It’s Their Future Let’s Work to Create Healthy, Safe, and Livable Communities for Our Children...
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Transcript of It’s Their Future Let’s Work to Create Healthy, Safe, and Livable Communities for Our Children...
It’s Their FutureLet’s Work to Create Healthy, Safe, and Livable Communities for Our Children
Symposium: Status On Children’s Health In Santa Clara County
Presented by the Santa Clara County Public Health Department
Pamela Stoddard, PhDand
Lori Martin, MS, RD
May 4, 2011
2
Health Refocused
• Shift Focus from Individual to Population
• Policy, System and Environmental Change
• Department Strategic Plan
• Share Data
• Chronic Disease and Injury Prevention Programs and Initiatives
3
Overweight and Obesity
• Breastfeeding among newborns
• Overweight and obesity among low income children aged 2 to 11
• Middle and high school youth– Overweight and obesity– Physical activity – Fruit/vegetable consumption
4
Newborn Breastfeeding
96%
95%
97%
95%
96%
72% 79
%
70%
70%
73%
0%
20%
40%
60%
80%
100%
Total White Asian/PI Hispanic African American
Any Breastfeeding Exclusive Breastfeeding
Source: California Department of Public Health, Center for Family Health, Genetic Disease Screening Program, Newborn Screening Data, 2009
5
Overweight and Obesity Among Low-Income Children
• Healthy People 2020: 14.6% obese (children 2 to 19)
• Obesity highest among Hispanics and lowest among Asians (all age groups)
16.1%
18.0%
18.4%
17.2%
22.9%
27.0%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
Ages 2 – 5(n = 9,924)
Ages 5 – 8(n = 6,633)
Ages 9 – 11(n = 3,256)
Overweight (85th ≤ BMI % < 95th) Obese (BMI % ≥ 95th)
Source: 2009 PedNSS, Table 16B
6
Percentage of Santa Clara County Middle and High School Students Who Were Overweight or Obese, 2003-2008
Source: California Healthy Kids Survey, 2003-08
15.1%
14.8%
14.3%
10.9%
11.5%
10.4%
0% 5% 10% 15% 20% 25% 30%
2003-04
2005-06
2007-08
Overweight Obese
7
Percentage of Santa Clara County Middle and High School Students Who Were Obese by Race/Ethnicity, 2007-2008
Source: California Healthy Kids Survey, 2007-08
10%
17%
8%
16%
7%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
SCC African American
Asian/PI Hispanic White
8Source: California Healthy Kids Survey, 2007-08
Percentage of Santa Clara County Middle and High School Students Who Performed Any Physical Activity Every Day in the Past Week, 2007-2008
9
Percentage of Santa Clara County Middle and High School Students Who Ate Fruits and Vegetables the Previous Day, 2001-2008
0%
10%
20%
30%
40%
50%
60%
2001 -02 2003 -04 2005 -06 2007 -08
2 or more fruits 3 or more vegetables
Source: California Healthy Kids Survey, 2001-08
10
Tobacco Use and Exposure
• Current cigarette smoking
• Age of smoking first cigarette and getting access to cigarettes
• Home exposure to smoke
Percentage of Santa Clara County Middle and High School Students Who Smoked Cigarettes in the Past 30 Days
by Race/Ethnicity
Source: California Healthy Kids Survey, 2007-08 11
Smoking Initiation and Cigarette Access in Santa Clara County
• Age 13 to 14 was most common age range for smoking first whole cigarette among middle and high school students
• A quarter of middle school kids & two-thirds of high school kids report it is easy to get cigarettes
Source: California Healthy Kids Survey, 2007-08 12
13Source: California Student Tobacco Survey, 2007-2008
30%
30% 31
% 33%
24%
0%
5%
10%
15%
20%
25%
30%
35%
SCC African American
Asian/PI Hispanic White
Home Exposure to Cigarette Smoke
•19% were in same room at home with someone smoking cigarettes on 1+ days in last week
Percentage of middle and high school youth that currently live with someone that smokes
Injury Prevention
14
15
Bicycle & Pedestrian Collisions Involving Youth
• SCC ranks:1
– 33 of 58 among counties for collisions involving pedestrians 15 years and younger
– 25 of 58 for collisions involving bicyclists 15 years and younger
• 48% of students walked, biked, or skated to school in the past week2
1 Source: 2009 Office of Traffic Safety2 Source: 2009 California Health Interview Survey
Center for Chronic Disease and Injury Prevention
• Nutrition and Wellness• Breastfeeding Promotion Program• Childhood Feeding Collaborative• Inspire Obesity Prevention - CPPW (Communities Putting Prevention to Work)• Network for a Healthy California - LIA Program• Network for a Healthy California - Bay Area Region Program
• Tobacco Prevention• Inspire Tobacco Prevention - CPPW (Communities Putting Prevention to Work) • Tobacco Prevention and Education Program
• Traffic Safe Communities Network• Juvenile Traffic Diversion • Safe Routes to School• Teen Drinking and Drinking Prevention 16
Chronic Disease & Injury Prevention:Keeping Santa Clara County “Healthy, Safe, & Livable”
17
Tobacco / Smoke Free Tobacco / Smoke Free EnvironmentsEnvironments
• Smoke Free Parks and Trails
• Smoke Free Outdoor Dining
• Smoke Free Campuses
• Smoke Free Multi-Unit Housing • Tobacco Retail Licensing (TRL)
• Zoning to Limit Tobacco Sales Near Parks, Schools, and Playgrounds
18
Built EnvironmentBuilt Environment
• General Plans
• Climate Change
• Joint Use
• Transportation Planning – Pedestrian and Bicycling
19
Healthy Food and Beverage Healthy Food and Beverage EnvironmentsEnvironments
• Breastfeeding Promotion
• Retail Food Outlets
• Farmers’ Markets / Garden Projects
• Sugar Savvy Initiative – Promote Drinking Tap Water
• Restaurant Menu Labeling Law
• Nutritional Standards for Restaurant Food and Beverages that Come with Toys or Other Incentives
20
School Wellness and Childcare School Wellness and Childcare EnvironmentsEnvironments
• School Wellness Policies
• Healthy School Fundraising
• Coordinated School Health
• Childhood Feeding Collaborative Messaging and Practices Integrated into Childcare Settings
21
Worksite EnvironmentsWorksite Environments
• Organizational Policies that Support Worksite Wellness
• Worksite Wellness Programs & Campaigns
• Lactation Accommodation Law and Business Care for Breastfeeding
• Integration of Chronic Disease and Injury Prevention Programs / Initiatives into Workplace Settings
• Community Supported Agriculture (CSA) at the Workplace 22
Reaching Youth Directly
• Hard Hitting Media and Marketing campaigns
• Mobilize Youth and Young Adults to Promote Policy Changes
23
24
Lori Martin, MS, RD Nutrition and Wellness ManagerSanta Clara County Public Health DepartmentCenter for Chronic Disease and Injury PreventionDirect: (408) 793-2706 Main Line: (408) 793-2700
Contact Information
Pamela Stoddard, PhD Senior EpidemiologistSanta Clara County Public Health DepartmentDirect: (408) 792-5588 Main Line: (408) 792-5040