1. Healthy Living Indicators Suzanne F. Jackson, Ph.D. Assistant Professor January 29, 2010

2. Healthy Living Goal Every person receives the support and information they need to make healthy choices.

3. Annie & George Stories Annie is a young 17 year old who is in high school in a big city. George is 40, unemployed, new immigrant to Canada from Bangladesh and lives in a small town in Canada

4. Healthy Living Goal - 2 Every person receives the support and information they need to make healthy choices.

5. Underlying Theory (a) Information about healthy living (b) knowledge about healthy living options + supports (c) making healthy living choices What do people know about healthy living choices? Where do they get their information? What choices are they making? What supports them in making those choices?

6. Overall Indicators % who know about the “right” choices for healthy living % who have adopted healthy living behaviours % facing barriers to knowledge or behaviour change (no information or support) Presence of policies, legislation, environmental conditions and other supports

7. Annie’s Story Annie says she gets information about what to do right in her health class at school. She can answer a whole survey of questions about healthy living choices correctly. She and her friends smoke and eat junk food even though she knows it isn’t right because she uses smoking to deal with her frustrations at home and at school, she wants to be liked by her friends, and junk food is sold in the vending machines at her school.

8. George’s Story George likes to follow the eating customs of his home country as much as he can because it is a comfort. And he walks everywhere in town because it is small and his wife uses the car. He can answer most of the questions on a survey about healthy living choices correctly if the survey is in his language because life has taught him many things. He would like to learn more about the “right” way to live in Canada but has never seen any information about this.

9. Things to Think About What do we really know about how well this goal is achieved? Still puts the emphasis on individual change Information – comes in different ways and from different people Supports are very important – could be social support, peer support, transportation support, policy support, friendly environments

10. Underlying Theory - 2 (a) Information about healthy living (b) knowledge about healthy living options + supports (c) making healthy living choices Indicators need to be about knowledge, individual behaviours, and the existence of the supports to help this happen

11. Healthy Living Targets Healthy Eating Physical Activity Healthy Sexual Attitudes Healthy Minds and Spirits No tobacco use Appropriate alcohol and drug use Healthy hygiene practices

12. Targets with Indicators - 1 AreaHealth TargetSelected Indicators Healthy Eating Increase by __% the proportion of people in your community* who make healthy food choices * Could focus on special groups in community like youth or children % Eating fruits & Veggies % Using Food Banks % schools not selling junk food Physical Activity Increase by __% the proportion of people in your community who participate in regular physical activity % reporting at least 30 min of moderate to vigorous activity per day % in physically active jobs Presence of public transportation & bicycle paths

13. Targets with Indicators - 2 AreaHealth TargetSelected Indicators Healthy Sexual Attitudes Increase by __% the proportion of people in your community who report healthy sexual practices % using condoms % involved in domestic or gender violence % with positive attitudes towards various sexual orientations STD rates Healthy Minds and Spirits Increase by __% the proportion of people in your community who report positive mental health % suicides % with sense of purpose % of community that does not stigmatize mental illness % reporting high stress levels

14. Targets & Indicators - 3 AreaHealth TargetSelected Indicators No Tobacco Use Increase by __% the proportion of people in your community who do not use tobacco. % heavy smokers % people with children who do not smoke in the home or car Presence of tobacco taxes, laws to prevent sales to minors, warnings on packages etc. Appropriate Alcohol & Drug Use Increase by __% the proportion of people in your community that drink in moderation % heavy drinkers # of community events that do not sell alcohol # drunk driving charges

15. Types of Indicators Negative –what problems are we reducing? Positive – what are we achieving? Individual – what changes in individual knowledge and behaviour are observed? Community – what community and social supports exist? Policy & env conditions – what policies, legislation, access to services, cultural aspects etc. exist?