10. Addressing Health Equity Using Place-Based Strategies for Obesity and Tobacco Use Prevention

Creating a Healthier Minneapolis
healthy eating + physical activity + smoke-free living
Addressing Health Equity Using Place-Based
Strategies for Obesity and Tobacco Use
Prevention
November 15, 2011
Speakers
• Kristen Klingler
Minneapolis Department of Health and Family Support
• Alison Moore
Minneapolis Department of Health and Family Support
• Dean Porter
CAPI
• Saharla Salah
CAPI
Minneapolis Department of
Health and Family Support
Mission: To promote health equity in
Minneapolis and meet the unique needs of
our urban population by providing leadership
and fostering partnerships
“Place-Based” Approach
Geographic: Concentrating resources and
interventions in a specific geographic area
Site-Specific: Concentrating resources and
interventions at a specific location/site
Geographic Approach
Geographic Approach
• Concentrated investment of CPPW grant
funding in North Minneapolis
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Total population: 77,000
82% represent communities of color
High levels of poverty
Low levels of fruit & vegetable consumption
and physical activity
Geographic Concentration
Nice Ride bike
share
EBT at
farmers
markets
Park safety
Wayfinding signs
Safe Routes to
School
Bike Walk
Center
Local Food
Resource Hub
Bike Walk Move Campaign
Results of Geographic Approach
• Integrated network of healthy resources
• Efficient use of limited financial resources
• Resources directed toward populations with
greatest health disparities
• Community support and enthusiasm
Site-Specific Approach
Healthy Housing, Healthy
Communities
• Concentrated effort within multi-unit
housing sites to improve access to
healthier foods and physical activity and
reduce tobacco use/exposure
• Outreach team implementing project
across sites
• Partnership with agencies already familiar
with properties and their residents
Outreach Partners
• 5 outreach organizations
• Strong experience with immigrant and
refugee communities key in many sites
Little Earth
of United
Tribes
Housing Sites
• Over 8,500 residents
across 7 sites
• Mix of private and public
low-income housing
• Immigrant and refugee
communities represented
include Somali, Oromo,
Ethiopian, Hmong
Year 1: Relationship Building
• Interviews and MOUs with building
managers
• Building assessments
• Resident survey on smoke exposure
• Scan of physical activity environment
• Assessment of food environment
• Resident focus groups
Y2 : Action Plans
Initiatives
• Mini farmers market;
corner store
improvements,
gardening
• Bike racks, bike/walk
routes and on-site
fitness improvements
• Passage of smoke-free
building policies;
cessation support
Partner Experience: CAPI
TO GUIDE REFUGEES AND IMMIGRANTS IN THE JOURNEY
TOWARD SELF DETERMINATION AND SOCIAL EQUALITY
CAPI Agency Demographics
 Who we serve: 3,000 Hmong, Bhutanese, Nepali,
Vietnamese, Somali, Ethiopian, Oromo, Karen, Iraqi,
African American, and mainstream participants
 95% of participants at or below federally designated
poverty level
Performer at Somali independence day
celebration in 2010
Bhutanese elders
SHIP: New directions for CAPI
 Combining services with community engagement
Dry goods at Asian food shelf
Somali independence day
Project Site 1: Franklin Terrace
 MPHA operated high-
rise building at 2728 E
Franklin Ave,
Minneapolis
 Seward neighborhood
 American born and
East African residents
including Somali, and
Ethiopian (Oromo,
Amharic)
Project site 2: Glendale Townhomes
 MPHA-operated
Townhomes complex
located in Prospect Park,
SE Minneapolis
 28 residential buildings
 183 families including: 84
African born (68
Somalia, 14 Ethiopian, 3
other African), 22
Southeast Asian (Laos
and Vietnam), 10 White,
3 American Indian
Smoke free interventions
 Beginning challenges
 Creating change by engaging the community
Smoke free youth art
project at Glendale
Smoke free intervention outcomes
 Glendale: CAPI worked with property management
to make 4 buildings (22 units total) smoke free
effective August 1, 2011
 Franklin Terrace: new policy bans smoking for
residents, but includes a grandfather clause that
allows existing residents an exemption from the
policy. Out of 150 residents total:

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130 residents agreed not to smoke in rooms
20 residents signed grandfather clause exemption to continue
smoking
The tall squirrel at Franklin Terrace…
 A story of individual and community change
Physical activity intervention
 Volunteer and community led exercise classes
 Partnering with Luxton Park Recreation Center
Making healthy food accessible
Vendor at the Glendale Mini-Farmer’s Market
Planting at the Glendale Community Garden
A word from the community
 http://vimeo.com/27731530
 Video featuring interviews with community
members and footage of the Glendale Townhomes
community garden project
Question & Answer
Creating a Healthier Minneapolis
healthy eating + physical activity + smoke-free living
Kristen Klingler
CPPW Coordinator, MDHFS
(612) 673-2910
[email protected]
Dean Porter
CAPI Program Coordinator
(612) 767-3682
[email protected]
Alison Moore
Health Educator, MDHFS
(612) 720-9418
[email protected]
Saharla Salah
CAPI Community Advocate
(612) 767-3683
[email protected]
Guided Questions?
• Do you have experiences with place-based
approaches?
• How are you ensuring that health equity is
addressed in your community?