Publications

Subcategory: Obesity and Diabetes

Increasing Access to Healthy Food in the Central Valley through Farmers Markets and Produce Stands
This May 2010 brief discusses strategies for improving nutrition environments through farmers markets and produce stands including challenges and lessons learned. It also includes findings from environmental assessments of The Central California Regional Obesity Prevention Program (CCROPP) farmers markets and produce stands conducted from 2007-2009.
Engaging Communities in Changing Nutrition and Physical Activity Environments
Obesity Prevention Programs: Evaluation Findings
The California Endowment's Healthy Eating Active Communities program of The California Endowment is working toward the reduction of the childhood obesity epidemic through policy and environmental change strategies. The Central California Regional Obesity Prevention Program (CCROPP) address childhood and adult obesity through place-based policy changes that support access to physical activity and healthy foods in California’s Central Valley region. The following reports provide a summary of each program's key findings that have emerged from evaluation efforts to date.
Promoting Healthier After School Environments: Opportunities and Challenges
The California Endowment's Healthy Eating, Active Communities (HEAC) initiative and its Central California Regional Obesity Prevention Program (CCROPP) are leading the movement in California to transform after-school environments and to define the elements of healthy after-school programs. Using policy and environmental change strategies, HEAC and CCROPP communities are re-envisioning after school programming to create seamlessly healthful and safe out-of-school environments for children and youth. After-school programming continues to face challenges. This brief summarizes the current state of after school programming nationally and in California, reviews baseline evaluation data about after school practices in the HEAC program, and presents challenges and opportunities that emerged from the discussion among these experts in the field. It concludes with a set of recommendations from the participants in this dynamic, forward-thinking discussion. 
Building Healthy Communities: The California Endowment Approach to Improving Food and Physical Activity Environments
At the California Endowment, we believe that what surrounds us shapes us—that our environment shapes our bodies, our minds and our health. We share responsibility for creating healthier environments. Schools, government, business, community organizations and individuals all have a vital role to play. Private foundations can play a powerful role in bringing all these interests together to find the best solutions for California. 
Chronic Disease Prevention in Shasta County: A Health Department's Transformation
Chronic Disease Prevention in Shasta County: A Health Department's Transformation is a case study that explores key elements of the evolution of Shasta County Public Health's unique brand of public health.
South Bay Partnership: Advocating for Healthier Cities in the South Region of San Diego County
The South Bay Partnership: Advocating for Healthier Cities in the South Region of San Diego County case study describes how the evolution and success of the South Bay Partnership.
Making Healthy Choices Possible: Practice-Oriented Lessons on Community Strategies for Environmental Change
Making Healthy Choices Possible: Practice-Oriented Lessons on Community Strategies for Environmental Change looks at the lessons emerging from HEAC communities at the midpoint of the program.
Designed for Disease: The Link Between Local Food Environments and Obesity and Diabetes
Designed for Disease: The Link Between Local Food Environments and Obesity and Diabetes examines the relationships between retail food environments, obesity and diabetes, and community income.
Roadmap to Improving Food and Physical Activity Environments
Roadmap to Improving Food and Physical Activity Environments is a compilation of resources used in the Healthy Eating, Active Communities program. Produced by the HEAC program office and core technical assistance team, this resource guide is designed to assist communities in identifying the steps they need to take and the tools that will help at each stage.
Physical Education Matters: A Full Report
There is unprecedented need to reform physical education (PE) in California’s schools. High levels of obesity and diabetes and low fitness levels in California children, particularly in Latino, African American and Native American youth, indicate the need for our schools to make PE a priority. Action to improve the quantity and quality of PE should be guided by the best available evidence. According to the full report of Physical Education Matters, prepared by San Diego State University and the Active Living Research Program, UCLA School of Public Health’s Center to Eliminate Health Disparities and the California Center for Public Health Advocacy, "Quality PE meets state standards and ensures adequate physical activity." 
Physical Education Matters
This report summarizes existing information about the status of PE in California and identifies several research-based strategies for improving the quantity and quality of PE.
Key Lessons from California Schools Working to Change School Food Environments
The brief, Key Lessons from California Schools Working to Change School Food Environments, shares the collective learning from The California Endowment's experience supporting work to improve school food, especially early lessons from the The Endowment's Healthy Eating, Active Communities (HEAC) program.
A Survey of Californians About the Problem of Childhood Obesity
This Field Research Corporation study reveals that nearly all Californians believe the problem of childhood obesity is serious - eight in 10 think the problem has worsened. The study analyzes responses by a number of factors, including ethnicity.
Banning Junk Food and Soda Sales in the State’s Public Schools
This Public Policy Case Study, funded by The California Endowment, illustrates the ways various sectors (government, researchers, advocates) were instrumental in establishing nutritional standards for the food and beverages sold in the state’s public schools.
CALCHEEPS: A Special Report on Policy Implications from the 1999 California Children's Health Eating and Exercise Practices Survey
This report provides highlights and analysis from the first-ever statewide nutrition and physical activity survey of California elementary school children. Findings focus on the eating and exercise habits of 9- to 11-year-olds throughout California.
CalTEENS: A Generation at Risk
This report details results of the first comprehensive survey of eating and exercise habits of California's more than 2 million adolescents, ages 12 to 17 years old. The poor diets and physical inactivity revealed in the survey indicate a future generation of adults who may face increased incidences of major chronic diseases.
Competitive Foods Brief
The California Endowment and the Robert Wood Johnson Foundation have funded a "Competitive Foods Brief." Prepared by Oakland-based Samuels & Associates, the report notes that children’s easy access to unhealthy foods at school, as well as in their communities, has contributed to climbing rates of childhood overweight and obesity. The brief also provides policy recommendations for creating healthy environments in schools.
Diabetes Prevalence Across California Legislative Districts
This policy brief from the UCLA Center for Health Policy Research, and funded in part by The California Endowment, reports on diabetes prevalence rates among adults by California Assembly and Senate districts. Estimating the prevalence of diabetes at the local level is increasingly important as rates continue to climb and the state's population continues to age and become more ethnically diverse.
Failing Fitness
This is a new study of P.E. in 77 California schools that shows students receive very little physical activity during most PE classes, and the PE deficiency is particularly severe in elementary schools and schools in disadvantaged communities.
Food and Beverage Marketing on California High School Campuses Report
Funded by The California Endowment, the report "Food and Beverage Marketing on California High School Campuses Survey: Findings and Recommendations" examines the advertising and marketing that occurs on school campuses. The report also includes recommendations for schools to combat the negative impact of food and beverage marketing on students.
Food and Beverage Marketing on California High School Campuses Report - Summary
Summary
Health Policy Research Brief - Diabetes on the Rise in California
A new study by the UCLA Center for Health Policy Research – comparing data from the 2001 and 2003 California Health Interview Surveys – finds that the overall prevalence of diabetes among California adults is increasing. Nearly 1.7 million California adults age 18 and over (6.6 percent) have been diagnosed with diabetes, up from 1.5 million (6.2 percent) in 2001.
Healthy Food, Healthy Communities: Improving Access and Opportunities Through Food Retailing
An often-ignored cause of obesity and poor health is a lack of access to good, healthy food. Residents in low-income communities have limited options for healthy eating and often resort to buying unhealthy foods at corner stores or fast food outlets. This new PolicyLink report, Healthy Food, Healthy Communities: Improving Access and Opportunities through Food Retailing, shows how low-income communities are accessing healthy, affordable food - right in their neighborhoods.
Improving School Environments Through District-Level Policies: Findings from Six California Case Studies
This report highlights case studies documenting the experience of six California school districts as they developed and implemented policies aimed at reducing the availability of unhealthy foods on campus. The six unified school districts that participated in the case studies were: San Francisco, Capistrano, Eureka City, Hemet, Los Angeles and Oakland. 
Improving School Environments Through District-Level Policies: Findings from Six California Case Studies - Executive Summary
Executive Summary
Improving School Food Environments Through District-Level Policies: Findings from Six California Case Studies
Eureka City Unified School District Ahead of the Curve: Adopting and Implementing School District A La Carte Food and Beverage Policies
Improving School Food Environments Through District-Level Policies: Findings from Six California Case Studies
Los Angeles Unified School District Ahead of the Curve: Adopting and Implementing School District A La Carte Food and Beverage Policies
Improving School Food Environments Through District-Level Policies: Findings from Six California Case Studies
San Francisco Unified School District Ahead of the Curve: Adopting and Implementing School District A La Carte Food and Beverage Policies
Improving School Food Environments Through District-Level Policies: Findings from Six California Case Studies
Capistrano Unified School District Ahead of the Curve: Adopting and Implementing School District A La Carte Food and Beverage Policies
Improving School Food Environments Through District-Level Policies: Findings from Six California Case Studies
Hemet Unified School District Ahead of the Curve: Adopting and Implementing School District A La Carte Food and Beverage Policies
Improving School Food Environments Through District-Level Policies: Findings from Six California Case Studies
Oakland Unified School District Ahead of the Curve: Adopting and Implementing School District A La Carte Food and Beverage Policies
Interactive Food & Beverage Marketing: Targeting Children and Youth in the Digital Age
A new report commissioned by the Berkeley Media Studies Group (BSMG), and partially funded by The California Endowment, looks at the practices of food and beverage industry marketers in reaching the youth of America via digital videos ( http://www.youtube.com/watch?v=XUWqHHGYpjc), cell phones and interactive games and social networking sites. "Interactive Food & Beverage Marketing: Targeting Children and Youth in the Digital Age" also provides recommended steps to limit marketing to children and adolescents so that today's media culture can "serve the health of our children rather than undermine it.
National Evaluation Meeting on School Nutrition, Physical Activity Policies
Commissioned by The Endowment and the Robert Wood Johnson Foundation as part of their strategic efforts on childhood obesity prevention, Samuels & Associates, a public health research consultancy firm, has prepared this report that summarizes the proceedings of a 2004 meeting of health and policy leaders around the evaluation and measurement of school nutrition and physical activity policies.
Obesity and Physical Inactivity Among Children and Adolescents in the San Joaquin Valley
Two out of three adolescents in the San Joaquin Valley don't get enough exercise and one in eight (40,000) are overweight, says a new study. Published by the Central California Children's Institute at California State University, Fresno and funded by The California Endowment, the study reveals that the eight-county San Joaquin Valley region has one of the state's highest rates of overweight adolescents.
Prevalence and Specifics of District-wide Beverage Contracts in California's Largest School Districts
This report, created by Public Health Institute as part of a study commissioned by The California Endowment, examines the health impact of availability of soft drinks in public schools.
Selling Obesity: Beverage Vending Machines in California High Schools
A new report that surveyed 27 California high schools finds that seven out of 10 beverages sold in campus vending machines would not be allowed under SB965 – the state legislation that sets standards for beverages sold in high schools.
THE GROWING EPIDEMIC: Child Overweight Rates on the Rise in California Assembly Districts (August 2005) and Rates of Childhood Overweight in California Cities and Counties (September 2005)
To determine whether there have been changes in the epidemic of overweight in children since 2001, the California Center for Public Health Advocacy (CCPHA) analyzed data from the California Department of Education's 2004 Physical Fitness Test and compared the findings to results from 2001 that they had previously published. Findings include: Across California, the percentage of children in grades 5, 7, and 9 who were overweight increased 6% over three years; and seven of the ten largest cities in California had rates of childhood overweight in 2004 that were higher than the statewide average, with rates ranging form 36.3% in Los Angeles to 24.4% in San Francisco.
THE GROWING EPIDEMIC: Child Overweight Rates on the Rise in California Assembly Districts (August 2005) and Rates of Childhood Overweight in California Cities and Counties (September 2005) - Brief
Brief
The Social & Environmental Experience of Diabetes: Implications for Diabetes Prevention, Management and Treatment Programs
With dramatic increases in type 2 diabetes experienced within the past decade, The Endowment sought to discover its impact on ethnic minority communities. This report uses case studies to examine the impact of diabetes within these communities across California.Cover
The Social & Environmental Experience of Diabetes: Implications for Diabetes Prevention, Management and Treatment Programs
Synthesis
The Social & Environmental Experience of Diabetes: Implications for Diabetes Prevention, Management and Treatment Programs
Synthesis Maps
The Social & Environmental Experience of Diabetes: Implications for Diabetes Prevention, Management and Treatment Programs
Case Study 1
The Social & Environmental Experience of Diabetes: Implications for Diabetes Prevention, Management and Treatment Programs
Case Study 2
The Social & Environmental Experience of Diabetes: Implications for Diabetes Prevention, Management and Treatment Programs
Case Study 3
The Social & Environmental Experience of Diabetes: Implications for Diabetes Prevention, Management and Treatment Programs
Case Study 4
The Social & Environmental Experience of Diabetes: Implications for Diabetes Prevention, Management and Treatment Programs
Case Study 5
UCLA Health Policy Research Brief: California Adolescents Increasingly Inactive
Although the benefits of regular physical activity are well-documented, many California adolescents do not participate in regular physical activity. Teenage girls, teens from low-income families, teens with no access to safe parks or open spaces, teens whose schools do not require physical education, and Latino, Asian and African-American teens are particularly at risk according to researchers at the UCLA Center for Health Policy Research.
UCLA Health Policy Research Brief: More California Teens Consume Soda and Fast Food Each Day Than Five Servings of Fruits and Vegetables
Every day two-thirds of California adolescents —more than two million in all—drink soda, and nearly half—more than 1.5 million in all—eat fast food. By contrast, only a quarter—800,000 in all—eat five or more servings of fruits and vegetables each day.
Health...In Brief: Preventing Obesity in California
This policy brief explores California’s growing obesity crisis, examines some promising new approaches to addressing the problem and recommends policy changes needed to stem the rising tide of this serious, but preventable, epidemic.
Health Policy Research Brief: Less Than One-Quarter of California Adults Walk Regularly
A new policy brief issued by the UCLA Center for Healthy Policy Research and funded by The California Endowment highlights how little exercise most California adults are getting. The report, Less Than One-Quarter of California Adults Walk Regularly, states that in an average week one in five California adults walk on a regular basis, while more than a quarter of the adult population in the state do not walk at all.
Diabetes: The Growing Epidemic
This brief from the UCLA Center for Health Policy Research examines the growing rate of diabetes and its prevalence in California by age, ethnicity and race.
Trends and Forecast of Health and Economic Costs of Overweight and Obesity in California
Produced by the UCLA Health Forecasting Project, this report assesses the current and future impacts of overweight and obesity and their associated medical expenditures in order to draw attention to such problems while ultimately improving the health of California’s population.

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