Monday, August 6, 2012

[EQ] Health Equity Resource Toolkit for State Practitioners Addressing Obesity Disparities

CDC Health Equity Resource Toolkit for State Practitioners
Addressing Obesity Disparities

CDC - Division of Nutrition, Physical Activity, and Obesity

Center for Training and Research Translation’s (Center TRT) – 2012

Available online PDF [94p.] at:

“……..The goal is to increase the capacity of state health departments and their partners to work with and through communities to implement effective responses to obesity in populations that are facing health disparities. The Toolkit’s primary focus is on how to create policy, systems, and environmental changes that will reduce obesity disparities and achieve health equity.

For the purpose of this Toolkit, “policy” refers to procedures or practices that apply to large sectors which can influence complex systems in ways that can improve the health and safety of a population. States are already conducting activities to address obesity across populations.

This Toolkit provides guidance on how to supplement and compliment existing efforts. It provides evidence-informed and real-world examples of addressing disparities by illustrating how the concepts presented can be promoted in programs to achieve health equity using three evidence-informed strategies as examples:

1. Increasing access to fruits and vegetables via healthy food retail with a focus on underserved communities.

2. Engaging in physical activity that can be achieved by increased opportunities for walking with
    a focus on the disabled community, and other subpopulations that face disparities.

3. Decreasing consumption of sugar drinks with an emphasis on access to fresh, potable (clean) water with
    a particular focus on adolescents and other high consumers.

Though the Toolkit utilizes these three strategies as examples, the planning and evaluation process described in the Toolkit can be applied to other evidence-informed strategies to control and prevent obesity.

This Toolkit purpose is to inform state programs that seek to address obesity with a focus on health equity. …”


“….The Toolkit is designed to give an overview of a suggested process for planning, implementing, and evaluating a program to address obesity disparities.

The Toolkit begins with an introduction of the burden of obesity in the U.S. and some of the disparities in the experience of that burden.
Then it provides a description of a recommended conceptual framework, the Social Ecological Model, and
follows with seven Sections which discuss the steps and ongoing considerations of the process.

Each Section contains
1) a basic description of the steps of the process and suggested evidence-informed actions to help address obesity disparities,
2) practical tools for carrying out activities to help reduce obesity disparities, and
3) a “real-world” case study of a successful state-level effort to address obesity with a focus on health equity that is particularly relevant to the content in that section. Hyperlinks to additional resources are included throughout.

In addition to the resources, tools, and examples within each Section of the Toolkit, the Appendices provide resource lists …”



I. Purpose and Intended Target Audience of the Toolkit

II. Toolkit Organization, Content, and Use

III. Health Disparities in Obesity and Obesity-related Risk Factors: Scope of the Problem

Determinants of Obesity 1

Health Disparities in Obesity

IV. Defining Key Terms

Conceptual Framework

Incorporating Health Equity into the Obesity Prevention Planning Processes

I. Program Assessment and Capacity Building

II. Gathering and Using Data to Identify and Monitor Obesity Disparities through a Health Equity Lens

Types of Data

Using Data to Identify and Prioritize Populations

III. Multi-sector Partnerships, Non-Traditional Partnerships, and Community Engagement

Why Partner?

The Importance of Multi-sector Partnerships and Community/Participatory Approaches

With Whom to Partner?

How to Identify Partners

A Multi-sector Partnership to Bring Affordable, Nutritious Food to Underserved Communities in Pennsylvania

IV. Applying a Health Equities Lens to the Design and Selection of Strategies

V. Monitoring and Evaluating Progress

CDC Framework for Program Evaluation

Policy/Program Evaluation Planning Framework

Tools for Evaluating Policy and Environmental Change

California’s Policy Solutions to Improve Access to Safe Physical Activity Environments

VI. Ensuring Sustainability

Frameworks for Ensuring Sustainability

Ensuring the Sustainability of Policy and Environmental Change within your Organization

Ensuring the Sustainability of Policy and Environmental Change Externally

The Coalition Approach

A Sustainable Environmental Solution to Promote Physical Activity of Youth in Connecticut

VII. Developing Culturally Relevant Health Communication Strategies

Adapting Healthy Stores and Healthy Corner Stores Programs to At-Risk Populations




I.    Appendix  A. Additional Resources for Improving Access and Availability of Healthy Foods

II.   Appendix  B. Additional Resources for Improving the Beverage Environment

III.  Appendix  C. Additional Resources for Improving Safe, Accessible Physical Activity Environments

IV. Appendix  D. Resources Included in the Toolkit, by Section

Gayle Holmes Payne, Ph.D. Lead Behavioral Scientist  - Program Development and Translation Team Lead - Division of Nutrition, Physical Activity, and Obesity
National Center for Chronic Disease Prevention and Health Promotion - CDC Centers for Disease Control and Prevention


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