Mayors Healthy Hometown Movement; Towards a Livable Community

1. Mayors Healthy Hometown Movement; Towards a Livable Community Adewale Troutman,M.D., M.A., M.P.H. Director Louisville Metro Health Department

2. Epidemiology

3. Local Picture

4. Leading Causes of DeathLouisville Metro, 2002

5. Leading Causes of Death in Louisville Metro by Race, 2001 Caucasians African Americans

6. Age-Adjusted Mortality RatesDiseases of the Heart, 2002

7. Age-Adjusted Mortality RatesStroke, 2002

8. Percent Who Engaged in Any Leisure-time Physical Activity During Past Month, 2004 HP 2010 Goal = 80%

9. Percent Who Report Eating Five or More Servings Per Day of Fruits and/or Vegetables

10. Percent Obese, 2004 BRFSS HP 2010 Goal = 15%

11. Percent Normal Weight, 2004 BRFSS

12. Percent Overweight or ObeseLouisville Metro, 2004

13. Racial and Ethnic Health Inequities

14. Health Inequities in LM • Death rate from diseases of the heart for AAs is 32% higher than Whites • Infant mortality rate for AAs is more than double the rate for Whites • Age-adjusted overall death rate for AAs is almost30% higher than Whites • Death rate from stroke is 44% higher for AAs than for Whites

15. Health Disparities in LM • AA Report having Diabetes 14% • Homicide mortality rate is 6 times higher for AAs • The incidence of new cases of AIDS reported is over 3 times higher for AAs

16. Health Inequities Risk Factorsin Louisville Metro • African American males had the lowest percent of eating 5 or more fruits and vegetables per day (14%) • Disproportionate rates of Asthma, Poverty, Home ownership, undereducation, various cancers • African American females had the lowest percent engaging in any physical activity (64%) • African American females had the highest percent who were overweight or obese (74%)

18. The Mayor’s Healthy Hometown Movement

19. The Goal of the MHHM is to create a community wide culture that encourages and supports healthy lifestyles by promoting increased physical activity ( 10,000steps/day goal), optimal nutrition, healthy public policy and increased access to resources and facilities that bolster the stated goal

20. Mayor’s Healthy Hometown Movement Objectives • Increase by 15% the people in Louisville Metro who engage in 30 minutes of moderate physical activity at least 5 days a week. • Decrease by 10% the people in Louisville Metro who are overweight or obese

21. Mayor’s Healthy Hometown Movement • Establish a baseline of businesses that have a measurable worksite wellness program • Increase by 15% the people in Louisville Metro who eat five or more servings of fruits and vegetables per day • Special focus on populations with excess unfavorable statistics

22. Mayor’s Healthy Hometown MovementPhase One “Move It, Louisville” “Take Charge Challenge”

23. Phase Two • Lose it Louisville

24. Components • Umbrella Advisory Council • Staffing • Ongoing BRFSS • TCC • Minigrant Program • Social Marketing • Web access • Fitness Roundtable

25. Advisory Council

26. Advisory Council • Umbrella body to serve as a unifying group • Removal of competition • Bring together those with initiatives in place or being planned • Multidisciplinary composition • Corporate • Education • Government • NGO’s

27. Advisory Council ( cont ) • U of L • JCPS • AHA • WHAS • JCMS • GE • Ford/UAW • Heuser Clinic • Metro YMCA • Urban League • 100 Black Men of Louisville

28. Advisory Council ( cont ) • Health Promotion Schools of Excellence • Bi monthly meeting • Evolution into coalition • Coordinating council for all physical activity events, projects and programs • Now over 150 Organizations , Agencies & Businesses

29. Worksite Wellness:Take Charge Challenge

31. Take Charge Challenge • Worksite wellness initiative • Low cost • Single focus • Individual goal setting • Activity points 1 point=10 minutes • Increasing physical activity • Stages of Change • Teams • Coordinators • Incentives • Kick off • Mayor as the leader

32. Take Charge ChallengeStages of Activity ( Readiness for Change ) Stage 1: I don’t exercise or walk regularly now, and I don’t plan to start in the near future Stage 2: I don’t exercise or walk regularly, but I’ve been thinking about starting Stage 3: I am trying to start to exercise or walk, or I exercise or walk infrequently Stage 4: I’m doing moderate physical activity fewer than 5 times a week, or vigorous activity fewer than 3 times a week Stage 5: I’ve been doing 30 minutes of moderate physical activity 5 or more times a week, or 20 minutes of vigorous activity at least 3 times a week, for the last 1 to 6 months Stage 6: I’ve been doing 30 minutes of moderate physical activity 5 or more times a week, or 20 minutes of vigorous activity at least 3 times a week, for 7 months or longer

33. Physical Activity Minigrants

34. Activity Minigrants • Involvement of community based organizations • $80,000 • Neighborhood place areas • Grants of $2000 • Programmatic activities designed to increase levels pf physical activity at local level

35. Social Marketing

36. Social Marketing • Culture change • Branding, logo and tag line • Image placement • Media buy in • Let’s tie it all together

37. Joint GLI and MHHM awards for worksite wellness initiatives

38. Ongoing Activities • Bike Summit • Hike and Bike Events • Kellogg grant to assist in implementing school wellness policies • Establishment of speakers bureau • Tai Chi program • Healthy Hometown Resource Guide • Healthy hometown Tip posters • Healthy Hometown Eats • Faith walk

43. Evaluation • Initial evaluation will be conducted through the use of the Metro BRFSS which is an ongoing community survey designed to look at modifiable risk factors .Further, with the assistance of council members and academic partners, additional evaluative measures will be developed and implemented.

44. Youth Physical Activity

45. The Tommie Smith Youth Track Initiative is an initiative under the

46. The Track Meet Morethan 300 youth ages 5 to 18 participated

47. OPENING CEREMONies Parade of Athletes