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Changing the Playing Field: Built Environment and Policy Initiatives to Promote Physical Activity. American Public Health Association Annual meeting San Francisco 2012 . Increasing Access to Physical Activity Options in Health Disparity Areas in San Antonio Parks. - PowerPoint PPT Presentation
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Changing the Playing Field: Built Environment and Policy
Initiatives to Promote Physical Activity
American Public Health Association Annual meeting
San Francisco 2012
Increasing Access to Physical Activity Options in Health
Disparity Areas in San Antonio Parks
MARY THOMAS M.B.& B.S., M.P.H.Communities Putting Prevention to Work
San Antonio Metropolitan Health DistrictSan Antonio Texas 1
Co Authors
• Maggie Thompson, M.S Program Manager, CPPW
[email protected]• Jeremy Beer, M.P.H Health Program Specialist, CPPW [email protected]• Park User Survey Data from St Mary’s
University-Drs. Pallansch & Nivin
2
Presenter Disclosures
The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months:
Mary Thomas
“No relationships to disclose”
3
• Describe the park facilities and changes in built environment which increase physical activity options in San Antonio parks.
• Discuss the benefits to residents in providing access to fitness stations and trails in health disparity areas.
• Discuss the barriers in using the park facilities and fitness stations
Learning Objectives
4
San Antonio Council Districts 1-10
6
Demography of Bexar County• Population: 1.7 million• Multicultural: 59% Hispanic 30% non-Hispanic 7% Afro Americans 3% Asians• South & Westside population:80% Hispanic • Northeast & North central: 30% Hispanic • Persons below 45 years: 79%• Some population have greater burden of health
problems• One in three children and two in three adults are of
unhealthy weight
6
Bexar County 2010 Populationby Race/Ethnicity
Population Source: U.S. Census Bureau, 2010
59%30%
7% 4%
Hispanic
White NH
African Am.
Other
Total 1.7 Million
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75000 25000 25000 75000Age 0 to 4 yrs
Age 10 to 14 yrs
Age 20 to 24 yrs
Age 30 to 34 yrs
Age 40 to 44 yrs
Age 50 to 54 yrs
Age 60 to 64 yrs
Age 70 to 74 yrs
Age 80 to 84 yrs
Bexar County 2010 Age Distribution
Population Source: U.S. Census Bureau, 2010
MaleFemale
8
Bexar County - Educational Attainment
0%
5%
10%
15%
20%
25%
30%
35%
Less than highschool diploma
High schoolgraduate, GED
Some college Bachelor's degreeor higher
9Population Source: U.S. Census Bureau, 2010
2010 Household Income Bexar County
0% 5% 10% 15% 20% 25% 30%
Less than $25,000
$25,000-$49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
Above$ 150,000
10Population Source: U.S. Census Bureau, 2010
Obesity in Bexar CountyOne in 3 children Two in 3 adults
67%
33%
Healthy Weight Unhealthy weight
Children
32%
68%
Normal weight Overweight/Obesity
Adults
11Fitnessgram data 2009-10 BRFSS 2010
VISION
Promote physical activity options by increasing access in parks
in San Antonio to reduce obesity
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Changes in Built Environment : San Antonio Parks
• Fitness equipment installed in 28 parks
• Trail Accessibility Information (TAI) posts (133) installed in 31 parks
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Fitness Equipment or stations• Stationary -Stretches pushups
squats core and balance exercises
• Movable – use body weight to do leg press, chest press, rowing machine, cardio walker.
14
Fitness Stations
• Goal: To provide access to physical activity options in parks for the residents in areas with health disparities
• Partnership with Parks & Rec department• Target areas with health disparity • Promotion by flyers and news papers• People friendly with easy to use instructions
15
Fitness station and Park Use evaluation by Surveys -2011
• Survey using questionnaires in14 parks• 8 parks with fitness stations and • 6 parks without fitness stations• 504 respondents
117
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Survey Findings-Park Users
• Reason to be in parks: Personal Exercise 56%, Relaxation 22%• Age of park users: Most below 45, average 26-35 years• Frequency of visits : 3 or more times per week-63%• Facility used: Walking trails 54% , bike trails 40%
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Survey Findings-Park Users
• 73% Exercised longer than 30 minutes• 60% exercised 4-7 days per week• 36% engaged in vigorous exercise• Time in park: More than 30 minutes-83%• 43% lived within 3 miles -88% used cars
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Survey Findings-Fitness Stations
• 54% spent more time after installation• 80% found equipment easy to useBarriers for use of fitness stations • 53% no water fountains• 17% safety issues• 14% stray dog problem
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Discussion-Findings
• Residents use parks for personal exercise and relaxation
• Installation of fitness stations increased time spent in parks for most persons and some increase in Physical Activity levels
• Park users are over all satisfied with access and ease of use of fitness stations
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Trail Assessment
• High Efficiency Trail Assessment Process (HETAP) used to assess trail characteristics
• Purpose: provide park users information regarding length, width, elevation, running slopes, surface type
• 101 miles assessed in 31 parks
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HETAP AND TAI POST
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The Trails Accessibility Information (TAI) includes the trail name, length, elevation change, permitted uses, grade, cross slope, width and surface type (TAI post example, right).
Distance assessed 101 milesNumber of parks 31Number of TAI posts 133
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Benefits to Residents
• Access to park facilities –walking trails and fitness stations increase Physical Activity options in parks
• Fitness equipment provides free access to good gym equipment
• Equipment is user friendly with clear instructions
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Limitations for use of Fitness Stations
• Vandalism• Lack of shade limit usage in hot climate• Need for water fountains • Safety issues
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Acknowledgement with thanks to
• John Berlanga, Senior Management Analyst, Metro Health
• Dr. Anil Mangla, Epidemiologist, Metro Health
• Dr. Isabela Lucas, Technical Consultant ICF Macro
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For more information
Mary Thomas, Senior Management Analyst,
San Antonio Metropolitan Health District,San Antonio TX
[email protected] 207 5371
Any Questions ?
