The Upstream-Downstream Parable for Health Equity


upstream downstream parable for public health

Public health advocates talk about health in an “upstream-downstream” fashion. They want to highlight the importance of health promotion and the influence of social, economic, environmental and cultural factors on health equity for Latino and other people of color. It is a parable: A man and a woman were fishing on the river bank when they saw a woman struggling in the current. They rescued her. Soon, they saw a man struggling. They rescued him, too. This continued all afternoon. Finally, the exhausted pair decided to go upstream to find out where and why so many people were falling in. They discovered a beautiful overlook along the river’s edge without any warning signs or protective barriers. The couple went to community leaders to report the number of victims they had ...

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CHEF Brings Nutrition Education into San Antonio Schools


chef kids in school

Unhealthy food contributes to disease, especially in Latino families who lack access to healthy foods and nutrition education. Healthy food, on the other hand, is medicine. That's the belief of the Culinary Health Education for Families (CHEF) program in San Antonio (63% Latino). CHEF teaches children and families basic nutrition and practical cooking skills. The long-term goal is to motivate individuals and communities to adopt and sustain healthier eating and wellness habits. “[We want to] make sure that every family, regardless of income level, or education level, can put a healthy, nutritious, familiar meal on the table that’s better for them perhaps than what was there before," said Suzanne Mead Feldmann of the Goldsbury Foundation, a group behind CHEF. CHEF now ...

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Research: Kids, Elderly, and People with Disabilities Will Suffer if SNAP Gets Cut


SNAP participants

40 million low-income people across the U.S. are in danger of losing a critical lifeline as federal funding for SNAP, commonly known as the food stamp program, hangs in the balance. But just who are these families? What would losing benefits mean? Two new research reports provide an answer. SNAP & Families SNAP provides temporary support to help people and families afford food. It is the nation’s largest nutrition assistance program, with $70 billion in funding in fiscal-year 2017. Latinos comprise more than 20% of SNAP participants. But 1 in 11 households who receive SNAP benefits would no longer be eligible under a revised House Farm Bill, according to data from Mathematica Policy Research cited by the recent State of Obesity report from Trust for America's Health ...

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Immigration-Informed CHWs Link Families to Economic, Social, Legal Supports


Samantha Morton Project DULCE

No money. No quality childcare. No social or legal support. These big stressors plague many parents, and can spur domestic violence and child maltreatment, hampering a child’s early and future development. Fortunately, Project DULCE is testing a unique solution. DULCE adds a “family specialist” to a child’s pediatric healthcare team. The Family Specialist builds relationships of trust and respect with enrolled families and connects families to social services if they want ─ like food stamps, housing vouchers, and legal services ─ to reduce economic stress and prevent maltreatment. Public health advocates often talk about health and quality of life in an “upstream-downstream” fashion. They want to highlight the importance of prevention and the influence of ...

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One Man’s Drive to Get Buses Moving in San Antonio



A few years ago, San Antonio City Council member Rey Saldaña tried his own transportation experiment. He ditched his car and relied on public transit for one month. The good? Saldaña met great people. He read. He explored the city. Parking was no problem. The bad? When buses ran late, he missed connections and showed up late to council meetings. Rain drenched him at bus stops. He had to skip fun activities because of a lack of frequent routes. Saldaña’s eye-opening experiment led him to champion more funding for VIA Metropolitan Transit (VIA), the regional mass transit agency serving San Antonio and Bexar County, which operates with the least amount of funding among all major transit authorities in Texas. His efforts spurred the city to invest millions to improve public ...

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#SaludTues Tweetchat 9/25: Latinos & Diabetes Prevention


Diabetes Prevention Program

Over 1 in 2 Latinos are at risk for developing type 2 diabetes at some point in their lifetime. The good news is that type II diabetes can often be delayed or prevented with modest (5-7%) weight loss. But how can one act if they don't know their risk? Contrary to what some might believe, the cause is not always genetic. Even individuals with prediabetes can still take important steps to prevent from seeing the disease progress into diabetes. One important step for prediabetic individuals is getting referred to a diabetes prevention program. However, of 84 million individuals with prediabetes, only 11.6% are aware they have this condition. Join us this #SaludTues on Tuesday, September 25, 2018, to find out how to take action and tweet about Latinos and the Diabetes Prevention ...

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San Antonio Wins ‘Culture of Health’ Prize!


RWJF San Antonio culture of health prize winner

Two majority-Latino communities are among the four winners of the 2018 Robert Wood Johnson Foundation (RWJF) Culture of Health Prize! San Antonio, Texas (63.6% Latino) and Cicero, Ill. (88.8% Latino) were chosen from nearly 200 applicants. Eatonville, Fla., and Klamath County, Ore., also won. These communities made strong efforts to build a culture of health is where everyone has a fair and just opportunity to be as healthy as possible. They brought neighborhood, school, and business partners together to improve health for all residents. Winning communities get a $25,000 prize and will have their inspiring stories shared by RWJF. “These inspiring places are engaging community members in decision making to give all residents the opportunity to live well, no matter where they ...

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Adult Obesity Rates Surpass 35% in 7 States, While Other States See No Drop


obese, overweight adult

Adult obesity rates reached 35% in at least 7 states and saw increases in 31 states across the U.S. from 2012-2017, while no significant drops in obesity rates were seen in any state, over the last year. These are the latest findings from a report from the Trust for America's Health and The Robert Wood Johnson Foundation. The report developed using data from the CDC's Behavioral Risk Factor Surveillance Survey (BRFSS) goes on to highlight how adult obesity continued to rise in at least 6 states: Iowa, Massachusetts, Ohio, Oklahoma, Rhode Island, and South Carolina, between 2016-2017. In the case of Iowa and Oklahoma, this is the first time these states reach the 35% obesity threshold. The states with the highest levels of obesity by rank are: #1- West Virginia ...

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