San Diego Healthy Weight Collaborative: a systems approach to address childhood obesity

Journal of Health Care for the Poor and Underserved (Impact Factor: 1.1). 06/2013; 24(2 Suppl):80-96. DOI: 10.1353/hpu.2013.0107
Source: PubMed


A collaborative approach to identify opportunities for interactions between multiple systems is an important model for childhood obesity prevention. This paper describes a process aligning multiple partners in primary care, public health, university research, schools, and community organizations. Jointly implemented strategies in a Latino underserved community included: (1) building an effective and sustainable collaborative team; (2) disseminating a healthy weight message across sectors; (3) assessing weight status and healthy weight plans in primary care, school, and early childhood settings; and (4) implementing policy changes to support healthy eating and physical activity. The process and lessons learned were analyzed so other communities can utilize a systems approach to develop culturally appropriate interventions tailored to a specific community.

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    ABSTRACT: Ethnic and racial health disparities present an enduring challenge to community-based health promotion, which rarely targets their underlying population-level determinants (e.g., poverty, food insecurity, health care inequity). We present a novel 3-lens prescription for using community organizing to treat these determinants in communities of color based on the Robert Wood Johnson Foundation's Communities Creating Healthy Environments initiative, the first national project to combat childhood obesity in communities of color using community organizing strategies. The lenses-Social Justice, Culture-Place, and Organizational Capacity-Organizing Approach-assist health professional-community partnerships in planning and evaluating community organizing-based health promotion programs. These programs activate community stakeholders to alter their community's disease-causing, population-level determinants through grassroots policy advocacy, potentially reducing health disparities affecting communities of color. (Am J Public Health. Published online ahead of print November 12, 2015: e1-e8. doi:10.2105/AJPH.2015.302887).
    American Journal of Public Health 11/2015; DOI:10.2105/AJPH.2015.302887 · 4.55 Impact Factor

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