Creating access to physical activity in high need, rural communities

Introduction: People who live in rural, low socioeconomic status (SES) communities often have the highest rates of overweight/obesity, and the lowest rates of physical activity and fruit and vegetable intake. Access to places to be physically active by sedentary individuals are limited, if non-existent, in rural communities where rural roads are not conducive to walking or biking and there are no recreation departments or facilities.

Methods: The Vermont Department of Health (VDH) supports community coalitions in rural, low SES communities with implementing Healthy Community Design projects to establish places for residents to be physically active and purchase healthy food. With a state-level Healthy Community Design Advisory committee, VDH developed guidance on evidence based strategies and tools for communities to use. Areas of focus are: mixed use development; bicycle and pedestrian facilities; parks, recreation, open space; access to healthy food. As this project aligns with the state's planning goals, establishing partnership with town and regional planners has strengthened the health coalition's efforts and effectiveness. Through quarterly coalition reports, VDH identifies successes, barriers, and strategies for sustainability.

Results: The impact of this program in Vermont incudes: a. Towns adopting “health articles” in town plans. b. Trails, sidewalks, recreation paths developed. c. Town commitment to supporting farmers markets and community gardens.

Conclusion/Discussion: As a result of this project, Vermont's rural communities are establishing sustainable, long term solutions to providing access to places to be physically active and to purchase healthy food for our most vulnerable, highest need, populations.