Suchergebnisse

The mass human and economic casualties wrought by the COVID-19 pandemic laid bare the deep inequities at the base of the disproportionate losses and suffering experienced by diverse U.S. populations. But the urgency and enormity of unmet needs requiring bold policy action also provided a unique opportunity to learn from and partner with community-based organizations that often are at the frontlines of such work. Following a review of Kingdon's model of the policy-making process, we illustrate how a partnership in a large California county navigated the streams in the policy-making process and used the window of opportunity provided by the pandemic to address a major public health problem: the incarceration of over 2 million people, disproportionately African American and Latinx, in overcrowded, unsafe jails, prisons, and detention centers. We highlight tactics and strategies used, challenges faced, and implications for health educators as policy advocates during and beyond the pandemic.

Purpose. Examine the impact of the Children's Power Play! Campaign on fruit and vegetable (FV) intake and physical activity (PA). Design. Study design was a cluster randomized, controlled trial. Setting. Forty-four low-resource public schools in San Diego County, California, were included in the study. Subjects. Study subjects comprised a total of 3463 fourth/fifth-graders (1571 intervention, 1892 control), with an 86.9% completion rate. Intervention. Throughout 10 weeks, activities were conducted during/after school, including weekly FV/PA lessons and PA breaks; biweekly classroom promotions/taste tests; posters displayed in/around schools; and weekly nutrition materials for parents. Measures. Self-reported FV intake (cups/d) and PA (min/d) were collected at baseline and follow-up using a diary-assisted, 24-hour dietary recall and Self-Administered Physical Activity Checklist. Analysis. Multivariate regression models adjusted for demographics and cluster design effects were used, with change as the dependent variable. Results. Intervention children, compared with controls, showed gains in daily FV intake (.26 cups, p < .001) and PA time at recess/lunch (5.1 minutes, p = .003), but not total daily PA minutes. Conclusion. Power Play! can help schools and community organizations improve low-income children's FV intake and PA during recess/lunch.

Cover -- Title Page -- Copyright -- Dedication -- Contents -- List of Illustrations -- Foreword by Antony B. Iton -- Part One. Introduction -- 1. Introduction to Community Organizing and Community Building in a New Era / Meredith Minkler and Patricia Wakimoto -- 2. Why Organize? Problems and Promise in the Inner City / Barack Obama -- Part Two. Contextual Frameworks and Approaches -- 3. Improving Health through Community Organizing and Community Building: Perspectives from Health Education and Social Work / Meredith Minkler, Nina Wallerstein, and Cheryl A. Hyde -- 4. Anti-racism Praxis: A Community Organizing Approach for Achieving Health and Social Equity / Derek M. Griffith and Heather Came -- 5. Contrasting Organizing Approaches: The "Alinsky Tradition" and Freirian Organizing Approaches / Marty Martinson, Celina Su, and Meredith Minkler -- 6. It's All Organizing, It's All Love: Building People's Power in Jackson, Mississippi / Makani Themba -- Part Three. Building Effective Partnerships and Anticipating and Addressing Ethical Challenges -- 7. Community, Community Organizing, and the Forming of Authentic Partnerships: Looking Back, Looking Ahead / Ronald Labonté -- 8. Ethical Issues in Community Organizing and Capacity Building / Meredith Minkler, Cheri A. Pies, Patricia Wakimoto, and Cheryl A. Hyde -- 9. Communities Driving Change: A Case Study from King County's Communities of Opportunity / Roxana Chen, Kirsten Wysen, Blishda Lacet, Whitney Johnson, and Stephanie A. Farquhar -- Part Four. Community Assessment and Issue Selection -- 10. Community Health Assessment or Healthy Community Assessment: Whose Community? Whose Health? Whose Assessment? / Trevor Hancock and Meredith Minkler -- 11. Mapping Community Capacity / John L. McKnight, John P. Kretzmann, and Lionel J. Beaulieu -- 12. Selecting the Issue / Lee Staples and Rinku Sen.