Healthy Communities- November 6th, 2015

Healthy Communities
Place Matters Oregon Place Matters Oregon is an effort of the Oregon Health Authority, Public Health Division that seeks to foster conversations about how place influences our individual and collective health.


November is Native American Heritage Month
The Library of Congress, National Archives and Records Administration, National Endowment for the Humanities, National Gallery of Art, National Park Service, Smithsonian Institution and United States Holocaust Memorial Museum join in paying tribute to the rich ancestry and traditions of Native Americans. Read More »

Reports and Articles


Junk food intake not related to BMI
Candy, soda, and fast food are not driving the rising obesity trend in the US.
Soda, candy, and fast food are often painted as the prime culprits in the national discussion of obesity in the United States. While a diet of chocolate bars and cheese burgers washed down with a Coke is inadvisable from a nutritional standpoint, these foods are not likely to be a leading cause of obesity in the United States according to a new Cornell University Food and Brand Lab study conducted by the Lab co-directors David Just, PhD, and Brian Wansink, PhD. The study, published in Obesity Science & Practice, finds that intake of these foods is not related to Body Mass Index in the average adult.

Cancer Prevention and Control
Breast Cancer
11/5/15    ‘Liquid biopsy’ promotes precision medicine by tracking patient’s cancer 11/5/15    Researchers strive to improve breast cancer treatment
11/3/15    Breast cancer adjuvant therapy benefit can wax and wane over time, study finds
Lung Cancer
11/4/15    Simple test predicts response to chemotherapy in lung cancer patients   Ovarian Cancer
11/4/15    Ovarian cancer risk depends on reproductive factors
Prostate Cancer
11/4/15    Changes urged to radiotherapy practice that could save NHS tens of millions per year

Study points to more individualized treatment options for youth with onset type 2 diabetes
The study, primarily funded by the National Institute of Health, was headed by Phil Zeitler, MD, PhD, of Children’s Hospital Colorado in conjunction with leading doctors from across the United States.
New results from the Treatment Options for Type 2 Diabetes in Youth study (TODAY) examined predictors of the outcomes in youth with onset type 2 diabetes (T2D) based on early characteristics at diagnosis, and suggests the need for specific criteria for adolescents that are different from those in adults. The findings indicate that if youth with T2D have an A1C greater than 6.3 percent three months after beginning treatment with metformin, the drug generally accepted as the first drug to be used in the treatment of T2D, they have nearly four times the risk for losing glucose control, within a median time of 11 months.

Does healthier food help low-income people control their diabetes?
Researchers find better management of diabetes through nutritious food and education supplied by food pantries.
To determine whether healthy food could help low-income people better control their diabetes, a pilot study by UC San Francisco and Feeding America tracked nearly 700 people at food banks in California, Texas and Ohio over two years.
The result: better diabetes control and medication adherence and an overall improvement in the consumption of healthy food.

Why don’t more uninsured people seek health coverage? U-M study suggests knowledge gap
Findings from free clinic run by U-M medical students could help other safety net providers.
If you need health care in rural Michigan, and you don’t have insurance or money, you can turn to a free clinic — like the one University of Michigan medical students run each Saturday in the tiny town of Pinckney.
Fewer people need this kind of help these days, because of new insurance options made possible by the Affordable Care Act.
But hundreds of people still rely on free primary care from the students and the U-M doctors who volunteer with them, because they still lack health insurance.

School Policies and Practices to Improve Health and Prevent Obesity

Bridging the Gap has released a comprehensive report examining U.S. secondary school policies and practices related to physical activity, nutrition, and obesity prevention. The report includes data from nationally representative samples of public middle and high schools and represents students in grades 8, 10, and 12. The findings show trends and comparisons in school policies and practices in effect from the 2006-07 school year through the 2013-14 school year. To view the report and related findings visit the Bridging the Gap website or download the report here.

The Benefits of Street-Scale Features for Walking and Biking
The American Planning Association‘s Planning and Community Health Center has released a new report. The report summarizes current literature on the numerous benefits associated with different types of street-scale features. This review considered potential impacts of such features on physical activity as well as a variety of additional co-benefits including social cohesion, crime prevention and public safety, multimodal traffic safety, mental health, and economic effects.

Stories from Small Towns

The National Physical Activity Society has released Stories from Small Towns, cities in America with populations lower than 25,000 that have made structural changes resulting in easier access to physical activity. Advice from champions in these towns is woven through the stories, which are one page each for the seven towns featured. The Stories are available as a single pdf and individually by town on NPAS’s web site. We are already starting work on the second edition of Stories from Small Towns, for 2016. If you know of a town in a rural area that we might interview, send a message to Pam Eidson.

Community Preventive Services Task Force findings: Promoting Health Equity through Education Programs and Policies:
Early Childhood Education Programs.

The Community Preventive Services Task Force recommends early childhood education programs based on strong evidence of effectiveness in improving educational outcomes that are associated with long-term health and sufficient evidence of effectiveness in improving social- and health-related outcomes. When provided to low-income or racial and ethnic minority communities, early childhood education programs are likely to reduce educational achievement gaps, improve the health of low-income student populations, and promote health equity. [More details can be found here]

Why is this important?

Children in low-income and racial and ethnic minority families often experience delays in language and other development by the age of three. Compensating for these delays before children begin regular schooling can be critical to providing them with opportunities for educational attainment associated with lifelong employment and income, ultimately reducing the achievement gap and advancing health equity. Center-based early childhood education (ECE) programs are designed to prepare children for school. In 2010, less than half of children in families in the lowest income quartile were enrolled in ECE programs, and the quality of these programs was lower than programs attended by higher income children (Duncan & Magnuson 2013).

Share this! Who should know about these Task Force findings?

Those seeking to promote health equity among low-income and minority children using evidence-based programs and policies may be interested in this recommendation, such as educational program decision makers and funders, policy makers and public health professionals.

One Pager – Summarizes The Community Guide review on center-based early childhood education to improve health equity.

What Works Fact Sheet – Informational handout summarizing Community Guide recommendations on promoting health equity.

What are the Task Force, Community Guide, and Liaisons?

The Community Preventive Services Task Force (Task Force) is an independent, nonfederal, uncompensated panel of public health and prevention experts. The Task Force works to improve the health of all Americans by providing evidence-based recommendations about community preventive programs, services, and policies to improve health. Its members represent a broad range of research, practice, and policy expertise in community prevention services, public health, health promotion, and disease prevention.

The Guide to Community Preventive Services (The Community Guide) is a website that is a collection of all the evidence-based findings and recommendations of the Community Preventive Services Task Force.

Food Literacy: How Do Communications and Marketing Impact Consumer Knowledge, Skills, and Behavior?— Workshop in Brief
On September 3–4, 2015, the Institute of Medicine (IOM) Food and Nutrition Board convened a workshop in Washington, DC, to discuss how communications and marketing impact consumer knowledge, skills, and behavior around food, nutrition, and healthy eating. The workshop goals developed by the planning committee were to: describe the current state of the science concerning the role that consumer education, health communications and marketing, commercial brand marketing, health literacy, and other forms of communication play in affecting consumer knowledge, skills, and behavior with respect to food safety, nutrition, and other health matters; explore how scientific information is communicated, including the credibility of the source and of the communicator, the clarity and usability of information, misconceptions/misinformation, and the role of policy; and explore the current state of the science concerning how food literacy can be strengthened through communications tools and strategies. This Workshop in Brief highlights key points made by individual speakers during the workshop presentations and discussion, organized by session. The workshop was organized into three sessions, with each session designed to address one of the above goals. The information and suggestions for future action summarized in this Workshop in Brief reflect the knowledge and opinions of individual workshop participants and should not be construed as consensus.


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