4 th Annual National Prevention Summit: Prevention, Preparedness, and Promotion

1. Hawaii State Department of HealthTobacco Settlement ProjectHealthy Hawaii InitiativeHealthier Community 4th Annual National Prevention Summit: Prevention, Preparedness, and Promotion October 26, 2006

2. The Healthy Hawaii Initiative • 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.

3. How Do We Affect Behavior?

4. Engineering the Future

5. Improved environment Improved knowledge/ attitude/norms Healthy behavior Improved health of population Reduction in: Diabetes Heart Disease Cancer Stroke What we hope to accomplish 2-5 years 5-10 years 10-20 years

6. The Healthy Hawaii Initiative • 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.

7. Adult Obesity & Overweight • Hawaii has lowest combined obesity & overweight HHI % Source: BRFSS Year

8. Adult No Leisure Time PA • Significant increase in leisure time physical activity by adults from 1999 to 2005 HHI % Source: BRFSS Year

9. Adults moderate PA +30 minutes +5 days/wk or vigorous +20 minutes +3 days/week • Increase in PA from 2003 to2005 BRFSS

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

11. Understanding Health Behaviors Policy/Structure/Environment – County/State Policy/Structure/Environment - Schools Social Norms – Pub. Ed. Individual – Pub. Ed. Social Professional – Teaching & Prof. Ed. Policy/Structure/Environment - Communities

12. The Healthy Hawaii Initiative Overview • 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

13. Integrated School Health Framework • 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

14. Partnership with Education • 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

15. 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 Moving Forward

16. Community Intervention Projects Hawaii and Kauai Kohala Laupohoehoe Kapaa Island-wide, Great Kauai Weight Out Waikaloa Central Hilo So. Hilo Pahoa Waimea West Hawaii Kea’au Waimea, Central Kauai, and Kapaa Ka’u Island-wide, PANU campaign

17. Community Intervention Projects Oahu and Maui County Waialua/Haleiwa Molokai Waipahu Waianae Kaneohe/Kahaluu Makawao Pearl City Lana’i Windward Nanakuli Kihei Nuuanu/Makiki County-wide PANU campaign Hana Kapolei Kalihi, Palama Kaimuki/Palolo DOT County-wide biking and pedestrian safety

18. Community Intervention Projects • 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

19. Targeted Intervention • 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.

20. Public EducationSocial Marketing Campaigns • 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

21. 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 Moving Forward

22. Moving Forward 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%)

23. Aloha!