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IMAGINING OUR EQUITABLE STREETS FOR HEALTHY, ACTIVE, HAPPY PEOPLE
NICOLE R. KEITH, PH.D., FACSM
PROFESSOR, INDIANA UNIVERSITY-PURDUE UNIVERSITY, INDIANAPOLIS
@nicolekeithphd
nkeith@ iupui.edu
ACTIVITY DISPARITIES - DEMOGRAPHIC
Geographic location (community or neighborhood)
Age
Race
Gender
Education (limited literacy)
Income below (150% poverty)
Sexual orientation/identity
ACTIVITY DISPARITIES HEALTH
Comorbidities
Physical ability
Cognitive function
Physical or cognitive disability
Home confinement
Body composition/BMI
IMAGINE OUR EQUITABLE STREETS
Individuals tend find comfort in homogenous groups
Hooghe Canadian Journal of Political Science (2007); Laurence European Sociological Review (2009); Meer, and Tolsma Annual Review of Sociology (2014)
IMAGINE OUR EQUITABLE STREETS
Diverse groups perform better
Pieterse et al. Academy of Management Journal 56.3 (2013); Richard et al. The International Journal of Human Resource Management24.13 (2013)
IMAGINE OUR EQUITABLE STREETS
Diversity discomfort
Kumar and Hamer. Journal of Teacher Education (2013); Galinsky et al Perspectives on Psychological Science (2015)
IMAGINE OUR EQUITABLE STREETS
Most people are interested in fairness
Gotsis and Kortezi. Journal of Organizational Change Management(2013)
IMAGINE OUR EQUITABLE STREETS
IMAGINE OUR EQUITABLE STREETS
Imagine a world where….
IMAGINE OUR EQUITABLE STREETS
Imagine a world where….
Health systems focus on health promotion
Health promotion is embedded into worksites
Active living is Part of city planning
Active living is an integral part of community development
All sectors are engaged in achieving equity through active living
IMAGINE OUR EQUITABLE STREETS
HEALTH SYSTEMS FOCUS ON HUMAN HEALTH PROMOTION
HEALTH PROMOTION IS EMBEDDED INTO WORKSITES
ACTIVITY EQUITY IS PART OF CITY PLANNING
AND AN INTEGRAL PART OF COMMUNITY DEVELOPMENT
CREATING EQUITABLE COMMUNITIES
• Government and private agency policies are helpful
• Implementation may require public demand
• Potential models to create constituent support
• Multiple streams
• Advocacy coalition
• Punctuated equilibrium
MULTIPLE STREAMS FRAMEWORK
• Greatest opportunity for change happens by addressing• Problem
• How the issue can be addressed by strategic action• Policy
• Solutions being offered to address the issue• Politics
• Political climate• Arrangement of constituents• National mood
Category One – Latin America and the Caribbean1st Place Loja, Ecuador2nd Place Surco, Lima, Peru3rd Place Balcare, ArgentinaCategory Two – United States and CanadaWinner Surey, British Columbia, Canada
Special Recognition Cities Eugene, Oregon, USAHabana Vieja, CubaLo Barnechea, ChileManizales, Colombia
ADVOCACY COALITION FRAMEWORK
Aligns groups with the same core beliefs Coordinates and leverages their power Educates change agents Shares resources across sectors Aligns policies with politics
PUNCTUATED EQUILIBRIUM THEORY
Policy Tends to remain the same unless change is warranted Change can occur quickly under certain circumstances
New science Different perceptions Increased media attention and public interest Crisis
Political Economic Environmental Social influence
CREATING EQUITABLE COMMUNITIES FOR HEALTHY, HAPPY PEOPLE
ACTIVE LIVING EQUITY IS THE LOW HANGING FRUIT TO ACHIEVE HEALTH
Physical activity can positively influence every societal sector and social justice issue
@nicolekeithphd Email: nkeith@ iupui.edu