Dr. Jean-Michel Borys EPODE European Network Director WEBINAR Overcoming barriers to health equity in community-based programs 21st of October 2015 2 disclosure EIN: grant of Nestl, European Commission EPHE: grant of Mars, Ferrero, Danone, European Commission JM Borys: No personal conflict of interest 3 AGENDA Background Can we reduce health inequities with the EPODE model? Conclusions 4 BACKGROUND Adults in lower income categories are experiencing higher levels of obesity than adults in high income groups. The social gradient can account for around 25% of the obesity prevalence in men and 50% in women. Minorities and the poor are clearly at a disadvantage when it comes to the adoption of healthier eating habits A. Drewnoski 5 EPODE and the community: Together we can! EPODE approach for childhood obesity prevention: methods, progress and international development. Borys JM, Le Bodo Y, Jebb SA, Seidell JC, Summerbell C, Richard D, De Henauw S, Moreno LA, M. Romon M, Visscher TLS, Raffin S, Swinburn, B, the EEN Study Group. Obes Rev Apr;13(4): Obes Rev. volution de la prvalence du surpoids et de lobsit chez les enfants de 4 11 ans entre 2005 et 2010 dans les villes EPODE M Romon et al.. Nutrition clinique et mtabolisme, Vol 24, N S1, dec 2010, p. 58 Downward trends in the prevalence of childhood overweight in two pilot towns taking part in the VIASANO community-based programme in Belgium: data from a national school health monitoring system. Vinck, J.et al. (2015), Pediatric Obesity. doi: /ijpo EPODE (Ensemble Prvenons lObsit Des Enfants) is a coordinated, capacity-building approach for communities to help them change the local social norms, behaviours, environment and have an impact to improve and promote healthier lifestyles at the local level EPODE Model has been disseminated to 44 programme in 33 countries thanks to the EPODE International Network Encouraging results with a decrease from 10 to 20% of the prevalence of overweight and obesity (results in France, Belgium, The Netherland, Spain, Australia) 6 EPODEs impact on children overweight & obesity (1)Romon & Al., Public Health Nutrition, 2009; 12: 17351742 Romon & Al, Nutrition clinique & mtabolisme,Vol 24, N S1, dec 2010, 58 7 Can we reduce health inequities with the EPODE model? first EPODE Pilot Study ( ) long term EPODE study in France ( ) EPODE for the Promotion of Health Equity ( ) 8 Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes. Romon M, Lommez A, Tafflet M, Basdevant A, Oppert JM, Bresson JL, Borys JM et al. Public Health Nutr Oct;12(10): A reduction up to 50% of the health inequities amongst overweight and obesity prevalence (FLVS) (pilot study ) Upper ClassMiddle ClassLower Class Overweight and obesity prevalence (%) Control townsEPODE towns x 4, 7 x 3 x 1, 2 x 2, 7 n= 633 children 9 Long term Study: Sample caracteristics ( ) 10 Maria Joao GREGORIO & Al, 2015 The effectiveness of a community-based program at reducing social gap in childhood overweight prevalence: Results from EPODE program in France ( ) 11 The effectiveness of a community-based program at reducing social gap in childhood overweight prevalence: Results from EPODE program in France ( ) Maria Joao GREGORIO & Al, 2015 N = 3104 in 2007 & 2849 in 2013 12 Less disparities between Overweight prevalence in 2007 ranged from 11.4 in high SES towns to 17.4% in low SES towns (P