IMAGINING OUR EQUITABLE STREETS FOR HEALTHY, ACTIVE, HAPPY PEOPLE

NICOLE R. KEITH, PH.D., FACSM

PROFESSOR, INDIANA UNIVERSITY-PURDUE UNIVERSITY, INDIANAPOLIS

@nicolekeithphd

nkeith@ iupui.edu

ACTIVITY DISPARITIES - DEMOGRAPHIC

Geographic location (community or neighborhood)

Age

Race

Gender

Education (limited literacy)

Income below (150% poverty)

Sexual orientation/identity

ACTIVITY DISPARITIES HEALTH

Comorbidities

Physical ability

Cognitive function

Physical or cognitive disability

Home confinement

Body composition/BMI

IMAGINE OUR EQUITABLE STREETS

Individuals tend find comfort in homogenous groups

Hooghe Canadian Journal of Political Science (2007); Laurence European Sociological Review (2009); Meer, and Tolsma Annual Review of Sociology (2014)

IMAGINE OUR EQUITABLE STREETS

Diverse groups perform better

Pieterse et al. Academy of Management Journal 56.3 (2013); Richard et al. The International Journal of Human Resource Management24.13 (2013)

IMAGINE OUR EQUITABLE STREETS

Diversity discomfort

Kumar and Hamer. Journal of Teacher Education (2013); Galinsky et al Perspectives on Psychological Science (2015)

IMAGINE OUR EQUITABLE STREETS

Most people are interested in fairness

Gotsis and Kortezi. Journal of Organizational Change Management(2013)

IMAGINE OUR EQUITABLE STREETS

IMAGINE OUR EQUITABLE STREETS

Imagine a world where….

IMAGINE OUR EQUITABLE STREETS

Imagine a world where….

Health systems focus on health promotion

Health promotion is embedded into worksites

Active living is Part of city planning

Active living is an integral part of community development

All sectors are engaged in achieving equity through active living

IMAGINE OUR EQUITABLE STREETS

HEALTH SYSTEMS FOCUS ON HUMAN HEALTH PROMOTION

HEALTH PROMOTION IS EMBEDDED INTO WORKSITES

ACTIVITY EQUITY IS PART OF CITY PLANNING

AND AN INTEGRAL PART OF COMMUNITY DEVELOPMENT

CREATING EQUITABLE COMMUNITIES

• Government and private agency policies are helpful

• Implementation may require public demand

• Potential models to create constituent support

• Multiple streams

• Advocacy coalition

• Punctuated equilibrium

MULTIPLE STREAMS FRAMEWORK

• Greatest opportunity for change happens by addressing• Problem

• How the issue can be addressed by strategic action• Policy

• Solutions being offered to address the issue• Politics

• Political climate• Arrangement of constituents• National mood

Category One – Latin America and the Caribbean1st Place Loja, Ecuador2nd Place Surco, Lima, Peru3rd Place Balcare, ArgentinaCategory Two – United States and CanadaWinner Surey, British Columbia, Canada

Special Recognition Cities Eugene, Oregon, USAHabana Vieja, CubaLo Barnechea, ChileManizales, Colombia

ADVOCACY COALITION FRAMEWORK

Aligns groups with the same core beliefs Coordinates and leverages their power Educates change agents Shares resources across sectors Aligns policies with politics

PUNCTUATED EQUILIBRIUM THEORY

Policy Tends to remain the same unless change is warranted Change can occur quickly under certain circumstances

New science Different perceptions Increased media attention and public interest Crisis

Political Economic Environmental Social influence

CREATING EQUITABLE COMMUNITIES FOR HEALTHY, HAPPY PEOPLE

ACTIVE LIVING EQUITY IS THE LOW HANGING FRUIT TO ACHIEVE HEALTH

Physical activity can positively influence every societal sector and social justice issue

@nicolekeithphd Email: nkeith@ iupui.edu