Healthy Drinks for Healthy Alaskans Alaska Public Health Summit Session 302 Thursday January 18, am

Transcription

1 Healthy Drinks for Healthy Alaskans Alaska Public Health Summit Session 302 Thursday January 18, am Karol Fink MS RDN Director Obesity Prevention Program Ann Potempa MPH Director Play Every Day Campaign

2 Obesity Prevention Settings & CDC Targets Increase Decrease Physical Activity Fruit & Vegetables Breast feeding Sugary Drinks TV/Screen time Junk Food 2

3 Obesity Prevention Settings & CDC Targets Settings Community nutrition Early care & education Schools Worksite wellness Enhance walkability Public education Dental clinics Increase Physical Activity Fruit & Vegetables Breast feeding Decrease Sugary Drinks TV/Screen time Junk Food 3

4 Obesity Prevention Settings & CDC Targets Settings Community nutrition Early care & education Schools Increase Physical Activity Fruit & Vegetables Decrease Sugary Drinks TV/Screen time Worksite wellness Enhance walkability Public education Dental clinics Breast feeding Junk Food Leadership and consultation Training and technical assistance Surveillance and Evaluation 4

5 Healthy Drinks Project Goal: cut sugary drink consumption of 5-12 year olds to improve oral health and prevent obesity and other chronic disease. Two parts: Implement a pilot project to engage dental providers to adapt and adopted a 5As system for sugary drinks Develop provider tools and public education materials to support reduced sugary drink intake. 5

6 Part 1: Dental 5As Pilot Project 1. Ask about consumption 2. Advise to about risks of consumption 3. Assess willingness to reduce consumption 4. Assist in the reduction 5. Arrange follow-up 6

7 Part 2: Play Every Day Expansion 7

8 Conducted Formative Research Literature reviews Paper survey at Dental Chiefs and Hygienist Association conferences. 16 key informant interviews with dental providers Statewide, tribal, private, pediatric, etc. OH Advisory Panel meeting Focus groups with parents of sugary drink servers Utqiagvik, Dillingham, Anchorage, Wasilla 8

9 What are Sugary Drinks? 9

10 10

11 Percent of American Adults who identify the following health conditions as sugary drink related 100% 80% 60% 40% 20% 0% 80% 74% 72% 24% 32% 33% Weight gain Diabetes Cavities High cholesterol Heart disease Hypertension Source: Park et al. Impact of Knowledge of Health Conditions on Sugar-Sweetened Beverage Intake Varies Among US Adults. Am J Health Promot Jan 11

12 Added Sugar Limit Less than 10% of calories per day Reference diet of 2,000 calories, no more than: 12 tsp sugar 50 g sugar 200 calories 12

13 Calories US Population Mean Calories of Daily Added Sugar, Beverage Foods Adults 2-18 years old Source: Added Sugars Intake Across the Distribution of US Children and Adult Consumers: Powell ES Smith-Taillie LP Popkin BM Journal of the Academy of Nutrition and Dietetics. Volume 116, Issue 10, October

14 Calories US Population Mean Calories of Daily Added Sugar, Beverage Foods Added Sugar Limit Limit based on a 2,000 calorie reference diet, upper limit is less than 200 calories 0 Adults 2-18 years old Source: Added Sugars Intake Across the Distribution of US Children and Adult Consumers: Powell ES Smith-Taillie LP Popkin BM Journal of the Academy of Nutrition and Dietetics. Volume 116, Issue 10, October

15 Calories US Population Mean Calories of Daily Added Sugar, Beverage Foods Added Sugar Limit Adults 2-18 years old Limit based on a 1,600 calorie diet, for moderately active 8-year old boy, upper limit is less than 160 calories Source: Added Sugars Intake Across the Distribution of US Children and Adult Consumers: Powell ES Smith-Taillie LP Popkin BM Journal of the Academy of Nutrition and Dietetics. Volume 116, Issue 10, October

16 Calories Mean Calories of Daily Added Sugar, US Population Adults 2-18 y.o ,000 calorie reference diet, upper limit is less than 200 calories Source: Added Sugars Intake Across the Distribution of US Children and Adult Consumers: Powell ES Smith-Taillie LP Popkin BM Journal of the Academy of Nutrition and Dietetics. Volume 116, Issue 10, October

17 Calories of added sugars Calories of Added Sugar in Drinks oz 20 oz 20 oz 16 oz 20 oz 17

18 Calories of added sugars Calories of Added Sugar in Drinks Limit based on 2,000 calorie reference diet Limit based on 1,600 calorie diet, for moderately active 8- year old boy oz 20 oz 20 oz 16 oz 20 oz 18

19 23% 42% 19% 20% 19% 24% 24% 43% 19% 38% 35% 28% 24% 11% 33% 33% 29% 25% 14% Alaska adults Percent of who drink 1+ sugary drink per day 80% Race Region Education Income 60% 40% 20% 0% Source: Alaska BRFSS,

20 Alaska high school youth Percent of who drink 1+ soda per day 80% 70% 60% 50% 40% 30% 20% 22% 15% * 10% 0% Source: AK YRBSS *Linear change is statistically significant *Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p <

21 46% 64% 37% 40% 38% 42% 42% 72% 39% 60% 54% 39% Alaska high school youth Percent of who drink 1+ sugary drink per day 80% Race Region Sex 60% 40% 20% 0% Source: Alaska YRBS,

22 Alaska high school youth Percent of who drink 1+ soda per day, by race 80% White Alaska Native 60% *Trend statistically significant 40% 20% 34% 14% * 21% 13% * 0% Source: AK YRBS *Significant decline from based on the linear and quadratic trend analysis using logistic regression models with p < 0.05

23 Alaska 3-year-olds Percent who drank any sugary drink on a given day 50% 43% 40% 30% 31% * 20% *Trend statistically significant 10% 0% Source: AK CUBS 23

24 60% 39% 19% 25% 24% 21% 25% 80% 29% 78% 63% 47% 30% 15% 41% 20% Alaska 3-year-olds Percent who drink any sugary drink on a given day 80% Race 60% Region Education Income Proxy 40% 20% 0% Source: Alaska CUBS,

25 Play Every Day: Creating New Education Materials for Healthy Drinks for Healthy Kids Alaska Department of Health and Social Services Division of Public Health Section of Chronic Disease Prevention & Health Promotion Ann Potempa, MPH 25

26 Public Education Campaign to Improve Health Behaviors The Section of Chronic Disease Prevention and Health Promotion launched this public education campaign in Long-term goal: Prevent and reduce childhood obesity Play Every Day is a social marketing campaign to change knowledge, attitudes and health behaviors: Increase daily physical activity Reduce sugary drink consumption 26

27 Using a Social Marketing Approach Building Play Every Day as a social marketing campaign Using commercial marketing techniques in social and behavioral settings Commercial world: money in exchange for goods Social world: exchange one behavior for another to improve personal health or society s health 27

28 Target Areas for Campaign Play Every Day Physical Activity Nutrition 60 Minutes Every Day Healthy Futures Sugary Drinks Healthy Food 28

29 Social Marketing Step: Picking a Target Audience Alaska parents of children ages 5 to 12 Parents determine how children spend time choose which foods, drinks to buy for the family Children are building healthy habits Children participate in the Healthy Futures Challenge 29

30 Social Marketing Step: Improving Knowledge, Changing Behaviors Changing Behaviors Parents: Motivate their children to get 60 minutes of physical activity a day Serve fewer sugary drinks to children Serve water or low-fat milk instead 30

31 Social Marketing Step: Using Research to Inform, Evaluate Messages Informing the Messages: Focus groups of Alaska parents of young children Key informant interviews of teachers, principals, dental providers Evaluating the Messages: Repeated telephone surveys of Alaska parents of young children 31

32 2017 Play Every Day Research Play Every Day s task in 2017 was to support the Healthy Drinks for Healthy Kids project with new public education and provider materials. Winter and Spring 2017: Four focus groups of Alaska parents of young children in Anchorage, Wasilla, Dillingham and Utqiagvik 16 key informant interviews with dental providers December 2017: Statewide telephone survey of 750 Alaska parents of young children 32

33 Creating Messages Based on Past Focus Groups: What Alaska Families Drink At Home Powdered drinks Soda Juice drinks Sports drinks Flavored water Tea drinks Coffee drinks Energy drinks 0% 20% 40% 60% 80% Source: Play Every Day Focus Groups,

34 Tooth Decay PSA 34

35 Switch Up PSA 35

36 Sugary Drinks Animated Videos or 36

37 Posters to Match the PSAs 37

38 38

39 Matching Rack Cards 39

40 Play Every Day website 40

41 Website Education about Sugary Drinks Sugary-Drinks-Improves-Health.aspx 41

42 Website Sugary Drink/Water Resources PlayEveryDay/Pages/Sugary- Drink-Resources.aspx 42

43 Website Physical Activity Resources 43

44 Promotion Blogging About Our Work Updated Blog 44

45 Promotion Blogging About Our Work Get Free Updates Here 45

46 Promotion Blogging About Our Work 46

47 Play Every Day Social Media

48 New Play Every Day Materials 48

49 New Brief Guide to Educate Families 49

50 Intervention for dental providers Help families reduce sugary drink consumption Ask: Does your child drink sugary drinks? Advise: Sugary drinks are harmful for your child s teeth and health. Assess: Are you interested in making a change and serving fewer sugary drinks? Assist: Help the parent/child develop a plan to reduce sugary drink consumption. Arrange: Make a note in the patient record to follow up at the next visit. 50

51 Pick a Plan Rack Card Alaska dental providers hand out cards after giving the brief sugary drink intervention. 51

52 Next up Conduct training with pilot sites using materials Continue to improve project Survey Alaska parents Outreach to oral health and health providers 52

53 Sharing Play Every Day s Message Support families in getting 60 minutes of daily physical activity and reducing the consumption of sugary drinks Hang posters Hand out rack cards and other educational materials Play the public service announcements and videos Use the brief intervention in dental offices and the lesson plans in schools Model the healthy habit of drinking water Share the Play Every Day website, Facebook page and YouTube channels as resources 53

54 Questions? Ann Potempa, Play Every Day coordinator State of Alaska Department of Health and Social Services