1. S E N I A R O M E R O : C O O R D I N A T O R / O R G A N I Z E R
J E S S E T R I N H : M O N I T O R
D E L S H A D N A M I R A N I A N : N O T E T A K E R
K E N D L E M C A D A M : N O T E T A K E R
M E G A N F I E D L E R : P R E S E N T A T I O N M A S T E R
Project: Neighborhood
Nutrition

2. Introduction
 Health Problem: high
obesity & diabetes rates
in poorer neighborhoods
(98118)
 Importance: healthier &
more accessible food
options will increase
overall health & lower
obesity & diabetes rates

3. Relation to Healthy People 2020
 General health status:
 life expectancy at the community level (increased)
 Physical & mental unhealthy days (decreased)
 Disparities & inequity:
 socioeconomic status, geography (improved)
 Social determinants of health:
 Natural & built environments, social & economic factors,
policies (improved)
 Health related quality of life & wellbeing:
 Physical & mental health related quality of lives (improved)

4. Healthy People 2020 continued..
Approach is similar to the “Getting to Grocery” Plan
 Similarities
 Identify neighborhood that has a lack of access
 Designate a main point of contact with the power to
convene local government agencies & build incentive
packages
 Engage elected officials
 Learn about the produce industry & figure out the
general issues/ identify obstacles
 Negotiate benefits
 Ensure the plan will work & grow
http://changelabsolutions.org/sites/default/files/documents/Getting_to_Grocery_FINAL_20120514.pdf

5. Overall Goal
To increase access to healthier food options among low
income neighborhood particularly South Seattle
(Zip- 98118)
https://www.google.com/?gws_rd=ssl#q=98118+grocery+product+maps

6. Prevention & Intervention
 Secondary Prevention
 Already exposed to unhealthy foods
 Risk factors for obesity or diabetes
 Spectrum of Prevention
 Fostering Coalitions & Networks
 Local Grocery Store Managers
 Parents & Youth
 Changing Organizational Practices
 Changing the options at these local marts improves health for
the community
 Replace fried foods with fruits & vegetables
 Strengthening individual knowledge & skills
 What you are eating & the effects on your health

7. MAP-IT: Mobilize
 Involve the Community
 Come together, address issue
 Policies & food choices more likely to change
 Mangers/Owners of the mini-marts
 Emphasize the high risk factors within the community
 Support healthier products in their stores for the community
 Community Leaders
 Parents & Youth
 Healthier future for your child
 Mayor of Seattle

8. Literacy for Environmental Justice (LEJ)
 Youth Empowerment & Environmental Justice
 Addressing Food Insecurities
 Reduce tobacco products & replace with healthier options
 The Good Neighbor Program
 Started with concerned group of elderly
 Build relationship with store owners
 Deter crime & improve quality of food
 Conducted Survey
 Needs & desires, nutrition habits, local markets
http://www.lejyouth.org/

9. Mini Marts Located by Zip code 98118

13. Assess
 Surveys
 Community involvement

14. Assess
Dot Density of Healthy and
Unhealthy Establishments
With the Percent of
Obese Adults
by Health Reporting Area
King County, Washington
0 3 6 9 121.5
Miles
Unhealthy establishments are defined as fast food restaurants &
convenience stores.
Healthy food establishments are defined as the number of
groceries, farmer's markets, and produce stands.
Obesity: Behavioral Risk Factor Surveillance System
Food data: InfoUSA, 2/2010.
Produced by: Public Health - Seattle & King County; Assessment,
Policy Development & Evaluation Unit, 10/9/2012
Percent Obese
10 - 16
17 - 22
23 - 28
29 - 37
Legend
1 Dot = 1.5 outlets
Unhealthy Food
Healthy Food

15. Plan
 Local health priority: Reduce obesity rates in South
Seattle, specifically the zip code 98118
 Measurable objective:
 55% of adults who live in the Beacon Hill area are over weight
or obese
 Reduce this percentage by 20% over the next five years
http://www.kingcounty.gov/healthservices/health/data/indicators/RiskAdultOverweight/HRA.aspx
 How will we measure our progress?
 Survey local grocery stores & neighborhoods for the number of
health food options available over the span of 5 years
 Compare each years survey & obesity rates every year

16. Plan
What is our strategy?
 Promote local vendors or healthy food markets
 Bring produce & other healthier foods to local
mini-marts already residing in area code 98118
 Survey residents on their opinions on:
 access to healthy food options
 feeling safe in their neighborhood
 Educate & promote healthy eating versus what
not to eat to the community

17. Implement
 Engage community:
 Through community leaders: parents, teachers,
church leaders, mayor…
 Educate why healthy food options are better
 Provide surveys to the community
 Advertise plan for healthier lifestyle
 Meetings & Local Newspapers

18. Track
 Surveys to check in with health of the community
 Compare results of surveys before & after
intervention
 Evaluate yearly obesity rates of the community: local
public health data
 Show statistics of improved obesity rates to the
community
 Record yearly item purchases from individual local
mini-marts: show community their choices of food
items

19. Limitations
 The program might not influence the
community’s eating habits
 The community might not care for the
change
 Not a lot of residents agree to take surveys
 Owners of mini-marts may not want to
change their products at the store

20. Conclusion
 Lower obesity rates in 98118 by 20%
 Make this program nationwide so other
communities may also see improvement in
their overall health
 Use this intervention to advertise change for
the nation
 Find appropriate ways (language, cultural
humility) to educate other communities
about healthier lifestyle