240613 Decreasing obesity and promoting healthy communities by increasing access to healthy foods through state food policy

Tuesday, November 1, 2011

Jamie Weinstein, MPH , Center for Health Policy and Legislative Analysis, The MayaTech Corporation, Silver Spring, MD
Jennifer Noll Folliard, RD, MPH , Center for Health Policy and Legislative Analysis, The MayaTech Corporation, Silver Spring, MD
Monica Holloway, BS , Center for Health Policy and Legislative Analysis, The MayaTech Corporation, Silver Spring, MD
Regina el Arculli, MA , Director, State Cancer Legislative Database Program, National Cancer Institute Office of Government and Congressional Relations, Bethesda, MD
Shereitte Stokes IV, PhD, MPH, MIAD , Center for Health Policy and Legislative Analysis, The MayaTech Corporation, Silver Spring, MD
2. Excess body weight has been linked to chronic diseases such as hypertension, heart disease, diabetes, and certain cancers. The International Agency for Research on Cancer estimates that obesity and physical inactivity may account for 25 to 30% of several major cancers. Recent studies estimate that 3.2% of all new cancers are linked to obesity and 14% of deaths from cancer in men and 20% of deaths in women were due to overweight and obesity. The problem is exacerbated in underserved populations. Many of the causes of health disparities are rooted in society-level policies and norms. Traditionally, state level policy efforts to decrease the incidence of obesity focus on eliminating calorie dense, nutrient poor foods from schools, but obesity is a multifaceted disease that allows for a variety of policy intervention strategies. An examination of health determinants and corresponding policy interventions is necessary to understanding obesity as a complex social justice issue. This research will present the results of a content analysis of laws effective as of 12/31/2009 through 12/31/2010. The laws will be analyzed to assess their potential impact on access to healthy foods among disparate populations. We also will examine state characteristics such as rates of health disparities, farmers markets that accept EBT/WIC, and percent of census tracts with healthy food retailers to better understand the complex issue of food disparities at the state level.

Learning Areas:
Diversity and culture
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
(1) Describe various state legislative approaches to ensuring access to healthy foods among disparate populations; (2) describe obesity as a complex social justice problem, with particular emphasis on access to healthy food; (3) explain how various policy interventions are critical steps in addressing the problem of obesity; (4) define the type and scope of nutrition-related legislation that is contained in the SCLD; and (5) identify methods of accessing and using SCLD disparities data.

Keywords: Obesity, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am the Deputy Project Manager of the State Cancer Legislative Database program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.