It’s Their FutureLet’s Work to Create Healthy, Safe, and Livable Communities for Our Children

Symposium: Status On Children’s Health In Santa Clara County

Presented by the Santa Clara County Public Health Department

Pamela Stoddard, PhDand

Lori Martin, MS, RD

May 4, 2011

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Health Refocused

• Shift Focus from Individual to Population

• Policy, System and Environmental Change

• Department Strategic Plan

• Share Data

• Chronic Disease and Injury Prevention Programs and Initiatives

3

Overweight and Obesity

• Breastfeeding among newborns

• Overweight and obesity among low income children aged 2 to 11

• Middle and high school youth– Overweight and obesity– Physical activity – Fruit/vegetable consumption

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Newborn Breastfeeding

96%

95%

97%

95%

96%

72% 79

%

70%

70%

73%

0%

20%

40%

60%

80%

100%

Total White Asian/PI Hispanic African American

Any Breastfeeding Exclusive Breastfeeding

Source: California Department of Public Health, Center for Family Health, Genetic Disease Screening Program, Newborn Screening Data, 2009

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Overweight and Obesity Among Low-Income Children

• Healthy People 2020: 14.6% obese (children 2 to 19)

• Obesity highest among Hispanics and lowest among Asians (all age groups)

16.1%

18.0%

18.4%

17.2%

22.9%

27.0%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Ages 2 – 5(n = 9,924)

Ages 5 – 8(n = 6,633)

Ages 9 – 11(n = 3,256)

Overweight (85th ≤ BMI % < 95th) Obese (BMI % ≥ 95th)

Source: 2009 PedNSS, Table 16B

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Percentage of Santa Clara County Middle and High School Students Who Were Overweight or Obese, 2003-2008

Source: California Healthy Kids Survey, 2003-08

15.1%

14.8%

14.3%

10.9%

11.5%

10.4%

0% 5% 10% 15% 20% 25% 30%

2003-04

2005-06

2007-08

Overweight Obese

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Percentage of Santa Clara County Middle and High School Students Who Were Obese by Race/Ethnicity, 2007-2008

Source: California Healthy Kids Survey, 2007-08

10%

17%

8%

16%

7%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

SCC African American

Asian/PI Hispanic White

8Source: California Healthy Kids Survey, 2007-08

Percentage of Santa Clara County Middle and High School Students Who Performed Any Physical Activity Every Day in the Past Week, 2007-2008

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Percentage of Santa Clara County Middle and High School Students Who Ate Fruits and Vegetables the Previous Day, 2001-2008

0%

10%

20%

30%

40%

50%

60%

2001 -02 2003 -04 2005 -06 2007 -08

2 or more fruits 3 or more vegetables

Source: California Healthy Kids Survey, 2001-08

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Tobacco Use and Exposure

• Current cigarette smoking

• Age of smoking first cigarette and getting access to cigarettes

• Home exposure to smoke

Percentage of Santa Clara County Middle and High School Students Who Smoked Cigarettes in the Past 30 Days

by Race/Ethnicity

Source: California Healthy Kids Survey, 2007-08 11

Smoking Initiation and Cigarette Access in Santa Clara County

• Age 13 to 14 was most common age range for smoking first whole cigarette among middle and high school students

• A quarter of middle school kids & two-thirds of high school kids report it is easy to get cigarettes

Source: California Healthy Kids Survey, 2007-08 12

13Source: California Student Tobacco Survey, 2007-2008

30%

30% 31

% 33%

24%

0%

5%

10%

15%

20%

25%

30%

35%

SCC African American

Asian/PI Hispanic White

Home Exposure to Cigarette Smoke

•19% were in same room at home with someone smoking cigarettes on 1+ days in last week

Percentage of middle and high school youth that currently live with someone that smokes

Injury Prevention

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Bicycle & Pedestrian Collisions Involving Youth

• SCC ranks:1

– 33 of 58 among counties for collisions involving pedestrians 15 years and younger

– 25 of 58 for collisions involving bicyclists 15 years and younger

• 48% of students walked, biked, or skated to school in the past week2

1 Source: 2009 Office of Traffic Safety2 Source: 2009 California Health Interview Survey

Center for Chronic Disease and Injury Prevention

• Nutrition and Wellness• Breastfeeding Promotion Program• Childhood Feeding Collaborative• Inspire Obesity Prevention - CPPW (Communities Putting Prevention to Work)• Network for a Healthy California - LIA Program• Network for a Healthy California - Bay Area Region Program

• Tobacco Prevention• Inspire Tobacco Prevention - CPPW (Communities Putting Prevention to Work) • Tobacco Prevention and Education Program

• Traffic Safe Communities Network• Juvenile Traffic Diversion • Safe Routes to School• Teen Drinking and Drinking Prevention 16

Chronic Disease & Injury Prevention:Keeping Santa Clara County “Healthy, Safe, & Livable”

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Tobacco / Smoke Free Tobacco / Smoke Free EnvironmentsEnvironments

• Smoke Free Parks and Trails

• Smoke Free Outdoor Dining

• Smoke Free Campuses

• Smoke Free Multi-Unit Housing • Tobacco Retail Licensing (TRL)

• Zoning to Limit Tobacco Sales Near Parks, Schools, and Playgrounds

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Built EnvironmentBuilt Environment

• General Plans

• Climate Change

• Joint Use

• Transportation Planning – Pedestrian and Bicycling

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Healthy Food and Beverage Healthy Food and Beverage EnvironmentsEnvironments

• Breastfeeding Promotion

• Retail Food Outlets

• Farmers’ Markets / Garden Projects

• Sugar Savvy Initiative – Promote Drinking Tap Water

• Restaurant Menu Labeling Law

• Nutritional Standards for Restaurant Food and Beverages that Come with Toys or Other Incentives

20

School Wellness and Childcare School Wellness and Childcare EnvironmentsEnvironments

• School Wellness Policies

• Healthy School Fundraising

• Coordinated School Health

• Childhood Feeding Collaborative Messaging and Practices Integrated into Childcare Settings

21

Worksite EnvironmentsWorksite Environments

• Organizational Policies that Support Worksite Wellness

• Worksite Wellness Programs & Campaigns

• Lactation Accommodation Law and Business Care for Breastfeeding

• Integration of Chronic Disease and Injury Prevention Programs / Initiatives into Workplace Settings

• Community Supported Agriculture (CSA) at the Workplace 22

Reaching Youth Directly

• Hard Hitting Media and Marketing campaigns

• Mobilize Youth and Young Adults to Promote Policy Changes

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Lori Martin, MS, RD Nutrition and Wellness ManagerSanta Clara County Public Health DepartmentCenter for Chronic Disease and Injury PreventionDirect: (408) 793-2706 Main Line: (408) 793-2700

Lori.Martin@phd.sccgov.org

Contact Information

Pamela Stoddard, PhD Senior EpidemiologistSanta Clara County Public Health DepartmentDirect: (408) 792-5588 Main Line: (408) 792-5040

Pamela.Stoddard@phd.sccgov.org