1 / 31

Fruit and Vegetable Report Card: Monitoring F&V Consumption and Supportive Environments

This report card provides information on fruit and vegetable consumption and supportive environments for each state in the United States. It includes behavioral indicators, such as adult and youth consumption, as well as policy and environmental indicators related to healthier food retail in communities and schools.

dirizarry
Download Presentation

Fruit and Vegetable Report Card: Monitoring F&V Consumption and Supportive Environments

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Fruit and Vegetable Report Card, United States - 2009 Division of Nutrition, Physical Activity & Obesity NCCDPHP, CDC FV Report Card: Heidi Blanck, Sonia Kim, Kirsten Grimm, Latetia Moore Advisory Members: Larry Grummer-Strawn, Joel Kimmons, Jenna Seymour, Claire Heiser, Casey Hannan, Laura Kettel Khan, Diane Harris, Demia Wright, William Dietz DNPAO Teleconference Sept 10, 2009 Fruit and Vegetable Report Card September 2009

  2. Teleconference Objectives • Describe purpose of Fruit and Vegetable (F&V) Report Card • Discuss process of choosing indicators • Identify and describe key components • Behavioral indicators • Policy and environmental indicators • Share project status and timeline • Describe application of F&V Report Card – Call to Action The results and findings in this presentation are those of the authors and do not represent the official views of the CDC. 2

  3. Fruit and Vegetable Report Card Fruit and Vegetable Report Card modeled after the DNPAO Breastfeeding Report Card (2007, 2008, 2009) Fruit and Vegetable (F&V) Indicators can be used: • As a surveillance tool, part of a state surveillance plan. • Identify opportunities for growth and improvement in environmental and policy supports for making F&V easier choices within each state. • Monitor progress and celebrate state successes. Inform, Influence, and Monitor Change 3

  4. Approaches for increasing supportive environments for F&V • Socioecological (SE) Model • Physical environment • Schools • Communities • Macro-level environments • Policy actions • Land use Story, M., K. M. Kaphingst, et al. (2008). "Creating healthy food and eating environments: policy and environmental approaches." Annual Rev Public Health29: 253-72, Figure 1. 4

  5. Fruit and Vegetable Report Card Reports information for each state on two categories of indicators. • The behavioral indicators profile the extent to which adults & adolescents in a state meet HP2010 goals. • The policy and environmental indicators measure elements of supportive policies and environments for F&V consumption. • The indicators show where a state is at currently and where more work is needed. • CDC Goal: publish periodically throughout decade 5

  6. Process: Fruit and Vegetable Report Card • April 28, 2009 – Sustainable Food System State Workgroup Teleconference • June 2, 2009 – ASTPHND, State F&V Nutrition Coordinators Teleconference Call • September 2009 • Release: part of Fruits & Veggies MoreMattersTM Promotion Month • Sept 1 ASTPHND, State F&V Nutrition Coordinators Teleconference • Sept 10 DNPAO Teleconference • Live – Sept 22 6

  7. Fruit and Vegetable Report Card • Criteria for inclusion of an indicator included: • Promising area for SE model approach for F&V • Data measurable and available for most states • Data from reputable source: .gov, .org, .edu; transparent methodology in obtaining information • When possible data allows for density and percentages for comparability among states of different geographic and population size • Sets a high bar 7

  8. Fruit and Vegetable Report Card Behavioral Indicators Monitor the Healthy People 2010 F&V objectives • >2 fruit daily, increase proportion to 75% • >3 vegetables daily, increase proportion to 50% 8

  9. Behavioral Indicators • Adult fruit and vegetable consumption • Proportion of adults (age > 18 years) consuming daily: • >2 fruit • >3 vegetables • Both >2 fruit and >3 vegetables • Source: State source for monitoring HP2010 – • Behavioral Risk Factor Surveillance System (BRFSS 2007, Odd year data collection) 9

  10. Behavioral Indicators • Youth fruit and vegetable consumption • Proportion of youth (adolescents in grades 9-12) consuming daily: • >2 fruit • >3 vegetables • Both >2 fruit and >3 vegetables • Source: Youth Risk Behavioral Surveillance System (2007, odd year data collection) 10

  11. Fruit and Vegetable Report Card Policy and environmental indicators • Represent three different types of strategies to support F&V: • Availability of healthier food retail in communities • Availability of healthier foods & nutrition services in schools • Food systems support 11

  12. Policy and environmental indicators • Availability of Healthier Food Retail in Communities • % of census tracts that have healthier food retailers located within the tract or within 1/2 mile of tract boundaries • Supermarkets, larger grocery stores, fruit and vegetable markets, warehouse clubs • Policy for healthier food retail, 2001-2009 [y/n] • Policies that support building of new food outlets; renovations of existing outlets; increases in & promotion of healthier foods • Financial incentives (e.g. grants, loans, tax credits) • Technical assistance • Sources: Commercial data; US Census Bureau; legislative databases (DNPAO, NCSL) 12

  13. Policy and environmental indicators • Availability of Healthier Food Retail in Communities (cont) • Farmers markets per 100,000 state residents • % of farmers markets that accept electronic benefits transfer (EBT) • % of farmers markets that accept WIC Farmers Market Nutrition Program coupons • Source: USDA; U.S. Census Bureau 13

  14. Policy and environmental indicators • Availability of Healthier Foods and Nutrition Services in Schools • % of high schools that offer fruits (not juice) and non-fried vegetables as competitive foods • Fruits & non-fried vegetables are offered to high school students when other food is offered or sold • Policy for Farm to School, 2001-2009 [y/n] • Policies that support any component of a Farm to School program (e.g. school or district procurement of local produce, school gardens, staff training) • Sources: CDC School Health Profiles; legislative databases (DNPAO, NCSL) 14

  15. Policy and environmental indicators • Food System Support • Percentage of cropland acreage harvested for fruits and vegetables • Of the total land in the state that is harvested for crops, the % that is used for fruits and vegetables • State-level Food Policy Council [y/n] • Local Food Policy Councils, number • Sources: USDA, Community Food Security Coalition 15

  16. Policy and environmental indicators • Availability of healthier food retail in communities • Availability of healthier foods and nutrition services in schools • Food system support Current Gaps No worksite No childcare No medical care No restaurants, vending, cafeteria Story, M., K. M. Kaphingst, et al. (2008). "Creating healthy food and eating environments: policy and environmental approaches." Annual Rev Public Health29: 253-72, Figure 1. 16

  17. Other indicators Assessed other indicators – e.g. insufficient data or inability to obtain state-specific information: • Gardens (community, school) • USDA Programs - Senior FM, Specialty Crop Grants, Fresh FV Program, SNAP Education (EARS) • CSA programs • Farm to School Programs 17

  18. Summary of behavioral indicators HP 2010 objectives • >2 fruit daily, increase proportion to 75% • >3 vegetables daily, increase proportion to 50% • >2 fruit and >3 vegetables daily, increase proportion to 50% 18

  19. Summary of behavioral indicators, FV daily frequency 19

  20. Summary of behavioral indicators, FV daily frequency 20

  21. Summary of policy and environmental indicators • Availability of healthier food retail in communities • % census tracts: 72% nationally; state range: 56% – 84% • FM availability: 1.5 / 100,000 nationally; range 0.2 – 9 / 100,000 • 6.9% of FM accept EBT nationally; range: 0-49% • 32.6% of FM accept WIC FMNP nationally; range: 0-89% • 8 have supportive state policies FM Data as of July 1, currently being updated by USDA 21

  22. Summary of policy and environmental indicators • Availability of healthier foods and nutrition services in schools • 21% of schools offer F&V as competitive foods; range: 0-39% • 21 have supportive state policies for Farm to School 22

  23. Summary of policy and environmental indicators • Food system support • 2.5% of cropland is harvested for fruits and vegetables • 20 have state level Food Policy Councils • 58 local Food Policy Councils across the country; range: 0-14 23

  24. Next Steps - Data • Data Dissemination plan • Sept 9 • Planned cleared individual state data and national data sent to each state (Excel) • FAQs • Sept 10 – DNPAO Teleconference • Sept 22 • Launch on website • Web, PDF Print Friendly • Glossy hard copies to each state’s Fruit and Vegetable Coordinator/Nutrition Coordinator • Data to Action Guide – State Template 24

  25. Next Steps Action Guide Document Sample (Draft)

  26. Next Steps – Translation+ • Translation of F&V Report Card – Purpose • Broadly communicate message • Provide documents for state use • Translation of F&V Report Card - Products • National press release – expected 9/21 (embargo) • State press release template – planned 9/14 • State F&V Report Card ppt slides – planned 9/21 • Overview of Report Card • Components to educate state and local audiences • Place-holders for your state’s data • State action guide template • State-level indicator data • Action items for each topic area 25

  27. Next Steps • Evaluation • General usability and utility • Example questions: • Is the Report Card filling gaps in your surveillance needs? • Have you updated your state surveillance plan or inventory with this surveillance data source? • How have you used it to inform others? • Has it been useful in supporting or initiating state or local policy? • Can you write a success story of the impact of the Report Card? • Multiple venues over next year, e.g. • Correspondence with project officer • NPAO quarterly calls • F&V Nutrition Coordinators Teleconference 26

  28. Report Card Call to Action • Incorporate into state plans • Surveillance • Select priority strategies to work on • Advocate for improvement • Use as a baseline for program evaluation • Evaluate progress over time • Identify success stories • Broaden community support for FV • Strengthen legislative action and support 27

  29. Report Card Call to Action Create awareness within your states among… • Public Health professionals • Local coalitions and advocates • Policy makers • Education • Agriculture • Government and community partners • Media Inform, Influence, and Monitor Change 28

  30. FV Report Card Thank you to the many F&V/Nutrition Coordinators for their input during the Report Card Development Process. Special thanks: Diane Beth+ Amy Meinen Sharon Sass & Laura Astbury Deanna Askew Cynthia Bayerl+ Mindy Fitterman Erin Abramsohn+ Tracie Wood+ Special thanks to Mark Winne (CFSC), Anupama Joshi (National Farm to School Network), staff at CDC-DASH, USDA, NCSL, The Food Trust, The Reinvestment Fund 28

  31. Questions? Thank You! Contact Information: fvreportcard@cdc.gov Division of Nutrition, Physical Activity and Obesity www.fruitsandveggiesmatter.gov www.cdc.gov/nccdphp/dnpao/index.html 29

More Related