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Presentation given by Genoveva Islas-Hooker at the Session: "Raising A Healthier Valley: The Future Is Now" at the Great Valley Center's Annual Conference on May 6, 2010 in Modesto, CA.
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Valley Up: Creating Healthier Communities in California’s Central Valley
Presented by: Genoveva Islas-Hooker, MPHRegional Program Coordinator, CCROPPGreat Valley Center Annual Conference
California’s Central Valley
Central California stretches almost 300 miles.
It’s home to more than 3.8 million residents. The population is expected to more than double 2050.
Our families represent over 70 ethnicities and speak over 105 languages making it one of the most culturally diverse areas in California and the nation.
Poverty in Central California
Annual unemployment rate is almost 2x greater than the unemployment rate for California.
21.7% of our population live below 100% of the FPL, the average rate in California is 15.5%
More than 1 in 4 of our children live in a household whose income is below 100% of the FPL.
The Paradox
Within our valley lies one of the largest and richest agricultural regions in the world.
Families still struggle to put food on their tables.
"It's ironic that those who till the soil, cultivate and harvest the fruits, vegetables, and other foods that fill your tables with abundance have nothing left for themselves."
-Cesar Chavez
Overweight & Obesity
1 out of 3 children, <12 years of age, are overweight and obese
17.2% of adolescents, ages 12-17, are overweight and obese
64.3% of adults, ages 18-64, are overweight and obese
62.9% of adults age 65 and over are overweight and obese
Source UCLA Center for Health Policy Research, 2003; 2007; 2009
Overweight & Obesity by Age Group,San Joaquin Valley and California, 2001, 2005 and 2007
CountyAges 12-17 Ages 18-64 Age 65+
2001 2005 2007 2001 2005 2007 2001 2005 2007
Fresno 14.1% 19.8%*
24.7% 65.0% 56.7% 63.3% 55.3% 64.7% 66.2%
Kern 7.7%* 9.6%* 6.5%* 61.4% 66.9% 60.1% 50.8% 62.1% 62%
Kings 16.3% 7.5%* 17.7%*
63.5% 62.9% 64.9% 58.0% 70.3% 68.7%
Madera 11.5%*
4.8%* 27.1%*
66.1% 64.5% 67.6% 58.6% 60.8% 68.5%
Merced 18.2%*
12.5% 17.1%*
67.4% 66.8% 67.6% 67.2% 65.5% 65.6%
San Joaquin 17.9% 12.2%*
15.0%*
66.9% 71.6% 65.7% 62.3% 59.7% 61%
Stanislaus 12.9%*
17.0%*
17.0%*
62.8% 67.2% 64.7% 53.4% 63.0% 51.7%
Tulare 7.6%* 21.10%
20.7%*
71.0% 66.5% 68.3% 56.1% 63.8% 69.5%
San Joaquin Valley
12.8% 15.5% 17.2% 65.1% 65.0% 64.3% 56.5% 63.0% 62.9%
California 12.2% 14.2% 13.3% 55.% 56.2% 57.2 54.3% 55.7% 58.3%
Healthy People 2010 Objective
5.0% 5.0% 5.0% 15.0% 15.0% 15.0% 15.0% 15.0% 15.0%Source UCLA Center for Health Policy Research, 2003; 2007; 2009
* Statistically unstable
Working Together
Grassroots Community Members, including youth Community Based Organizations including Fresno Metro
Ministries, Kern County Network for Children, Livingston Medical Group, Community Partnership for Families of San Joaquin, Ceres Partnership for Healthy Children and Tulare County Nutrition Collaborative
Public Health Departments in Fresno, Kern, Kings, Madera, Merced, San Joaquin, Stanislaus and Tulare counties
California State University, Fresno
Central California Regional Obesity Prevention
Program
Kern
Kings
Tulare
Fresno
Madera
Merced
Stanislaus
San Joaquin
Regional
Our Approach
We believe that in order for community members to eat healthier and be active they need the environmental context and policy support to practice these behaviors.
Assessment
How easy is it to eat healthy? How easy is it to be physically active?
Challenges
Limited access to healthy foods.• Cost, availability and convenience of fast food,
distance/transportation Limited opportunities for physical activity.
• Safety, air quality, heat, closed green space, no park or limited use parks, loose dogs
Community Driven Logic Models & Work Plans
State
Region
County
LocalCom
munit
y-D
rive
n
Access to Healthy Food
Maximizing EBT & WIC at Alternative Food Outlets
Merced and Atwater Flea Markets
Ceres Farmers Market
Madera Farmers Market
Kern County Department of Public Health farmers market
Access to Healthy Food
School Farm Markets/Stands
Farmers Market at Burroughs Elementary School
Pixley Elementary School Fruit and Vegetable Stand
Access to Healthy Food
Small Store Conversion
Youth in Kettleman City transformed their only small store , the Hla Hla Market. Good quality affordable produce is now available.
Opportunities for Physical Activity
Making Parks Safer
Stiern Park, Bakersfield, CA
• Greenfield Walking Group
• Cesar Chavez Youth Leadership Program
Opportunities for Physical Activity
Improving Park Amenities
Pixley Park Pixley, CA
• Soccer Goal Posts• Youth rebuilt park
arbor
Opportunities for Physical Activity
Built Environment Inclusion of health
elements in general plans• Include
accommodations for complete streets; walking, biking, etc…
Institutional Change
Worksite Wellness Policies center around
the • Healthier food
choices (removal of unhealthy items from vending machines)
• Promotion of increased physical activity
• Promotion of breast-feeding
Unexpected Successes
San Joaquin Valley voice & identity influencing/informing statewide & national work in the field.
Grassroots Community Leadership (Assets not liabilities)
Increase Community Cohesion
Immigrant Integration
Increased Civic Participation
Some Lessons Learned
Obesity Prevention through policy and environmental change:
is intensive and takes time – don’t rush it. necessitates relationship building across stakeholders –
find your allies, transform your opposition. requires a deep level of community engagement – kitchen
table work by candlelight grassroots leadership development is fundamental to
sustainability. requires educating decision makers and persuading them
to act - grassroots advocacy & mobilization. should be community driven- they are the experts!
Social Determinants of Health
The social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are themselves influenced by policy choices.
– Commission on Social Determinates of Health
For more information…
Genoveva Islas-Hooker, MPHRegional Program Coordinator1625 E. Shaw Avenue, Suite 106Fresno, CA [email protected]: 559.228.2142f: 559.228.2149visit us at www.ccropp.org
Thank you!
This project is funded by