Healthier Community

4th Annual National Prevention Summit:
Prevention, Preparedness, and Promotion
October 26, 2006

(image: Hawaii State Department of Health logo and Start.Living.Healthy. logo)

HHI is an integrated and comprehensive approach to increase the years of healthy life for all people of Hawaii and to reduce existing health disparities among ethnic groups in Hawaii.

(image: photo of intersection in Hawaii)

(image: photos of people standing, and MANY traffic signs)

(image: photo of surveyer)

Improved environment
Improved knowledge/
attitude/norms

Healthy behavior
Improved health of population

Reduction in:
Diabetes
Heart Disease
Cancer
Stroke

2-5 years
5-10 years
10-20 years

• The goal is to reduce the incidence of chronic disease through addressing the primary prevention areas of physical activity, nutrition and tobacco use.
• Objective is to increase sustainable changes in physical activity and healthy eating.
• HHI funds and coordinates tobacco prevention and control with other divisions across the department.

Hawaii has lowest combined obesity & overweight

(image: chart titled "Hawaii has lowest combined obesity & overweight")

Significant increase in leisure time physical activity by adults from 1999 to 2005

(image: graph titled "Significant increase in leisure time physical activity by adults from 1999 to 2005")

Increase in PA from 2003 to2005

(image: bar graph titled "Increase in PA from 2003 to 2005")

No increase in youth at risk for overweight from 1999 to 2005 (2005 YRBSS 14.2%)

(image: graphic titled "Eat Your Rainbow")

(image: diagram titled "Understanding Health Behaviors")

• Schools
  • Coordinated School Health Program
  • Teaching to Health & Physical Education Standards
• Communities
  • Coalition Building
  • Community RFPs
  • Technical Assistance
• Food Stamp Nutrition Education Program
• Education
  • Public
  • Professional
• Tobacco Prevention
  • Counter Marketing
  • Enforcement
• Surveillance, Evaluation and Research

• Coordinated approach to school health for prevention
• Sustainable and consistent state to complex to school infrastructure to promote health
• Professional development, technical support and resources to link components of school health

(image: pyramid diagram titled "Integrated School Health Framework")

• Health education
• PE
• Coordinated School Health Program
• YRBS, YTS Coordinated
• Over 80% of MS HS classroom teachers reached with professional development
• Graduate level courses
• Trained CSHP sites
• School Wellness Policy

(image: Healthy Keiki logo)

• Capacity building
• Sustainability
• Health Disparity
• Improving Evaluation
• Creating Teacher Learning Communities for HE and PE
• Statewide CSHP Rollout for Schools
• State School Wellness Policy
• Training Tracker Results
• Adapting a comprehensive fruits and vegetable nutrition education program in a Hawaii school garden project

(image: photo of long lonely road)

(image: County maps of Hawaii and Kauai islands)

(image: county maps of Oahu and Maui)

Communities implemented a variety of programs including:

• planning and renovating walking paths
• making physical activity venues accessible to older adults
• establishing a demonstration garden with walking paths
• increasing healthy choices in restaurants
• community-wide walking campaign

(image: photo of group on beach)

• Projects included traffic calming around schools
• Joint land use agreements between the Honolulu City and County Department of Parks and Recreation and the HDOE to increase physical activity opportunity in an urban region
• Development and adoption of Native Hawaiian food literacy curriculum in Hawaiian language charter schools.

(image: photo of young girl)

• Phase I: General Awareness Raising: Start.Living.Healthy.
• Phase II: Specific Message:
  1% or Less is Best
• Phase III: Specific Message: 30 minutes of physical activity a day
  5+ servings fruits and vegetables a day
  Direct marketing to FSP

(image: Hawaii Department of Health promotional poster)

• Capacity building
• Sustainability
• County level work
• Health Disparity
• State and County Coalitions
• More Technical Assistance and Training
• County/Community Level RFPs
• FSP Direct Marketing
• Grocery Store Project

(image: photo of long, lonely road)

Still needs work

• Slight increase in youth overweight from 1999 to 2005 (2005 YRBSS 13.5%)
• 1999 to 2005 no significant change in eat five or more servings of fruits and vegetables by adults or youth
• 1999 to 2005 no significant change in vigorous or moderate physical activity levels by youth (2005 YRBSS 64.9% met previous national recommendations for PA; new recommendations met is 30.2%)

(image: Start.Living.Healthy. photos)