OVERWEIGHT AND OBESITY IN WASHTENAW COUNTY

Transcription

1 1 OVERWEIGHT AND OBESITY IN WASHTENAW COUNTY Presented By: Sharon P. Sheldon, MPH, Washtenaw County Public Health Program Administrator, Health Promotion Disease Prevention Washtenaw County Board of Commissioners Working Session Thursday, November 8, 2012

2 Presentation Overview 2 Michigan Health and Wellness Plan Root causes of obesity Obesity in Washtenaw County How are Public Health and partners working to reduce and prevent obesity?

3 3 Overweight and obesity defined: Abnormal or excessive fat accumulation that may impair health usually the result of an imbalance between calories consumed and calories expended. Michigan s obesity crisis: Michigan is ranked as the 5 th fattest state in 2012 (31% of adults are obese) If current trends continue, 50-60% of adults will be obese by 2030

4 Michigan s Health and Wellness 4 x 4 Plan 4 Goal: Every Michigander will adopt health as a personal core value; the 4 x 4 tool can be used to maintain and/or attain health 4x4 Behaviors and Measures: Maintain a healthy diet Engage in regular exercise Get annual physical exam Avoid tobacco use Body Mass Index (BMI) Blood pressure Cholesterol level Blood sugar level Statewide media campaign being developed.

5 Washtenaw County HIP and HIP Data 5 HIP is a countywide community assessment and planning collaborative. Purpose: to improve health in Washtenaw by facilitating partnerships, providing data, and developing strategies. 4 focus areas: healthy eating, physical activity, tobacco use reduction, & depression. HIP survey data on behavioral risk factors collected every 5 years. HIP is supported by the following agencies:

6 6 Hip.ewashtenaw.org

7 Obesity in Washtenaw - Adults 7 HIP Survey Data

8 Obesity in Washtenaw - Adults 8 Focus on Disparities 80% 70% 70% 60% 50% 40% 30% 20% 10% 0% 3% 2% 36% 33% 40% 34% 20% 27% 28% 8% White Black Asian Underweight Normal Weight Overweight Obese 2010 HIP Survey Data

9 Obesity in Washtenaw - Children 9 HIP Survey Data

10 Obesity in Washtenaw - Children 10 Overweight or Obese Children in WIC, Washtenaw and Michigan Compared Age group months old Washtenaw overweight or obese Michigan overweight or obese Total 28% 30% White, non-hispanic 27% 30% Black, non-hispanic 28% 25% Hispanic 36% 38%

11 5 Root Causes of Obesity 11 Food Environment Infant Feeding Practices Physical Inactivity Dietary Behavior Obesity Community Design & Built Environment

12 12 Root Causes: Dietary Behavior & Food Environment HIP Survey Data

13 Educational Attainment 13 Root Causes: Dietary Behavior & Food Environment Focus on Disparity Adults Who Consume Fast Food Two or More Times Per Week Washtenaw County 2010* College Graduate 11.9 Some College 28.1 HS Graduate 17.6 <HS Graduate Percent *Washtenaw County 2010 Health Improvement Plan Survey 2010 HIP Survey Data

14 Root Causes: Dietary Behavior & Food Environment Grocery Stores and Restaurants per 100,000 Population Washtenaw County, Groceries Restaurants Washtenaw County Public Health - Waller 2009

15 Root Causes: Dietary Behavior & Food Environment Food Insecurity Rate in Washtenaw County 13.8% Of county population Number of food insecure people: 47, Feeding America data 1 in 7 adults in Washtenaw County are food insecure 1 in 6 children in Washtenaw County are food insecure

16 Root Cause: Infant Feeding Practices 16 National medical organizations promote 6 months exclusive breastfeeding followed by continued breastfeeding for at least one year. Healthy People 2020 breastfeeding goals: Ever: 81.9% Exclusively at 6 months: 25.5% Michigan Rates: Ever: 79.1% Exclusively at 6 months: 17.9% Washtenaw County WIC Rates: (Currently WIC serves over 50% of all infants born-fns/usda) Ever: 75% Exclusively at 6 months: 16.5%

17 Root Cause: Physical Inactivity 17 HIP Survey Data

18 Root Cause: Physical Inactivity 18 Focus on Disparity 100% 80% 60% 40% 20% 0% 2010 Adequate physical activity by household income 45% Less than $35,000 69% 81% $35,000-74,999 $75,000 or more Yes 2010 HIP Survey Data

19 20 Root Cause: Community Design & Built Environment

20 21 Root Cause: Community Design & Built Environment 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 91% 2010 walking areas available in neighborhood by region 80% 51% 51% Ann Arbor Ypsilanti Western Washtenaw Rest of County Agree or Strongly Agree 2010 HIP Survey Data

21 22 Root Cause: Community Design & Built Environment 2010 Feel safe walking in neighborhood by region Region Agree Ann Arbor 96% Ypsilanti 88% Western Washtenaw 78% Rest of County 90% 2010 HIP Survey Data

22 Root Cause: Community Design & Built Environment 23 Children, including their diet and physical activity habits, are influenced by their surrounding environment. Social and economic development, as well as policies (in the areas of agriculture, transport, urban planning, environment, education, food processing, distribution and marketing), influence children's dietary habits and preferences, as well as their physical activity patterns. Increasingly, these influences are promoting unhealthy weight gain leading to a steady rise in the prevalence of childhood obesity.

23 Root Cause: Community Design & Built Environment Abundant fast food restaurants Individual Behavior: e.g. Fruit/veg intake; Portion size; Breastfeeding

24 25 How are we tackling this issue in Washtenaw County? Dietary Behavior SNAP-Ed WIC School-based interventions such as Project Healthy Schools Food Environment Washtenaw Food Policy Council Prescription for Health Program Nutrition standards implemented in school food service programs Food Environment Dietary Behavior Infant Feeding Practices Obesity 5 Root Causes Physical Inactivity Community Design & Built Environment

25 26 How are we tackling this issue in Washtenaw County? (Continued) Food Environment Dietary Behavior Infant Feeding Practices Obesity 5 Root Causes Physical Inactivity Community Design & Built Environment Infant Feeding Practices Washtenaw County Breastfeeding Coalition WIC Physical Inactivity School-based interventions such as Project Healthy Schools Safe Routes to School Community Design & Built Environment Re-imagining Washtenaw Complete Streets policies & WATS Complete Streets Plan Joint Use Agreements Trail & park enhancements

26 Questions and Contact Information 27 Questions? Sharon P. Sheldon, MPH Program Administrator, Health Promotion Disease Prevention Washtenaw County Public Health Phone: