Using Evidence to Combat Childhood Obesity: Health Commissioners' Perspective

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  • 1. Using Evidence to Combat Childhood Obesity: Health Commissioners’ Perspective Robert Wood Johnson FoundationHealthy Eating Research 7th Annual Grantee Meeting March 14, 2013 Bechara Choucair, MD Commissioner Chicago Department of Public Health @choucair on
  • 2. Presenter Disclosures Bechara Choucair, M.D.(1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: “No relationships to disclose.”
  • 3. PRESENTATION OUTLINE1. Snapshot of Chicago’s Childhood Obesity Epidemic Data2. Chicago’s Political Landscape “Never let a serious crisis go to waste.” Rahm Emanuel Mayor, City of Chicago3. Discussion About Three of Chicago’s Childhood Obesity Prevention Initiatives
  • 4. ADJUSTED ESTIMATES OF OBESITY PREVALENCEAMONG CHICAGO PUBLIC SCHOOL STUDENTS IN KINDERGARTEN National estimate 2008 2003 For 2-5 year olds CLOCC estimates (CPS & Archdiocese) Orange bars denote 95% confidence limits (i.e., the margin of error associated with each estimate).
  • 5. RESULTS OF 2002 NEIGHBORHOOD SURVEYSource: Margellos-Anast et al., Public Health Reports 2008.Online via http://www.suhichicago.org/files/publications/PHR_child_obesity.pdf
  • 6. 2010-11 SCHOOL DATA ASSESSMENTReport available at: http://bit.ly/15tkiUr • Assessed records of 88,527 Chicago Public School students in the three grades – 44% Hispanic – 42% non-Hispanic black – 9% non-Hispanic white – 3% non-Hispanic Asian
  • 7. 2010-11 SCHOOL DATA ASSESSMENTReport available at: http://bit.ly/15tkiUr • 59,794 students (67.5%) had recent, valid, and complete data sufficient for BMI percentile calculation • Obesity prevalence was 25%
  • 8. ADJUSTED ESTIMATES OF OBESITY PREVALENCE AMONGCHICAGO PUBLIC SCHOOL STUDENTS (KINDERGARTEN, 6, 9)Five highest estimates (%)South Lawndale (30) 32.9Hermosa (20) 31.3East Side (52) 30.9Lower West Side (31) 30.5West Lawn (65) 30.2Five lowest estimates (%)Lincoln Park (7) 12.7Mount Greenwood (74) 12.9Loop (32) 13.5Armour Square (34) 14.1Lake View (6) 14.2 Adjusted for non-response and standardized to District-wide grade-level enrollment
  • 9. HEALTHY CHICAGO POLITICAL LANDSCAPE:Chicago Department of Public Health HEALTHY CHICAGO AGENDA Infrastructure
  • 10. POLITICAL LANDSCAPE:CORPORATE AND COMMUNITY PARTNERS
  • 11. THREE OF CHICAGO’S APPROACHES TOCHILDHOOD OBESITY PREVENTION INITIATIVES SCHOOL-BASED INTERVENTIONS MULTI-SECTOR INTERGOVERNMENTAL & COLLABORATION COMMUNITY DEVELOPMENT EFFORTS
  • 12. SCHOOL-BASED INTERVENTIONS SCHOOL-BASED INTERVENTIONS MULTI-SECTOR INTERGOVERNMENTAL & COLLABORATION COMMUNITY DEVELOPMENT EFFORTS
  • 13. SCHOOL-BASED INTERVENTIONS  CPS hires chief health officer  Dually reports to CDPH  CDPH creates Adolescent and School Health Office
  • 14. SCHOOL-BASED INTERVENTIONS Revised Wellness Policy Competitive Foods Policy Enhanced PE for all students  $26M New Grants • CTG – Healthy CPS • Teen Dating Matters • Teen Pregnancy • Farm to School • Wellness Champions
  • 15. Healthier US School Challenge Certification as of December 2012 with Prevalence ofOverweight or Obesity among Chicago Public School Students in Grades Kindergarten, 6, and 9 Overweight or obesity Prevalence estimate (%) 70 schools certified 75 pending certification
  • 16. Report available at: http://bit.ly/YDOFEq
  • 17. INTERGOVERNMENTAL APPROACH SCHOOL-BASED INTERVENTIONS MULTI-SECTOR & INTER-GOV’T COMMUNITY COLLABORATION DEVELOPMENT EFFORTS
  • 18. INTERGOVERNMENTAL APPROACH Inter-Departmental Task Force Produce Cart Initiative Play Streets, Bike Lanes
  • 19. INTERGOVERNMENTAL APPROACH
  • 20. MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACHES SCHOOL-BASED INTERVENTIONS MULTI-SECTOR &INTERGOVERNMENTAL COLLABORATION COMMUNITY DEVELOPMENT EFFORTS
  • 21. MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACHESReport available at: http://bit.ly/X5nH90  Citywide Food Plan  LISC Partnership
  • 22. MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACHES • Baby Friendly Expansion • Improvements to Chicago’s Day Care Center Standards
  • 23. facebook.com/ChicagoPublicHealthGplus.to/ChiPublicHealth@ChiPublicHealth312.747.9884CityofChicago.org/HealthHealthyChicago@CityofChicago.org