Online Program

333144
Two Initiatives Worth their Weight in Salt


Monday, November 2, 2015 : 12:56 p.m. - 1:09 p.m.

Grace X. Ma, PhD, Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA
Jixiang Ma, MD, PhD, Noncommuincable Disease Prevention and Health Promotion, China CDC, Beijing, China
Guo (Yolanda) Zhang, MS, Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA
Cai Ying, MPH, Center for Global Health, US CDC, China, BEIJING, China
Jennifer Aquilante, MPH, RD, LDN, Nutrition and Physical Activity, Get Healthy Philly Initiative, Philadelphia Department of Public Health, Philadelphia, PA
Giridhar Mallya, MD, MSHP, Policy and Planning, Philadelphia Department of Public Health, Philadelphia, PA
Meagan Pharis, Nutrition and Physical Activity, Get Healthy Philly Initiative, Philadelphia Department of Public Health Aramark Tower, Philadelphia, PA
Guo Xiaolei, Shandong CDC, BEIJING, China
Chen Xiaorong, Noncommunicable Disease Prevention and Health Promotion, China CDC, Beijing, China
Andrea Neiman, PhD, MPH, Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Kristy Mugavero, RN, MSN, MPH, Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Globally, cardiovascular diseases (CVDs), such as heart disease and stroke, are leading causes of death in adults 25 years of age and older.  Studies show that excess sodium intake is a key risk factor for hypertension which accounts for almost 50% of CVDs worldwide. As a sresult, reducing sodium reduction is a domestic and global priority.  

 Philadelphia, PA and Shandong Province, China, have high incidence of hypertension relative to the national average: both are working through community and policy approaches to help reduce their burden of hypertension. 

The Shandong Ministry of Health Action on Salt and Hypertension (SMASH) is a comprehensive salt reduction project aimed to reduce salt intake by 20% in 5 years. A collaboration of China’s national and Shandong’s provincial government, one aspect of SMASH is the work through restaurants to reduce salt in cuisine. This includes: development of sodium standards for Shandong cuisine and lower salt menus; conducting chef training and chef contests for reformulated lower salt recipes, monitor salt usage in cuisine, and development of health communication aimed to increase consumer knowledge and awareness.

The Philadelphia Department of Public Health (PDPH) and Temple University’s Center for Asian Health launched the Healthy Chinese Take-out Initiative (HCTI) in 2012 to reduce the sodium content in take-out dishes by 10-15%. Owners/chefs receive cooking trainings, technical assistance and sodium resources. Additional PDPH sodium reduction efforts include a salt media campaign and implementation of nutrition standards within City departments.

SMASH and the HCTI  have similar goals and approaches; sharing the experiences of each program and  leveraging resources  has helped to enhance both programs. This presentation will provide details of both programs, the implementation and respective evaluation efforts.

Learning Areas:

Chronic disease management and prevention
Public health or related public policy

Learning Objectives:
Describe two health policy implementation and evaluation efforts to reduce hypertension. Discuss the opportunity and benefit of collaboration to improve, enhance, and leverage resources for potentially greater health impact Compare two similar yet distinct approaches to improving the food environment to impact community health. Identify the methodology for program and policy implementation and evaluation.

Keyword(s): Community-Based Health, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator and/or co-principal investigator of multiple federally funded grants focusing on Behavioral Health Intervention Trials, Health Disparities/Transcultural Health Care (Asian Americans and Ethnic Minority Populations) Cancer Prevention and Intervention for over the past decade.
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.