the california nutrition network for healthy, active families “building a healthy body &...
TRANSCRIPT
The California Nutrition Network for
Healthy, Active Families
“Building a Healthy Body & Soul”
EFFECTIVENESS OF THE FAITH COMMUNITY
INITIATIVE IN STIMULATING CHANGE IN NUTRITION AND
PHYSICAL ACTIVITY IN AFRICAN AMERICANS
Elaine G. Williams, Ph.D., R,D.Charles R. Drew University
Rates of chronic disease including heart disease, diabetes, cancer, stroke and obesity are disproportionately high in the African American community.
More than 60% of African American men and women in California are overweight or obese.
Health Disparities
Health Disparities
Combined, heart disease and cancer cause over half of all African American deaths.
Cancer and heart disease are leading causes of death for African American youth accounting for one in five deaths in African American teens in California.
Why “5 a Day”?
Results from the 1999 California Dietary Practices Survey showed that fruit and vegetable consumption among African Americans is 3.2 servings/day.
Studies have shown that eating at least 5 servings of fruits and vegetables and engaging in regular physical activity significantly reduce the risk for chronic diseases.
AA 5 A DAY Mission
The African American 5 A Day Campaign encourages the improvement of health by empowering the African American community through education, advocacy, and policy development that promotes the benefits of healthy eating and physical activity.
History/Background
Organized in November 1998 as an advisory group of the Cancer Prevention and Nutrition Section of the California Department of Health Services.
A membership of concerned California residents, community leaders, ministers, registered dietitians, nurses, doctors, and advocates.
Goals
Identify best ways to communicate, educate and motivate healthy eating and physical activity in African American communities.
2. Develop strategies, provide training and strengthen the role of groups working to promote the health and wellness of African Americans.
Outreach Channels
The AA 5 A Day Campaign is reaching the African American community in places where they eat, work, shop, and spend time with their families:
Churches/Faith-Based Organizations Retailers/Grocery Stores Media: TV, Radio, Print Community Festivals
Channels selected were supported by surveyrespondents when asked where they want to learnabout healthy eating and physical activity.
African American Institutions
• Most Likely to Listen to about Issues on
Nutrition and Physical Activity– 1st - Church (45%)– 2nd - Blacks in Nutrition and
Dietetics (41%)– 3rd - BET (32%)– 4th - African-American Radio
Stations (29%)– 5th - NAACP (22%)
Faith Awardees
• Southern California 10 churches Los Angeles Blacks in Nutrition
and Dietetics• Northern California 2 churches University of California
Extension
Social Ecological Model
LEVELS OF SOCIAL STRUCTURE• Individual• Interpersonal or Group• Institutional or
organizational• Community• Societal or public policy
level
Individual Level
• Nutrition classes/seminars/workshops
• Food Demonstrations• Physical fitness classes• Learn by Mail curriculum• At home fitness program
Interpersonal or Group Level
• Healthy food cook-offs• Walking groups• Monthly or weekly meetings• Team sports• Drill/Step teams• Praise Dancers
Institutional or Organizational Level
• Special Sermons• Healthy Meals or Snacks at
church functions• Nutrition Sabbath/Sundays• Health Stations at Church on
Sundays• Bulletin Board Displays• Literature Racks
Community Level
• Farmers’ Markets• Community Gardens• Community Health Fairs• Community Walk a Thons• Cable TV Shows• Radio talk Shows • Newspaper and Magazine
Articles
Societal or Public Policy Level
• Participation on community, state and national committees, advisory boards, organizations and agencies
• Mayoral Proclamations• Congressional Proclamations• Citywide Coalitions
Evaluation Strategies
• FOCUS GROUPS• SURVEY OF KEY INFORMANTS• SERIAL NUTRITION AND
PHYSICAL ACTIVITY SURVEYS• FESTIVAL SURVEYS
Trends in Belief: 5+ Needed forGood Health, 1989-99, by Ethnicity,
Education, and Income
0
10
20
30
40
50
60
89 91 93 95 97 99
Per
cent
of A
dults
$50,000+***
College Grads***
White***
All Adults***
<$15,000***
Latino***
<High School***
African-American
Percent of Adults Reporting Low Daily Fruit andVegetable Intake by Race/Ethnicity by Gender,
California BRFS, 2001
2629
48
22
34
0
10
20
30
40
50
60
Self-Reported Fruit and Vegetable Intake, Yesterday vs. Average Day, 2001
26
5557
35
18
11
Average Day Yesterday0
10
20
30
40
50
60
70Percent of African-American Adults
Servings of Frt and Veg 0-2 3-4 5+
Source: California Department of Health Services, 2002
Servings of Fruits and Vegetables Believed Needed for Good Health, 2001
28
15
56
0-2 Servings 3-4 Servings 5+ Servings0
10
20
30
40
50
60
70Percent of African-American Adults
Source: California Department of Health Services, 2002
Fruits and Vegetables Believed Needed
Stages of Readiness for Change in Fruit and Vegetable Intake, 2001
10
74
16
Precontemplation/ContemplationPreparation
Action/Maintenance0
10
20
30
40
50
60
70
80
Percent of African-American Adults
Stage algorithm taken from: Dietary Assessment Resource Manual, Journal of Nutrition, 124 (11S):2308S.Source: California Department of Health Services, 2002
SUMMARY
THE CHURCH IS AN EFFECTIVE MEDIUM FOR DELIVERY NUTRITION AND PHYSICAL ACTIVITY PROGRAMS AND STIMULATING CHANGE IN AFRICAN AMERICANS AT ALL LEVELS OF THE SOCIAL ECOLOGICAL MODEL.