Download pptx - IOMC Panel: Childhood Obesity in Chicago: Causative Factors and Proposed Solutions

CHILDHOOD OBESITY IN CHICAGO:CAUSATIVE FACTORS AND PROPOSED

SOLUTIONS

Institute of Medicine of ChicagoNovember 14, 2013

Bechara Choucair, MDCommissioner

Chicago Department of Public Health

@Choucair #HealthyChicago

Chicago Department of Public HealthCommissioner Bechara Choucair, M.D.

City of ChicagoMayor Rahm Emanuel

During his first 100 days in office, Mayor Rahm Emanuel released “Healthy Chicago,” the City’s first-ever comprehensive public health agenda.

Obesity prevention is one of the top priorities of Healthy Chicago — and for good reason.

HEALTHY CHICAGO PUBLIC HEALTH AGENDA

Orange bars denote 95% confidence limits (i.e., the margin of error associated with each estimate).

ADJUSTED ESTIMATES OF OBESITY PREVALENCE AMONG CPS STUDENTS IN KINDERGARTEN

Non-Hispanic Asian

Non-Hispanic White

Non-Hispanic Black

Hispanic

All

0 5 10 15 20 25 30

11.3

12.1

17.4

24.9

20

National Estimate

For 2-5 year olds

2008CLOCC Estimates

(CPS & Archdiocese)

2003

RESULTS OF 2002 NEIGHBORHOOD SURVEY

Source: Margellos-Anast et al., Public Health Reports 2008. Online via http://www.suhichicago.org/files/publications/PHR_child_obesity.pdf

http://www.suhichicago.org/files/publications/PHR_child_obesity.pdf

OBESITY PREVENTION

CHICAGO’S APPROACH TO CHILDHOOD OBESITY PREVENTION

SCHOOL-BASEDINTERVENTIONS

INTERGOVERNMENTAL

COLLABORATION

MULTI-SECTOR &

COMMUNITY DEVELOPMENT

EFFORTS


INTERGOVERNMENTAL

COLLABORATION

SCHOOL-BASED INTERVENTIONS

MULTI-SECTOR &


EFFORTS

CPS Hires Chief Health Officer Dually reports to CDPH CDPH creates Adolescent

and School Health Office


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


Healthier US School Challenge Certification as of December 2012 with Prevalence of Overweight or Obesity among Chicago Public School Students in Grades Kindergarten, 6, and 9

Overweight or obesityPrevalence estimate (%)

70 schools certified

75 pending certification

Report available at: http://bit.ly/YDOFEq


INTER-GOVERNMENTAL APPROACH


INTERGOVERNMENTAL

COLLABORATION

MULTI-SECTOR &


EFFORTS

Inter-Departmental Task Force

Produce Cart Initiative Play Streets, Bike Lanes



Increasing Healthy Food

Access

MULTI-SECTOR & COMMUNITY DEVELOPMENT APPROACH


INTERGOVERNMENTAL

COLLABORATION

MULTI-SECTOR &


EFFORTS

Citywide Food Plan

LISC Partnership

Report available at: http://bit.ly/X5nH90


• Baby Friendly Expansion• Improvements to Chicago’s

Day Care Center Standards


Obesity rates for CPS Kindergartners continues to drop!

Results include:1 in 4 (2003) 1 in 5 (2012).

1,000 more CPS kindergartners at a healthier weight

Improvements seen for every racial/ethnic group


BUILDING ON & ENGAGING PARTNERSHIPS

WHY SHOULD YOU GET INVOLVEDPrimary Prevention

• Health care professionals have a natural incentive to improve the health of all people and the environment in which we live.

Position to Influence Behavior• Lead by Example

• People Trust Doctors with their Lives

• People look to their Doctors for Health Information

• Political Polling Demonstrates that Doctors are among the MOST RESPECTED sources of Health Information, which puts you in a Unique Position to Influence Public Policy.

• Healthcare System will Bear Burden of Chronic Disease.

ADVOCATE FOR BETTER PUBLIC AND INSTITUTIONAL POLICIESBIG P: Public Policy

• Legislation• Regulations• Zoning/Land Use• Taxes• Public Budgets

Little p: Institutional policy• Worksite policies/investments• NGO policies• Individual school policies• Norms and standards that drive other

action

• Test new policies that improve the food and beverage environment in hospitals and other workplaces.

• Test pricing and promotion strategies to encourage healthier eating and drinking in your hospitals and workplaces.

• Contribute to the evidence base by evaluating the impact of these policy changes.

• Ask if there is an open seat on the CPS School Wellness Committee for the school in your neighborhood.

EXAMPLES OF OPPORTUNITIES TO ADVANCE INSTITUTIONAL POLICIES

@ChiPublicHealth

312.747.9884

facebook.com/ChicagoPublicHealth

[email protected]

www.CityofChicago.org/Health