State Indicator Report on Physical Activity, 2010
(SIR PA) Carmen D. Harris, MPH
Division Nutrition, Physical Activity, and ObesityTeleconference
April 8, 2010
Presentation Outline
State Indicator Report on Physical Activity, 2010
Who Are You?
The State Indicator Report on Physical Activity, 2010 presents for the first time information on physical activity behavior and policy and environmental support within each state
Are you useful to states?SIR PA will be used to
– Portray how states support the behavior of physical activity
– Monitor progress and celebrate state successes– Identify opportunities for improvement in physical
activity support through environmental, policy, and systems approaches
– Create synergy with the National Physical Activity Plan
Behavioral Indicators
Five behavioral indicators profile the extent to which a state’s population is meeting:
1. 2008 Physical Activity Guidelines for Americans2. Healthy People 2010 Objectives
Policy & Environmental Indicators
Eleven policy & environmental indicators measure elements of supportive policies and environments for increasing PA within four strategies
1. Create or enhance access to places for PA2. Enhance PA in schools and child care settings3. Support urban design, land use and transportation
policies4. Develop and maintain a public health workforce
competent in PA
State Indicator Report on Physical Activity, 2010
SIRPA: How did you get here?
In the beginning… HHS created PA guidelines, Task Force created the community guide, COCOMO created community measures, ARRA created MAPPS strategies, IOM created action steps, Healthy People keeps proposing new objectives every 10 years..
And it was good.
The Guiding Framework
From The Guiding Framework
Behavioral Indicators Proportion of active adults in the state
Proportion of highly active adults in the stateProportion of adults in the state who engage in no leisure-time physical activity
Proportion of students in grades 9-12 that achieve 60 minutes or more of moderate- or vigorous-intensity physical activity dailyProportion of students in grades 9-12 that participate in daily physical education.
Policy & Environmental Indicators Percentage of all schools that require physical education in schools.
Percentage of all schools that require >50% physical activity in PE
Percentage of elementary schools that require regularly scheduled recess
Percentage of all schools that allow youth community use of their physical activity or athletic facilities
Percentage of all schools that offer intramural activities or physical activity clubs,
Percentage of all schools that provided transportation home from PA clubs
Availability of park, recreation center, or sidewalks in neighborhood of child less than 18 year old
Percentage of schools that support walk/bike to school and Safe Routes to School (SR2S) programs
Percentage of state funds obligated for SR2S programs
Percentage of states that have instituted regulatory policies supporting locating schools within easy walking distance of residential areas
Percentage of Census tracts/blocks with one park located within the tract or within a 1/2 mile radius of tract boundaries
Percentage of Census tracts/blocks with Fitness and Recreation Centers located within the tract or within 1/2 mile radius of tract boundaries
Child care settings have instituted moderate & vigorous PA requirements
Transit way mileage per capita or # of passenger stops per capita, or local, state,& federal funds expended on transit per capita
Community-scale Urban Design/land Use Policies
Street -scale Urban Design/Land Use Policies
Transportation and Travel Policies and Practices
Worksite Policies
Ex0stence of state-level Physical Activity Policy Council
Number of FTEs in a state devoted to Physical Activity
Existence of State Plan to Address Physical Activity
Behavioral Indicators Proportion of active adults in the state
Proportion of highly active adults in the stateProportion of adults in the state who engage in no leisure-time physical activity
Proportion of students in grades 9-12 that achieve 60 minutes or more of moderate- or vigorous-intensity physical activity dailyProportion of students in grades 9-12 that participate in daily physical education
Policy & Environmental Indicators Percentage of all schools that require physical education in schools.
Percentage of all schools that require >50% physical activity in PE
Percentage of elementary schools that require regularly scheduled recess
Percentage of all schools that allow youth community use of their physical activity or athletic facilities
Percentage of all schools that offer intramural activities or physical activity clubs,
Percentage of all schools that provided transportation home from PA clubs
Availability of park, recreation center, or sidewalks in neighborhood of child less than 18 year old
Percentage of schools that support walk/bike to school and Safe Routes to School (SR2S) programs
Percentage of state funds obligated for SR2S programs
Percentage of states that have instituted regulatory policies supporting locating schools within easy walking distance of residential areas
Percentage of Census tracts/blocks with one park located within the tract or within a 1/2 mile radius of tract boundaries
Percentage of Census tracts/blocks with Fitness and Recreation Centers located within the tract or within 1/2 mile radius of tract boundaries
Child care settings have instituted moderate & vigorous PA requirements
Transit way mileage per capita or # of passenger stops per capita, or local, state,& federal funds expended on transit per capita
Community-scale Urban Design/land Use Policies
Street -scale Urban Design/Land Use Policies
Transportation and Travel Policies and Practices
Worksite Policies
Ex0stence of state-level Physical Activity Policy Council
Number of FTEs in a state devoted to Physical Activity
Existence of State Plan to Address Physical Activity
State Indicator Report on Physical Activity, 2010
Behavioral Indicators
Adult physical activity1. Proportion active in the state2. Proportion highly active in the state3. Proportion in the state who engage in no leisure-
time physical activityProportion of students in grades 9-12 in the state4. Achieve 60 minutes or more of moderate- or
vigorous-intensity physical activity daily5. Participate in daily physical educationData Sources: 2007& 2008 BRFSS, 2007 YRBSS
Summary of Behavioral Indicators Among Adults
Summary of Behavioral Indicators Among Adolescents
Policy & Environmental Indicators
Represent four different strategies to support PA
1. Create or enhance access to places for PA2. Enhance PA in schools and child care settings3. Support urban design, land use and
transportation policies4. Develop and maintain a public health workforce
competent in PA
Strategy Create or enhance access to places for PA
State
% of schools that allow youth use of PA facilities
% of youth with parks, community
centers and sidewalks in
neighborhood 95% Confidence
interval
% of census tracts with
fitness center within 1/2 mile of boundary
U.S. National 86.1* 50.0 (49.2, 50.8) 34.9
Minimum 63.7 24.7 (22.2, 27.3) 26.0
Maximum 97.6 71.6 (68.5, 74.5) 45.9
State source: 2006 School Health Profiles, Principal Surveys, National Survey of Children’s Health (NSCH, 2007), InfoUSA database
SIRPA: What are you telling us?
*Average across reporting states
Strategy Enhance PA in schools and child care settings
State
Require or recommend
elem schools provide
scheduled recess
Require elem, middle and high schools to teach
PE
% of schools that support walking or biking to and
from school
Child care centers
specify MVPA
U.S. National 20^ 37^ 43.0* 8^
Minimum No No 10.3 No
Maximum Yes Yes 62.9 Yes
Source: 2006 School Health Policies and Programs Study, 2006 School Health Profiles, Principal Surveys, : Kaphingst KM, Story M. Child care as an untapped setting for obesity prevention: state child care licensing regulations related to nutrition, physical activity, and media use for preschool-aged children in the United States. Prev Chronic Dis. 2009;6(1):1-13
SIRPA: What are you telling us?
*Average across reporting states ^ Total count
SIRPA: What are you telling us?
^ Total count
Strategy Support urban design, land use and transportation
policies
State
Community-scale urban design/land
use policy
Street-scale urban design/land use
policy Transportation and
travel policy U.S. National 27^ 23^ 36^
Minimum No No No
Maximum Yes Yes Yes Sources: CDC Nutrition, Physical Activity and Obesity Legislative Database. http://apps.nccd.cdc.gov/DNPALeg/ and National Conference of State Legislatures Healthy Community Design and Access to Healthy Food Legislation Database. http://www.ncsl.org/?tabid=13227.
SIRPA: What are you telling us?
Strategy Develop public health
workforce competent in PA
State
Number of state physical activity FTEs
U.S. National 1.0‡
Minimum 0.0
Maximum 15.0 ‡Median
Source: Self-report web-based “State Physical Activity Capacity” survey hosted by Wisconsin Department of Health Services
State Indicator Report on Physical Activity, 2010
Near Future
Prior to May 3 release of SIR PA:• Send individual state-level data & national
data to each state• Send “Swiss Cheese” press release to statesIn conjunction with May 3 release of SIR PA:• National Action Plan for Physical Activity• Translation Materials • Evaluation of SIR PA
National and State Action Guides
Translation MaterialsTranslation Materials
Data to Action PowerPointData to Action PowerPoint
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 PA• Strengthen legislative action and support
Next Steps• Legislative Data Policy Paper• Use of legislative abstract methods for
proposed policy-oriented Healthy People 2020 Objective
• Mapping of Indicators– State-level– Local area community?
• Repeat periodically
Call to Action Create awareness within your states among…• Public Health professionals• Local coalitions and advocates• Policy makers• Education• Urban & Rural planners• Transportation Officials• Parks and Recreation Representatives• Government and community partners• Media
Thank You• Melissa Cunningham, OWCD• Marissa Zwald, PDEB• Janet Fulton Susan Carlson, Dianna Carroll, Fleetwood Loustalot, PEST• Heidi Blanck, Kirsten Grimm, Latetia Moore, Sonia Kim• Eric Burger, ASTDR GRASP• Chris Reinold, Sarah Kuester, Joi Hudson, Kate Thomas, PDEB• PA State Coordinators, Jon Morgan- Wisconsin • PAHB- Tom Schmid, Candace Rutt • DNPAO’s PA Workgroup• Rosie Bretthauer-Mueller, Tim Hensley, Suzanne Hurley, Reba Griffith • Nancy Brenner, DASH • Dee Merriam, NCEH• Tony Giarrusso, Georgia Tech
Top Related