthood
Physiologic
Indicators:
Growth
Adipose tissue
Musculoskeletal
Gastrointestinal
Metabolic
Cardiovascular
Reproductive
Immunological
Neurological
Genetics,
Co-morbidities
Community
Health
Outcomes
• Morbidity
• Mortality
• Measures of
Health & Fitness
• Quality of Life
Logic Framework
Behaviors:
Dietary intake
Physical activity
School
policy
Environmental
support for
healthy
choices
Multicomponent
School-based
Nutrition
Interventions
Nutrition &
health
messages
Promotion of
self-awareness,
self-efficacy
Knowledge:
Nutritional
needs
Food content
Attitudes:
Self-care
Body image
Abilities:
Self-assessment
Behavioral
change skills
Media literacy
Physiological
Indicators:
Normal growth
& development
Fitness
Health status
School
achievement
LOGIC MODEL: Washington State Plan for Physical Activity and Nutrition
Inputs
Activities
CDC: funds &
Communication & outreach
guidance
Partner with systems, state
coalitions & local communities
DOH Staff,
Technical assistance &
training,
Time, Money UW
contract
Systems
CTED, DOT,
Parks & Rec
State-wide Coalitions
Action for Healthy Kids,
Access to Healthy
Foods, Food Policy
Council, WA PA
Coalition, WA Coalition
for Healthy Aging
Local Community
Short-Term
Outcomes
Development of assessment
tools & resource guides
• Legislation & Policy
Development with
organizations &
agencies
• Pilot Programs
(Vending, schools)
Development of local action
plans, using strategies from
the State Plan
Healthy Communities
STEPS Communities
Prevention Block Grants
Communication & outreach
Develop & implement policy
recommendations by sectors
Partnerships &
Collaborations
are Established
and Working
Partners are
knowledgeable
about Env &
Policy Issues
that impact
Physical Activity
& Nutr. Behavior
Increased Media
Coverage About
Physical Activity
& Nutrition
Financial Support for
Physical Activity
& Nutrition
Efforts
Increases
Partners Incorporate
State Plan into
their Own Work
Plans
Evaluation: monitor process & outcomes
Intermediate
Outcomes
Changes
in Policy
Changes in the
environment
 Physical
Activity &
Improved
dietary
behavior
LongTerm
Outcomes
Decreased
Obesity
Decreased
incidence of
chronic disease