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How nature can Improve Health
Bobby Bobby Cochran, Willamette Partnership Emily Henke, Oregon Public Health Institute Cameron Brown, Willamette Partnership
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Did you know? Your zip code determines 90% of your health?
In South Seattle zip code, life expectancy is 8 years less than in other parts of the city If you are American Indian, African American, Latino, or live anywhere in rural Oregon—you are likely to experience much greater chronic disease Bobby What questions need answering? Tell us what you want to know What metrics are meaningful? How much certainty do you really need?
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Factors that Affect Health
Largest Impact Smallest Examples Advice to eat healthy, be physically active Counseling & Education Rx, i.e., for blood pressure, cholesterol, diabetes Clinical Interventions Immunizations, smoking cessation, colonoscopy Long-lasting Protective Interventions Emily What do we mean by health? WHO definition of health: "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity." Fluoridation, 0g trans fat, smoke-free spaces, what is in vending machines Changing the Context to make individuals’ default decisions healthy Poverty, education, racism, inequality Socioeconomic Factors Presentation to Oregon Future of PH Task Force, Jan 21, 2014 3
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Emily Infant mortality – Healthy Birth Initiative Baker - Oregon Health Authority (OHA). (n.d.). [Table]. Age-adjusted and unadjusted prevalence of modifiable risk among adults, by county, Oregon Retrieved from Asthma and diabetes:
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Emily Equity is just inclusion in a society in which a broad range of resources and opportunities are provided for all to participate and flourish. The goals of equity are to create conditions that allow all to reach their full potential, eliminating inequities on the basis of race, income, ability, geography, age, gender, immigration status, and sexual orientation, among others.2 Equity is distinct from equality. Like you see on the left side of this picture, equality provides each person or community with the same amount and type of resources, regardless of where they’re starting from. In the picture, each of the people on the left gets the same number of boxes, but ultimately that doesn’t allow everyone to reach the apple. Equity is represented on the other side of the picture, and here we see that the three people are given different numbers of boxes—the number they need to all reach the apples. An equity lens recognizes that each person or community doesn’t start at the same place and may need different types or amounts of resources to achieve similar outcomes. Some communities need more resources to experience the same outcomes as communities that have historically had access to more resources and opportunities. Equity requires that all people and communities have the conditions they need to achieve their full potential. Issues of equity differ among communities. Each community must carefully consider the relevant issues, and ensure that representatives and leadership of the populations most vulnerable to those issues are prominently engaged in decision-making processes so that their experiences and aspirations influence the outcomes.
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We can make the link between health and outdoors explicit
Planting trees strengthens social cohesion Closer, safer, cleaner greenspace increases physical activity Bobby …But we know there are inequities in both health and access to the outdoors Progress will depend on working partnerships between champions for health and champions for the outdoors Time outdoors improves mental health Trees clean air
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Still a lot we don’t know Research priorities
Bobby What questions need answering? Tell us what you want to know What metrics are meaningful? How much certainty do you really need? Which mechanisms create health from time in nature? How much is enough? How often? How do I react differently from being outdoors than you? Are there best practices for programs? From:
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Linking your work to Community health needs
Community Health Needs Assessments Community healthworkers Regional health equity coalitions Hospital & CCO community benefit spending Bobby
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Poll: Are you already working with health providers?
Yes No Bobby
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Cameron
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Common Health Priorities
Hospitals (n=55) Counties + CCOs (n=52) Health Priority Area Frequency of Prioritization % of Hospitals w/ Priority Mental Health 36 65% Chronic Conditions 33 60% Physical Activity 24 44% Obesity 16 29% Child/Maternal Health 9 16% Cameron All CHNA’s in Oregon Health Priority Area Frequency of Prioritization % of Counties w/ Priority Mental Health 27 52% Obesity 23 42% Chronic Conditions 19 37% Maternal/Child Health 13 25% Physical Activity 11 22%
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Community Benefit Spending
Coast $93 million ($2 million) Willamette $1.5 Billion ($41 million) Eastern $172 million ($4.6 million) Cameron Southern $207 million ($4.7 million)
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Culturally relevant programs Supporting Strategies Policy options
The Oregon Health and Outdoors Action Framework Bobby Community Strategies More parks Better access Culturally relevant programs Supporting Strategies Policy options Research Communication tools GET FRAMEWORK
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Making this Happen LatinXplorers
Led by community health workers Responsive to community need Measurement of health outcomes Funded by hospital and business Bobby
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Making this Happen LatinXplorers Hike It Baby: Baker Adaptive Sports: Portland Black Parent Initiative Bobby
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HEAL Cities Research Agenda Outdoor Ed. Guideline
Making this Happen HEAL Cities Research Agenda Outdoor Ed. Guideline Bobby $12.8 billion in consumer spending on outdoor recreation in OR 141,000 direct jobs—all over OR 68% of Oregonians participate in outdoor recreation Growth = lifestyle, not niche
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You can do to advance health through time in nature
Five Things You can do to advance health through time in nature Take a community healthworker, hospital administrator, or favorite doctor out for coffee or a walk on one of your projects to talk health Before you ask for healthcare $, get serious about health equity Build Health and Outdoors in all programs and policy Cross-sector collaboration is doable and brings more opportunities to building community health Give us more good examples we can point to Bobby
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What should we do together?
Poll What should we do together? Give me a call, let's figure that out together b. Help me measure the health benefits of my work c. Connect me to the local hospital and community healthworkers d. Give me best practices for improving health through my work GET IN TOUCH: Bobby
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