Needs and assets mapping in low-income communities: A case study of using multiple methods and technology to promote physical activity in Latino families.

Slides:



Advertisements
Similar presentations
Eduardo Simoes, MD, MSc, MPH Director, Prevention Research Centers Program Healthy Aging Research Network Meeting March 8, 2011 Project GUIA Understanding.
Advertisements

National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition, Physical Activity, and Obesity Healthy Communities: Healthy.
A Snapshot of the Food Environment In West County West County HEAL Project Presentation 4/15/08.
Community Health Assessment San Joaquin County.
Program Planning: Community Nutrition Assessment
CX 3 Use of Geographic Information Systems Mapping to Mobilization Presented by: Alyssa Ghirardelli, MPH,RD In collaboration with: Valerie Quinn, MEd Sharon.
Community Level Interventions
1 Community Assessment Chapter 13 28/4/2007 Ahmad Adeeb.
Program Planning: Community Nutrition Assessment
Using data to tailor a school-based worksite wellness program Stephanie Vecchiarelli, Judith Siegel, Michael Prelip University of California Los Angeles,
Collaborating Partners –Edward R. Roybal Comprehensive Health Center (East Los Angeles) –Hubert H. Humphrey Comprehensive Health Center (South Los Angeles)
+ Interventions for Ethnically Diverse Populations Chapter 7.
Community Planning Training 1-1. Community Plan Implementation Training 1- Community Planning Training 1-3.
Consumer Healthy Living Physical Activity & Healthy Lifestyles.
An assessment of Metro’s Westside Subway Extension Presented by: Tamanna Rahman PP 224A Winter 2012 Midterm.
Health Disparities in Cardiovascular Disease Paula A. Johnson, MD, MPH Chief, Division of Women’s Health; Executive Director, Connors Center for Women’s.
A Community-Academic Partnership to Reduce Environmental Barriers to Healthy Lifestyles for Pregnant and Postpartum Women in Detroit Edith C. Kieffer University.
Triennial Community Needs Assessment A Project of the Valley Care Community Consortium.
The Oxford Health Alliance The Oxford Health Alliance Community Interventions for Health: Methodology Confronting the Epidemic.
Implementing the School Health Index in Your School A discussion of the benefits of the School Health Index tool.
The Oxford Health Alliance The Oxford Health Alliance Community Interventions for Health (CIH) Sponsored by the PepsiCo Foundation.
Highlights from an Albany County Needs Assessment By Jeff Gibberman Dietetic Intern, The Sage Colleges.
Using a Health Equity Lens to Community Health Planning for Policy, System and Environmental changes MARY THOMAS M.B.& B.S., M.P.H. San Antonio Metropolitan.
Cayucos and Oceano COMMUNITY HEALTH PLANS Health Commission Presentation June 9, 2014.
Office of Preventive Health Victor D. Sutton, PhD, MPPA Director.
It’s Their Future Let’s Work to Create Healthy, Safe, and Livable Communities for Our Children Presented by the Santa Clara County Public Health Department.
State Indicator Report on Physical Activity, 2010 [NAME] [ORGANIZATION] Using the State Indicator Report on Physical Activity, 2010 [Date] Information.
Darren A. DeWalt, MD, MPH Division of General Internal Medicine Maihan B. Vu, Dr.PH, MPH Center for Health Promotion and Disease Prevention University.
The Roanoke Valley Community Healthy Living Index: West End Target Area Roanoke, VA.
National Prevention Strategy 1. National Prevention Council Bureau of Indian AffairsDepartment of Labor Corporation for National and Community Service.
2004 Falls County Health Survey Texas Behavioral Risk Factor Surveillance System (BRFSS)
Community Health Assessment. Comprehensive analysis of total health of Stanislaus County Phase 1: Secondary data analysis Conducted during Analysis.
NYSDOH Partnerships for Pediatric Obesity Prevention Amy Jesaitis, MPH, RD, PAPHS Bureau of Community Chronic Disease Prevention.
What Works in Multi-Site Evaluations of Nutrition Education Interventions? Andy Fourney, Andrew Bellow, Patrick Mitchell, Sharon Sugerman, Angie Keihner.
Implementing Childhood Obesity Prevention Research in a Rural Oregon County Using a Partnership Approach: The U.C. (Union County) Fit Kids Project Nancy.
Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Developing a Community Health Information System NAPHSIS Conference –
Methods to stimulate community action using GIS mapping with local data collection to assess food availability and marketing in low-income neighborhoods.
Template Instructions 1.Look for boxes with red instructions on each slide. Follow the directions and then delete the text box. 2.Delete any slides you.
The NIDCR funded Collaborating Research Centers to Reduce Oral Health Disparities (CRCROHD) represent an innovative approach to understanding determinants.
Communities of Excellence in Nutrition, Physical Activity, and Obesity Prevention (CX 3 ): APHA- Philadelphia, PA November 10, 2009 Presented by: Alyssa.
LIFESTYLE AND BEHAVIORAL IMPACTS ON CURRENT OBESITY RATES Amy Mullins, MS, RD, LD/N UF IFAS/ Leon County Extension.
HIT Policy Committee Quality Measures Workgroup October 28, 2010 Fred D Rachman, MD.
Use of Community Based Participatory Research (CBPR) to Develop Nutrition Programs for Chronic Disease Prevention Elena Carbone, Dr.P.H., R.D., L.D.N.
East Boston Nicole Sforza, Kelly Royce, Katherine Rosa, Karen Liaw, and Richard Kintu.
San Joaquin County’s Health Profile: Useful Data to Improve Our Future Sponsored by the San Joaquin County Community Health Assessment Collaborative
Communities of Excellence in Nutrition, Physical Activity, and Obesity Prevention Communities of Excellence in Nutrition, Physical Activity, and Obesity.
CDC’s Preemie Act Activities Wanda Barfield, MD, MPH, FAAP Director, Division of Reproductive Health National Center for Chronic Disease Prevention and.
H.D. Woodson Senior High School “Warriors for Healthy Living” District of Columbia Department of Health Maternal and Family Health Administration.
Lompoc Community Assessments “What We Learned” Presented by Judy Taggart MS, CHES March 25, 2010.
Statewide Health Improvement Program Community Health Indicators: Kittson County Prepared by: Garth Kruger, Ph.D. Dmitri Poltavski, Ph.D. EvaluationGroup,
Name Institution Date. Description of the Target Population The target population for this study are the African- American population aged between
Partnering with Local Merchants to Improve Food Access in West Contra Costa County.
Colorectal Cancer Survivorship in Greene County, Pennsylvania: Assessment and Provider Education Mary Ann Ealy, Marlene Shaw and Carolyn Wissenbach Background.
County Health Rankings 2011 The State of Cook County’s Health By: Evanston Health Department.
Brianna Gass, MPH November 17, 2014 Local Needs, Local Data.
1 Georgia Freeman Sherritta Bell 2  The Y.E.A.H. Program’s desire is to create an initiative that will introduce at risk children and their parents.
Nashville’s CPPW Corner Store Initiative: Methods and Measurement Celia Larson, PhD Director of Evaluation Alisa Haushalter, DNP, RN Project Director Bill.
Marice Ashe, JD, MPH Director RMLUI 2010 | Eat your greens! Planning policies to support healthy food systems.
Improving Food and Physical Activity Environments: What Local Health Departments Can Do Statewide Public Health Department Meeting (Annual Conference of.
Knowledge of Canada’s Food Guide to Healthy Eating and Serving Size Awareness Understanding Healthy Lifestyles: Measuring & Monitoring Behavioural Risk.
F as in Fat, 2008: Why Obesity Policies are Failing in America Jeffrey Levi, PhD Executive Director Trust for America’s Health September 17, 2008.
Communities of excellence in nutrition, physical activity, and obesity prevention (CX 3 ) guides planning and policy development in food banks Alyssa Ghirardelli,
Sarah D. Jones, MS, RD, LD School, Community and Data Core Manager Prevention Research Center for Healthy Neighborhoods Case Western Reserve University.
Methods to stimulate community action using GIS mapping with local data collection to assess food availability and marketing in low-income neighborhoods.
OUR TOPIC: IMBALANCED NUTRITION, MORE THAN BODY REQUIREMENTS RELATED TO INTAKE AS EVIDENCED BY INCREASE OBESITY AND DECREASED PHYSICAL ACTIVITY IN KALKASKA.
Poster Produced by Faculty & Curriculum Support, Georgetown University School of Medicine The Unique Implementation of a Childhood Obesity Program In a.
By Sherri Eldreth November 21, 2011 Kaplan University Introduction to Health Education HD Amy Thompson Ph.D., CHES.
COMMUNITY FOUNDATION OF NORTHWEST MISSISSIPPI
On African American Women Dr. Angela E. Dykes, Dr. Susan Walsh,
Presentation transcript:

Needs and assets mapping in low-income communities: A case study of using multiple methods and technology to promote physical activity in Latino families Suzanna M. Martinez, MS, Karen J. Coleman, Ph.D., Jeanette Candelaria, Jennifer L. Terpstra, MPH, Barbara Ainsworth, Ph.D., Kevin Patrick, MD, MS, and John Elder, Ph.D. ABSTRACT The San Diego Prevention Research Center (SDPRC) is a community-academic partnership between the Center for Disease Control and Prevention (CDC), San Ysidro Health Center (SYHC), San Diego State University (SDSU), and the University of California, San Diego (UCSD). The primary mission of the SDPRC is to promote physical activity in the U.S./Mexico border community of San Ysidro, CA. As part of this mission an extensive Needs and Assets Mapping project was done using Geographical Information Systems (GIS), behavioral observation, key informant interviews, and surveys. This represents a unique approach to developing physical activity interventions for underserved communities with a combination of community- and technology-driven approaches. Input from environmental, community, and individual levels will be used to develop a tailored program to promote lifetime physical activity for Latino families. This approach can be used nationwide to conduct research on ethnically- and regionally-tailored physical activity promotion as a means for preventing chronic disease. INTRODUCTION In 2003, nearly 39% of Americans did not meet the physical activity recommendation and 15% were inactive (CDC). Lack of physical activity is a risk factor for chronic disease, obesity and overweight. Poor diet and physical inactivity account for 400,000 deaths in the U.S. An estimated 64% of Americans are classified as overweight or obese (CDC). More than 61 million Americans suffer from CVD and 17 million Americans have diabetes. Three quarters of the U.S. health care budget is used to treat chronic diseases, many related to physical inactivity and poor nutrition. These statistics make physical activity promotion a challenge and a major public health priority. The CDC is promoting community collaboration and partnerships to prevent chronic disease in socioeconomically disadvantaged neighborhoods. Researchers are investigating and evaluating new strategies to promote community-wide physical activity (PA). In addition to community-based participatory research (CBPR), technological strategies are being incorporated into research for health promotion. Geographical Information Systems (GIS) are one of these new technological advancements, most commonly used to “map” communities for factors related to barriers and facilitators of PA. This project is the first to date that combines GIS technology with needs and assets mapping from CBPR to fully explore a community’s full potential to enact PA interventions. RESULTS The community of San Ysidro is located in San Diego County and lies just North of the U.S./Mexico border. In 2004, there were a total of 28,440 people living in San Ysidro, with almost 91% being Latino. The median age was 24.8 and the median household income was $28,611. Of those living in San Ysidro, 34% had less than a 9th grade education, 53% were living in group quarters, and 28% were living below the federal poverty level. The crime statistics for 2005 were lower than in 2003 with the highest rates being vehicle theft (871) and property theft (376). In 2004, reports showed six rapes, 22 armed robberies, 47 street arm robberies, and 70 assaults. Community members and leaders told us that walking, dancing, volleyball, bike riding, and community gardening were the most likely to be accepted as interventions by the San Ysidro community. Some of the barriers to promoting PA are only three bike paths in San Ysidro which are difficult to access, only run North and South, and lead to dead space. There is only one pool in the community, also somewhat inaccessible, and none of the public schools in the area have a certified Physical Education (PE) instructors, offer PE more than once or twice per week, or had success with promoting walk/bike to school initiatives. There were few walking paths within the community and only one track at the high school which was not open to the community. There are several assets identified by both GIS and community agency leaders including community members willing to promote a PA intervention for the community, and schools willing to provide their facilities for community PA. There is a large land reserve with walking paths, however, it is not within walking distance of the community and thus is never used. Two sites have been identified for possible community gardening, one of which was used in previous years. On the intercept survey, 42 of 50 adults indicated that they engaged in PA at one recreation center and 7/12 parks in San Ysidro. Figure 2. GIS map of San Ysidro with WIC vendors, restaurants, food stamp locations, schools, fitness centers, healthcare facilities, and ratio of Food Stamp recipients to % < 130 federal poverty level-2005 Figure 1: GIS map of San Ysidro, CA with bus and trolley stops, and parks. METHODS Participants Individuals identified as key members in San Ysidro, CA participated in key informant interviews (KII). A total of 18 KII were conducted with persons from San Ysidro agencies. In addition, 50 intercept interviews were conducted with individuals who came to inquire about the SDPRC at a community health fair in San Ysidro, CA. Procedure The KII were conducted by trained interviewers whose purpose was to guide the interviews and to assess past and existing health programs. Perceptions of physical activity, perceived needs and barriers to physical activity in the community, and recommendations for physical activity interventions to promote health behavior were addressed. In addition, the interviews served to identify potential collaboration between agencies within the community, as well as parks, recreation centers, and sports leagues and any type of physical activity clubs present in the community. Interviews were recorded and transcribed for analysis. The 50 brief intercept interviews administered at the community health fair aims were to identify current places for physical activity and potential places that one might go to if it were more convenient. The San Diego Nutrition Network (SDNN) provides a free GIS map viewer ( that maps many health-related locations and uses a variety of commonly available databases (i.e. US Census). The SDNN GIS database also includes crime statistics, disease rates, health clinic activities, walking and biking trails, park and school locations, WIC vendors, bus and trolley routes. All data collected was used to build maps of the San Ysidro community environments. A visual representation of both maps are depicted in Figures 1 and 2. GIS Community Assets/Barriers Summary 12 Parks 2 Fitness Gyms 2 Community Gardens Sites (potential) 4 Health Agencies 3 Regional Community Programs 1 School Health Center 29 Public Schools (13 Healthy Start Schools) 5 Private Schools 8 Public Schools with 2005 FITNESSGRAM Results 18 WIC vendors and 1 WIC Clinic 14 Food Stamp Certified Vendors 10 General Grocers 3 Trolley Stations 3 Bus Routes 15 Seated Restaurants 16 Fast Food Restaurants, Pizza Vendors, and Delis 1 Ice Cream Truck