Erika G. Kirby, MBA, RD, LD Abdoulaye Diedhiou, MD, PhD DHEC

Erika G. Kirby, MBA, RD, LD
Abdoulaye Diedhiou, MD, PhD
DHEC/DNPAO
 Teresa Hill
 Jill Pfankuch
 Joann Minder
 Kristian Gordon
 Mary Kay Face
 Khosrow Heidari
Moving South Carolina
Towards a Healthy Weight:
Promoting
Healthy
Lifestyles and
Healthy
Communities


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Developed and launched…. years ago
Prevent and control obesity and other chronic
diseases through healthy eating and physical
activity
Behavior-oriented:

Decreased prevalence of obesity and chronic diseases

Increased physical activity

Improved dietary behaviors

Purpose

Increased number, reach, and quality of policies and
standards supportive of healthy eating and active living
(HEAL) in various settings

Increased access to and use of environments supportive
of HEAL in various settings

Increased number, reach, quality of social and behavioral
approaches that promote HEAL

Raising public awareness and mobilizing additional
partners in support of prevention efforts

Immediate public health action: data used for
 priority setting and policymaking
 program planning and evaluation

Tracking progress toward meeting objectives of the
Obesity State plan & OFA

Support and develop capacity for surveillance to
monitor State Obesity Plan:

Processes: implementation of behavioral, and policy &
environmental interventions

Impacts: change in overweight and obesity related
behaviors, including nutrition quality and physical activity

Outcomes: prevalence of overweight, obesity, and related
chronic diseases

Various levels of the Socio-Ecological model
Individual level

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Organizational level: environments &
policies/practices

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BMI (adults); BMI-for-age (children age 2 and older)
Physical activity and nutrition behaviors
Obesity-related health conditions
Academic performance (school-age children)
Child care/Preschools; Schools
Health care; Worksite
Community & Faith
Macro level

Policies, ordinances, resolutions, legislative bills
State-level Data
Age Group
Preschool
Populationbased
Programbased
Region-level Data
Populationbased
Programbased
County/Local-level Data
Populationbased
Programbased
None
WIC
Head Start
PedNSS
PNSS
WIC
None
Head Start
WIC
Head Start
Elementary NSCH
school
None
None
None
None
None
Middle
school
None
None
None
None
None
None
None
None
None
None
WIC
PedNSS
PNSS
BRFSS
WIC
BRFSS
WIC
NSCH
NIS
PRAMS
IFPS 2
NSCH
YRBSS a
High school NSCH
YRBSS
Adults
a
BRFSS
PRAMS
Only physical activity data
Setting
Healthy Eating & Breastfeeding
Physical Activity & Active Play
Child Care &
Pre-school
•DSS/ABC Data Bridge
•SC Department of Agriculture
•Child & Adult Care Food
Program
•SCDE/Early Childhood
Education
•SCDE/Early Childhood
Education
•Head Start Body Start data
system
School
•School Health Profiles
•School Health Policies & Prog.
Study
•SC Department of Agriculture
•SC Department of
Transportation
•School Health Policies &
Program Study
Community &
Faith
•SC Department of Agriculture
•SC Department of Social
Services
•WIC Program data
•USDA Food Environment Atlas
•SC Department of
Transportation
•SC Dept of Parks, Recr. &
Tourism
•SC Parks & Recreation
Association
•Palmetto Cycling Coalition
Health Care
•National Survey of Maternity
Practices in Infant Nutrition and
Care
•UNICEF/Baby-Friendly

Gaps and Limitations
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Limited data sources for children
Impact and outcome data sources rarely provide county/local
estimates
Program-based data not generalizable
Approaches for closing gaps
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Alternatives: school-based (FitnessGram, HealthOffice)
Primary data collection, e.g. CHAMPS
Process data: SCORES, partner agencies, organizations
Local initiatives: e.g., Beaufort, Jasper, Greenville, …

Individual level:
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YRBS: www.ed.sc.gov/HealthySchools
NSCH: www.childhealthdata.org
PedNSS: www.cdc.gov/pednss
School Environment & Policies:
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Profiles: www.ed.sc.gov/HealthySchools
SHPPS: www.ed.sc.gov/HealthySchools
http://www.childhealthdata.org/content/Default.aspx
http://www.ed.sc.gov/agency/Innovation-and-Support/Health-and-Nutrition/Healthy-Schools/DataSources.html
http://www.cdc.gov/pednss/index.htm

Individual level:
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BRFSS: www.scdhec.gov/hs/epidata/brfss_index.htm
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PRAMS: scangis.dhec.sc.gov/scan/prams2/prams.aspx

DHEC Epi & Eval: http://www.scdhec.gov/health/epidata
PNSS: www.cdc.gov/pnss


State Policies:

SC Legislative Information Tracking System (LPITS):
http://www.scstatehouse.gov/lits/litsindex.html
http://www.scdhec.gov/hs/epidata/brfss_index.htm
http://www.scdhec.gov/co/phsis/biostatistics/index.asp?page=prams
http://www.scdhec.gov/health/epidata/
http://www.scstatehouse.gov/lits/litsindex.html

US DHHS

Profiles are displayed on maps or downloaded in a
brochure format.

Mapping capability allowing to visually compare
similar (“peer”) and adjacent counties.

http://www.communityhealth.hhs.gov/homepage.
aspx?j=1

University of Wisconsin Population Health Institute
funded by RWJF

Model of population health emphasizing



Health determinants: behaviors, socio-economic factors,
physical environment, access to and quality of care
Health outcomes (YPLL-75; health status, LBW)
Selection based on priorities, importance, scientific
relevance, and availability of county-level data

Online report:


Snapshot of each county
Interactive map comparing each county’s overall health
ranking

First release on Feb. 17, 2010

To be released again in 2011 and 2012
http://www.countyhealthrankings.org/

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USDA Economic Research Service
Provides a spatial overview of a community’s ability
to access healthy food and its success in doing so
County-level information on 3 broad categories of
food environment factors:


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Food choice
Health and well-being
Community characteristics
http://maps.ers.usda.gov/FoodAtlas
Food Environment Atlas
http://www.scdhec.gov/health/epidata/county.htm
 Maps
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Facts sheets
Report cards
Success story
Press releases
PowerPoint presentations
“Swiss Cheese” template (for data release and
presentation) etc…
Percent of Overweight and Obese (BMI ≥ 25) in S.C. Adults
2008
Cherokee
Greenville
Pickens
Spartanburg
Oconee
York
Union
Anderson
Chester
Lancaster
Chesterfield
Marlboro
Laurens
Fairfield
Kershaw
Newberry
Darlington
Abbeville
Dillon
Marion
Lee
Greenwood
Saluda
Lexington
Richland
Florence
Sumter
Horry
McCormick
Edgefield
Calhoun
Williamsburg
Clarendon
Aiken
< 50%
Orangeburg
50 – 54%
Barnwell
Georgetown
Bamberg
Dorchester
55 – 59%
Berkeley
Allendale
Colleton
60 – 64%
65 – 69%
70% +
Hampton
Charleston
Jasper
Beaufort
… a map!
… a fact sheet!
… a report card!
… a success story!
… a press release!
 Web-based, advertised via e-Newsletters and
listserv
 Print material via community resources
 Print material via mailing
 Presentation in local communities
 Presentation at statewide conferences
 etc…
 What is/are your preferred data presentation
format(s)?
 How do we best get it/them to you?