Using Evidence to Combat Childhood Obesity: Health Commissioners' Perspective

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Using Evidence to Combat Childhood Obesity: Health Commissioners' Perspective

  1. 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. 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. 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. 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. 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. 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. 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. 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. 9. HEALTHY CHICAGO POLITICAL LANDSCAPE:Chicago Department of Public Health HEALTHY CHICAGO AGENDA Infrastructure
  10. 10. POLITICAL LANDSCAPE:CORPORATE AND COMMUNITY PARTNERS
  11. 11. THREE OF CHICAGO’S APPROACHES TOCHILDHOOD OBESITY PREVENTION INITIATIVES SCHOOL-BASED INTERVENTIONS MULTI-SECTOR INTERGOVERNMENTAL & COLLABORATION COMMUNITY DEVELOPMENT EFFORTS
  12. 12. SCHOOL-BASED INTERVENTIONS SCHOOL-BASED INTERVENTIONS MULTI-SECTOR INTERGOVERNMENTAL & COLLABORATION COMMUNITY DEVELOPMENT EFFORTS
  13. 13. SCHOOL-BASED INTERVENTIONS  CPS hires chief health officer  Dually reports to CDPH  CDPH creates Adolescent and School Health Office
  14. 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. 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. 16. Report available at: http://bit.ly/YDOFEq
  17. 17. INTERGOVERNMENTAL APPROACH SCHOOL-BASED INTERVENTIONS MULTI-SECTOR & INTER-GOV’T COMMUNITY COLLABORATION DEVELOPMENT EFFORTS
  18. 18. INTERGOVERNMENTAL APPROACH Inter-Departmental Task Force Produce Cart Initiative Play Streets, Bike Lanes
  19. 19. INTERGOVERNMENTAL APPROACH
  20. 20. MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACHES SCHOOL-BASED INTERVENTIONS MULTI-SECTOR &INTERGOVERNMENTAL COLLABORATION COMMUNITY DEVELOPMENT EFFORTS
  21. 21. MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACHESReport available at: http://bit.ly/X5nH90  Citywide Food Plan  LISC Partnership
  22. 22. MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACHES • Baby Friendly Expansion • Improvements to Chicago’s Day Care Center Standards
  23. 23. facebook.com/ChicagoPublicHealthGplus.to/ChiPublicHealth@ChiPublicHealth312.747.9884CityofChicago.org/HealthHealthyChicago@CityofChicago.org

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