1. S
A Snapshot of Chelsea:
Environment vs. Health
Cluster Two

2. Scope of Public Health Problem
S Public Health focuses on the
prevention of disease and
the promotion of health.
S Social Determinants
S Health Inequities
S Health Disparities
S Environmental Health

3. Scope of Public Health Problem (cont.)
Statistics
S Washtenaw County ranked 7/83 in
overall health.
S 61/83 in environmental health
S 10% are uninsured
S Obesity is the highest ranking public
health problem
S 23% of adults obese in
Washtenaw
S 31% of adults obese in Michigan
S 25% of adults obese in U.S.

4. Process
Community Health Needs
Assessment
S UNITE Project
S St Joseph Hospital (Ann Arbor,
Chelsea)
S University Of Michigan health
System

5. Process (cont.)
S Unite aims to gather data on three specific health priorities:
S 1. Mental health and substance use disorders
S 2. Obesity and related illnesses
S 3. Pre-conceptual and prenatal health
S Summer 2016, UNITE focuses on the community’s perceptions of obesity.
S Surveys and Audits were conducted in West Willow, South of Michigan Ave.
and Chelsea

6. Methods
S Audits were conducted to asses the physical environment of Chelsea.
S Sidewalks, streets, buildings, residential/non-residential areas
S Steps
S Students went out on foot to streets mapped out using the census tracker.
S Every block received its’ own checklist.
S 140 checklists were completed

7. Methods (cont.)

8. Results
S Chelsea is a town of contrast, which plays a role in the prevalence of obesity(24%)
despite the fact of having a high SES
S 1% of the land of the town is designated for parks and there being only 2 playgrounds for
the whole town.
S There were only two (2) stops for public transit with no coverings or bench provided.
S 56% of the streets had no posted speed limit, 59% did not contain crosswalks and only
16% percent of roads were marked.

9. Discussion and Recommendations
S The local environment plays a role in the health of the community and the lack of
public recreational spaces can directly to the development of obesity.
S Due to the high rate of childhood obesity a community health improvement plan
would be best to implement immediately to effectively strategize how to reduce the
adiposity of the youth in Chelsea.
S Finally schools need to ensure that there are healthy foods for lunch as well as
allotting 60 minutes for physical activity.

10. Q/A