PH Communications & Advocacy
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Chapter5PPT.pptxChapter 8 Physical Activity Case Studies pp.170-174
Case for Physical Education Policies
Case of Complete Streets Policies
Case of Gas Prices and Physical Activity
Complete Streets Policies
In total, over 1400 Complete Streets policies have been passed in the United States, including those adopted by 33 state governments, the Commonwealth of Puerto Rico, and the District of Columbia.
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Chapter 8 Physical Activity Complete Streets Policies
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Chapter 8 Physical Activity Complete Streets Policies
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Chapter 8 Physical Activity Complete Streets Policies
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Chapter 5
Social Determinants of Health
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Policy Implications of Social Determinants of Health
Policies affecting social and economic determinants of health are ultimate prevention policies
“Fundamental causes” of health
Help to shape the contexts in which individuals live their lives and have significant health consequences
Education
Poverty
Housing
Employment
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Policy Implications of Social Determinants of Health
What are upstream social determinants of health?
Nonmedical, social, and economic factors, as well as environmental conditions
They are gaining interest, but policymakers and individual consumers continue to invest most of their attention and resources to pay and deliver health care
More $$ healthcare but lag behind on health indicators
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Effective policies that consider not only the delivery of health care services, but also social services, education, employment, and the built environment are the most promising for preventing illness, injury, and premature death
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Largest impact on population health will be a result of providing equal access to fundamental resources
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Social and Economic Policy and Preventive Health
Social and economic policy interventions will likely improve the well-being of children, youth, and families
Early Childhood
In comparison to households children who live in poverty
Complete fewer years of schooling
Work fewer hours
Receive food stamps at higher rates
More likely to report poor health
About 50% more likely to be overweight in adulthood
Early childhood care and education policies to increase accessibility for low-income families:
Head Start
Child Care Development Fund
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Social and Economic Policy and Preventive Health
Education and Policy
Those that help prevent school dropout and support higher educational attainment can also function as preventive health interventions.
Increase in years of education results in living longer and healthier lives
1% increase in of Americans with some college education could save $1.3 billion per year in avoidable medical care for diabetes
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Social and Economic Policy and Preventive Health
Education and Policy
Students’ health also influences their ability to learn and to complete their education.
School-based health clinics/centers (SBHCs) have been shown to Improve access to services students might otherwise find challenging
Users of SBHCs had higher completion rates for immunization series, reported greater satisfaction with their health, and engaged in a greater number of health-promoting behaviors.
Access to SBHCs was associated with a decrease in the rate of hospitalization and a gain of three days of school for children with asthma
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Social and Economic Policy and Preventive Health
Asset Building
Child Development Accounts (CDAs) are savings or investment accounts opened as early as birth. Goal is to that children have the resources to reach milestones such as postsecondary education, homeownership, or starting a business
Longitudinal study
CDA leads to better social and emotional development for the most socially disadvantaged young children who received a $1,000 CDA at birth
23 Mothers of children with CDAs in the Oklahoma experiment also report significantly lower levels of depressive symptoms
Currently 3 states with policy:
Maine, Rhode Island and Nevada
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Neighborhood, Community, and Economic Development
Living in a neighborhood with a low socioeconomic status (SES) is associated with increased risk of mortality compared with living in a neighborhood with a high SES
Community development policies that promote better housing options have been shown to enhance safety and reduce the likelihood of being exposed to crime
Under the Affordable Care Act (ACA)
Established National Prevention Council which issued the National Prevention Strategy
Focus on housing quality and cross-sector collaboration in community development planning to improve health
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Neighborhood, Community, and Economic Development National Example: Education & Health Initiative (EHI)
Led by Virginia Commonwealth University Center on Society and Health
Raise awareness about the implications of educational attainment for health outcomes
Message for leaders in health policy was better education could reduce disease rates and help control the rising costs of health care
Message for education leaders was the health benefits of improved education could strengthen reasons for policy and funding
Most importantly:
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Bridge the disconnect between researchers and policymakers
Neighborhood, Community, and Economic Development National Example: Education & Health Initiative (EHI)
Research
Scientific findings of the relationship between education and health with four sets of materials
Multiple products (issue briefs, videos, web content) aimed at specific audiences
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Neighborhood, Community, and Economic Development National Example: Education & Health Initiative (EHI)
Education: It Matters More to Health than Ever Before
Trends in the relationship between education and health
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Neighborhood, Community, and Economic Development National Example: Education & Health Initiative (EHI)
Why Education Matters to Health: Exploring the Causes
Causal pathways by which education may impact health outcomes
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Neighborhood, Community, and Economic Development National Example: Education & Health Initiative (EHI)
Health Care: Necessary But Not Sufficient
Demonstrates among patients with same access those with lower levels of education tend to have poorer self-rated health, higher rates of diabetes mortality, and higher rates of illness
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Neighborhood, Community, and Economic Development National Example: Education & Health Initiative (EHI)
Education & Health: The return on Investment
Explains how budget cuts in education intended to save money may ultimately drive up healthcare costs
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Neighborhood, Community, and Economic Development – Education & Health Initiative (EHI)
Policy Outreach
Connect with key influencers of education policy and health policy
Introduce the initiative and its focus and gather feedback on which topics and communications tactics would be most compelling and useful
Establish relationships to help with dissemination of materials and introduce researchers to the Center for Society and Health as a resource for information on connections between social factors and health
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Neighborhood, Community, and Economic Development – Education & Health Initiative (EHI)
Strategic Communication
Multifaceted communications strategy
Short videos and graphics to raise awareness of the education–health connection, issue briefs and web-based content
Videos for the first phase (Education: It Matters) = 16,800 views
Presentations at academic conferences
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Neighborhood, Community, and Economic Development – Education & Health Initiative (EHI)
Strategic Communication
Media coverage for the briefs included articles in:
The Huffington Post, Politico, and the local NBC and National Public Radio (NPR) affiliates
Coverage in the newsletters or mailing lists of organizations such as: The National Conference of State Legislatures, the National Governors Association, the U.S. Senate Committee on Health, Education, Labor, and Pensions, and the American Public Health Association
On Twitter, content was shared by a number of influential voices in the spheres of public health and education
Twitter chat that was organized for the release of Phase Three resulted in over 3.3 million impressions.
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5 min breakout.
Breakout students in their GROUP… Have them identify a reporter
Have them THIKNK PAIR SHARE these two questions
And Each group report back ONE example of a SDOH that impacts their issue-
Describe your groups health problem and the SDOH that might impact it.
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References
Eyler, A.A., Chriqui, J.F., Moreland-Russell, S.M., & Brownson,
R.C. (Eds.). (2016) Prevention, policy, and public health (1st ed.) New York, NY: Oxford University Press.
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