Is your neighborhood improving (or hurting) or health?

Is your neighborhood improving (or hurting) or health?

By Evon Holladay

Did you know that there is much more to health than health care?  You might not know this by the nightly news, but it is a fact that where we live, learn, work, and play influences our health much more than access to health care.

So how is your community doing?

New research from Indiana University’s Workshop in Political Theory and Policy Analysis finds that community leaders are taking action to make healthier choices more readily available to their citizens and they are getting results.

Tupelo Health Task Force

What started as a mayoral election campaign promise has turned into a permanent task force that is making strides in improving the health of all. 

TupeloOutcomes

  • 2011-$25,000 Healthy Hometown grant from Blue Cross Blue Shield Foundation of Mississippi.
  • 2012 – $50,000 Healthiest Hometown grant, Blue Cross Blue Shield Foundation of Mississippi.

Actions

Healthy Food Access

  • Health on a Shelf! Project provides guidelines for local convenience stores highlighting how to incorporate a healthy food section in their store.

Increasing Physical Activity

  • Trim Down, Tone Up Tupelo challenge was launched in January 2010 with more than 150 teams of roughly 1,000 people. When the challenge ended in early March 2010, 86 teams with some 570 people completed the final weigh-in with a total weight loss of 4,130 pounds.
  • Integrated more than 10 walking trails into its city parks.
  • Reviewed city parks and recreational complexes to ensure residents have ample opportunities to participate in activities including swimming, tennis, baseball, and more,

Increase Health Awareness

  • Billboards with healthy messages about good nutrition were installed Spring 2011 courtesy of the task force.
  • “3 Feet Please” campaign keeping pedestrians & cyclists safe from motorists

City Planning, Policies and Zoning

  • Smoke-free policy
  • Partnership w/ schools  passing policy for after-hours use of schools parks 

Get Healthy Philly

Philadelphia is also taking action.  In their fourth year, the Get Healthy Philly Leadership Team has brought together government agencies, community-based organizations, academia and the private sector to address obesity and smoking in Philadelphia.

“Our vision is a city where all residents can live, learn, work, shop, worship and play in environments that promote healthy eating, active living.”

And they are seeing real results that improve the quality of life and reduce cost for everyone. aoke-freence. 

phillyOutcomes

  • 15% reduction in smoking among adults and a 10% reduction among youth, translating into over 40,000 fewer smokers in the city
  • 5% reduction in childhood obesity, including larger reductions among African-American boys and Hispanic girls and a plateauing in adult obesity prevalence; 

Actions

City Planning, Policies and Zoning

  • Integrated healthy living and health impact assessments into Philadelphia 2035, the city’s new comprehensive plan
  • Passed the New Zoning Code, Bill No. 110845, on December 22, 2011 that established provisions that:
  • Provide incentives for pedestrian-friendly transit oriented development (TOD) patterns around key transit stations (14-704)
  • Require the provision of secure bicycle parking in developments above a certain size and allow the removal of 1 automobile space in exchange for the provision of 5 bicycle parking spaces (14-804)
  • Limit curb cuts that interrupt sidewalks and discourage walking (14-703(3))
  • Completed two Health Impact Assessments for the Lower South and West Park Districts analyzing the connections between better health outcomes and development improvements recommended by the District Plan

Healthy Food Access

  • Increased access to healthy foods for approximately 100,000 residents of low-income neighborhoods
  • Opened 10 new farmers’ markets in low-income communities helped increase SNAP (food stamp) redemption at markets by 335% through the Philly Food Bucks program
  • Trained and supported over 630 corner stores to sell healthier products, such as produce, water, and low-fat dairy
  • In public buildings, made 220 beverage vending machines healthier by offering more water and non-caloric drinks, putting them at eye level, decreasing portion sizes of sugary drinks from 20 ounces to 12 ounces, and providing calorie labeling on the machines. 

Increasing Physical Activity

  • Installed 9.7 miles of conventional bicycle lanes, 6.7 miles of new buffered bike lanes, 2.0 miles of Green bicycle lanes, 8.9 miles of “sharrows” or shared bicycle lanes and completed a pedestrian and bicycle plan for the city
  • Implemented a 39-week education and enforcement campaign to improve safety for walkers and bikers

Increase Health Awareness

  • Increased parents’ awareness about the sugar content of beverages like soda, fruit drinks, and sweet teas through a media education initiative that was seen or heard over 40 million times

Community Partnerships

  1. Public Schools
    • Established active School Wellness Councils in 171 public schools serving over 100,000 students to incorporate physical activity into the school-day and remove junk foods from classrooms, school stores, and fundraisers
    • Over 50 schools implemented classroom movement breaks and other strategies to get kids moving
    • Implemented food and fitness standards for over 200 Out-of-School Time afterschool programs and 100 afterschool recreation programs that serve 20,000 children annually
    • Trained staff from 88 school sites in physical education; and made healthy meal changes at 80 afterschool and summer recreation sites.
  2. Restaurants
  • Decreased sodium content in foods served at 200 take-out Chinese restaurants Philadelphians have nutritional information available to them at nearly 700 chain restaurants through menu labeling established through the Philadelphia menu labeling ordinance
  • 91% of inspected restaurants are in compliance with calorie labeling
  • 66% of Philadelphians in one study noticed the calorie labeling24
  • 38% of Philadelphians who had been to a fast food restaurant in the past month reported that calorie labeling influenced them to buy a lower calorie item25
  1. Employer Wellness Initiatives
    • Ten local employers with over 80,000 employees implemented worksite wellness initiatives, such as healthy vending standards, breastfeeding-friendly policies, and physically active lunch-breaks
  2. Medical Community
    • Engaged all six Philadelphia birthing hospitals to support breastfeeding, four of which are on the pathway to implementing the evidence-based Ten Steps to Successful Breastfeeding. 

Community Wellness the Next Evolution

Other communities are also getting involved from Atlanta to states like Oregon’s We Can Do Better campaign.  Each is looking at their local assets  and empowering individuals by providing access to healthier choices.

This new research sees this ‘Community Wellness’  as a next evolution in the collaboration needed to not only reduce healthcare cost but to improve the productive life of each person.

In the end healthy citizens is what matters.  It is not a political debate over access to healthcare or having health insurance (although this can have a significant impact on your financial wellbeing).  Neither are a major contributor to creating and maintaining your health.

evon-graph

Figure 1: Health Determinants on Early Mortality (Source: Healthcare Delivery in the US, 2011, Kovner and Knickman)

It is personal behaviors that have the greatest impact on how long you will live and what kind of quality of life you will have. This is directly influenced by how your community assets are being used to help you create and maintain your health.

Click here to find publicly available data like County Health Rankings and America’s Health Rankings to help you understand how your community is helping (or hurting) your health:

http://www.countyhealthrankings.org/

http://www.americashealthrankings.org/

Maybe now is the time for you to ask: What is my community doing to improve my health?

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HealthStatus has been operating since 1998 providing the best interactive health tools on the Internet, millions of visitors have used our health risk assessment, body fat and calories burned calculators.The HealthStatus editorial team has continued that commitment to excellence by providing our visitors with easy to understand high quality health content for many years.
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HealthStatus has been operating since 1998 providing the best interactive health tools on the Internet, millions of visitors have used our health risk assessment, body fat and calories burned calculators. The HealthStatus editorial team has continued that commitment to excellence by providing our visitors with easy to understand high quality health content for many years.

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