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Camina Boston . A presentation by the East Boston Diabetes Taskforce.
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Camina Boston A presentation by the East Boston Diabetes Taskforce
The East Boston Neighborhood Health Center has been a vital part of its community for over 40 years, providing easily accessible, high-quality health care to all who live and work in East Boston and the surrounding communities of Chelsea, Revere, Everett, and Winthrop. EBNHC handles 300,000 patient visits per year— more than any other ambulatory care center in New England.
Growing threat of obesity • Overweight and obesity is a global problem; 1/3 of U.S. adults are obese • In 2011, CDC’s budget included $300M for chronic disease prevention and health promotion • Despite investment, gap exists between knowledge and action
While we provide patients excellent care, there are unhealthy lifestyles we need to address...starting in our own backyard.
What we heard • “My doctor told me I was in the obese category so I started working out.” • “When I got off work, I was tired. Mentally tired. I didn’t have time to exercise.” • “If you have a ‘buddy’ that persuades you and encourages you to go, that will make you keep a positive mindset and keep going.” • “My cousin exercises because she can reduce that big butt of hers. She NEEDS to lose weight.” • “People that smoke need to exercise. It is good for them. If I smoked, I would exercise.”
Our obesity problem • In Massachusetts, between 2003 and 2007, Hispanic adults were 50% more likely to be obese than their White counterparts. • Health risks associated with obesity are well known: • Heart Disease • High Blood Pressure • Stroke • Type 2 Diabetes • Cancer • Osteoarthritis • Sleep Apnea • Reproductive Problems 55% of East Boston’s population is either overweight or obese. (BPHC, 2005)
What we propose… • All-female, bilingual walking group • 12-week pedometer-based, goals oriented program • Organized weekly walking activity and check in • Consumer-friendly healthy lifestyle curriculum • Walking journal • Coupon incentive program • Community fitness events
Performance objectives • Increase number of steps walked each week by participants • Increase amount of time participants spend on physical activity each week Health outcome objective • Lower BMI of participants
Long term goals • Extend positive health messages to other family members and friends in East Boston’s Hispanic population • Increase overall community participation in health activities • Reduce obesity levels in East Boston
Benefits for EBNHC and partners • Established model, innovative partnership • Low investment, big payoff • Opportunity to increase diversity, bilingual programming and membership • Visibility as a community partner • Visibility as a leader • Potential to market program for broader use
Key Partners East Boston Main Streets
Budget $50,000 Mass in Motion 2 year grant – Includes start up costs $15-$20K – Ongoing per year
“By changing nothing, nothing changes.” -Tony Robbins