Erika G. Kirby, MBA, RD, LD Abdoulaye Diedhiou, MD, PhD DHEC/DNPAO - - PowerPoint PPT Presentation

Erika G. Kirby, MBA, RD, LD Abdoulaye Diedhiou, MD, PhD DHEC/DNPAO

 Teresa Hill  Jill Pfankuch  Joann Minder  Kristian Gordon  Mary Kay Face  Khosrow Heidari

M

• ving South Carolina

M

• ving South Carolina

Tow ards a Healthy W eight: Tow ards a Healthy W eight:

Prom

• ting

Healthy Lifestyles and Healthy C

• m

m unities

M

• ving South Carolina

M

• ving South Carolina

Tow ards a Healthy W eight: Tow ards a Healthy W eight:

Prom

• ting

Healthy Lifestyles and Healthy C

• m

m unities

 Developed and launched…. years ago  Prevent and control obesity and other chronic

diseases through healthy eating and physical activity

 Behavior-oriented:

 Decreased prevalence of obesity and chronic diseases  Increased physical activity  Improved dietary behaviors

 Purpose

 Increased number, reach, and quality of policies and

standards supportive of healthy eating and active living (HEAL) in various settings

 Increased access to and use of environments supportive

• f HEAL in various settings

 Increased number, reach, quality of social and behavioral

approaches that promote HEAL

 Raising public awareness and mobilizing additional

partners in support of prevention efforts

 Immediate public health action: data used for

 priority setting and policymaking  program planning and evaluation

 Tracking progress toward meeting objectives of the

Obesity State plan & OFA

 Support and develop capacity for surveillance to

monitor State Obesity Plan:

 Processes: implementation of behavioral, and policy &

environmental interventions

 Impacts: change in overweight and obesity related

behaviors, including nutrition quality and physical activity

 Outcomes: prevalence of overweight, obesity, and related

chronic diseases

Various levels of the Socio-Ecological model

 Individual level

 BMI (adults); BMI-for-age (children age 2 and older)  Physical activity and nutrition behaviors  Obesity-related health conditions  Academic performance (school-age children)

 Organizational level: environments &

policies/practices

 Child care/Preschools; Schools  Health care; Worksite  Community & Faith

 Macro level

 Policies, ordinances, resolutions, legislative bills

Age Group State-level Data Region-level Data County/Local-level Data Population- based Program- based Population- based Program- based Population- based Program- based Preschool

NSCH NIS PRAMS IFPS 2 WIC Head Start PedNSS PNSS None WIC Head Start None WIC Head Start

Elementary school

NSCH None None None None None

Middle school

NSCH YRBSS a None None None None None

High school NSCH

YRBSS None None None None None

Adults

BRFSS PRAMS WIC PedNSS PNSS BRFSS WIC BRFSS WIC

a Only physical activity data

Setting Healthy Eating & Breastfeeding Physical Activity & Active Play Child Care & Pre-school

• DSS/ABC Data Bridge
• SC Department of Agriculture
• Child & Adult Care Food

Program

• SCDE/Early Childhood

Education

• SCDE/Early Childhood

Education

• Head Start Body Start data

system

School

• School Health Profiles
• School Health Policies & Prog.

Study

• SC Department of Agriculture
• SC Department of

Transportation

• School Health Policies &

Program Study

Community & Faith

• SC Department of Agriculture
• SC Department of Social

Services

• WIC Program data
• USDA Food Environment Atlas
• SC Department of

Transportation

• SC Dept of Parks, Recr. &

Tourism

• SC Parks & Recreation

Association

• Palmetto Cycling Coalition

Health Care

• National Survey of Maternity

Practices in Infant Nutrition and Care

• UNICEF/Baby-Friendly

 Gaps and Limitations

 Limited data sources for children  Impact and outcome data sources rarely provide county/local

estimates

 Program-based data not generalizable

 Approaches for closing gaps

 Alternatives: school-based (FitnessGram, HealthOffice)  Primary data collection, e.g. CHAMPS  Process data: SCORES, partner agencies, organizations  Local initiatives: e.g., Beaufort, Jasper, Greenville, …

 Individual level:

 YRBS: www.ed.sc.gov/HealthySchools  NSCH: www.childhealthdata.org  PedNSS: www.cdc.gov/pednss

 School Environment & Policies:

 Profiles: www.ed.sc.gov/HealthySchools  SHPPS: www.ed.sc.gov/HealthySchools

http://www.childhealthdata.org/content/Default.aspx

http://www.ed.sc.gov/agency/Innovation-and-Support/Health-and-Nutrition/Healthy-Schools/DataSources.html

http://www.cdc.gov/pednss/index.htm

 Individual level:

 BRFSS: www.scdhec.gov/hs/epidata/brfss_index.htm  PRAMS: scangis.dhec.sc.gov/scan/prams2/prams.aspx  DHEC Epi & Eval: http://www.scdhec.gov/health/epidata  PNSS: www.cdc.gov/pnss

 State Policies:

 SC Legislative Information Tracking System (LPITS):

http://www.scstatehouse.gov/lits/litsindex.html

http://www.scdhec.gov/hs/epidata/brfss_index.htm

http://www.scdhec.gov/co/phsis/biostatistics/index.asp?page=prams

http://www.scdhec.gov/health/epidata/

http://www.scstatehouse.gov/lits/litsindex.html

 US DHHS  Profiles are displayed on maps or downloaded in a

brochure format.

 Mapping capability allowing to visually compare

similar (“peer”) and adjacent counties.

 http://www.communityhealth.hhs.gov/homepage.

aspx?j=1

 University of Wisconsin Population Health Institute

funded by RWJF

 Model of population health emphasizing

 Health determinants: behaviors, socio-economic factors,

physical environment, access to and quality of care

 Health outcomes (YPLL-75; health status, LBW)

 Selection based on priorities, importance, scientific

relevance, and availability of county-level data

 Online report:

 Snapshot of each county  Interactive map comparing each county’s overall health

ranking

 First release on Feb. 17, 2010  To be released again in 2011 and 2012

http://www.countyhealthrankings.org/

 USDA Economic Research Service  Provides a spatial overview of a community’s ability

to access healthy food and its success in doing so

 County-level information on 3 broad categories of

food environment factors:

 Food choice  Health and well-being  Community characteristics

http://maps.ers.usda.gov/FoodAtlas

Food Environment Atlas

http://www.scdhec.gov/health/epidata/county.htm

• Maps
• Facts sheets
• Report cards
• Success story
• Press releases
• PowerPoint presentations
• “Swiss Cheese” template (for data release and

presentation) etc…

Oconee Pickens Anderson Abbeville Greenville Spartanburg Cherokee Laurens Union Edgefield Greenwood McCormick Newberry Saluda Aiken Chesterfield Fairfield Kershaw Lancaster Lexington Chester York Darlington Dillon Florence Georgetown Horry Marion Marlboro Williamsburg Beaufort Berkeley Charleston Colleton Dorchester Hampton Jasper Allendale Bamberg Barnwell Orangeburg Calhoun Clarendon Lee Richland Sumter

50 – 54% 55 – 59% 60 – 64% 65 – 69% 70% + < 50%

Percent of Overweight and Obese (BMI ≥ 25) in S.C. Adults

2008

… a map!

… a fact sheet!

… a report card!

… a success story!

… a press release!

 Web-based, advertised via e-Newsletters and listserv  Print material via community resources  Print material via mailing  Presentation in local communities  Presentation at statewide conferences  etc…

 What is/are your preferred data presentation format(s)?  How do we best get it/them to you?