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Social Determinants of Health: What Can We Do?

Social Determinants of Health: What Can We Do?. Rebecca H. Reeve, PhD, CHES Senior Advisor for Healthy Schools, NC DHHS. NC IOM Prevention Plan Reduce Socioeconomic Health Disparities. Priority Recommendations. Increase economic security by increasing the State Earned Income Tax Credit

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Social Determinants of Health: What Can We Do?

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  1. Social Determinants of Health: What Can We Do? Rebecca H. Reeve, PhD, CHES Senior Advisor for Healthy Schools, NC DHHS

  2. NC IOM Prevention PlanReduce Socioeconomic Health Disparities Priority Recommendations • Increase economic security by increasing the State Earned Income Tax Credit • Increase enrollment in the Supplemental Nutrition Assistance Program • Increase High School Graduation rates

  3. MATCH HS Graduation College Degrees Unemployment Children in Poverty Income Inequality Single Parent Households Homicide Rates Healthy NC 2020 Decrease % Living in Poverty Decrease % Spend >30% income on rental housing Increase 4-yr Graduation Rate Reduce % Uninsured <Age 65 Socioeconomic Indicators & Social Determinants

  4. 21st Century Coordinated School Health Education Eliminate Health Disparities & Achievement Disparities Health Wealth

  5. http://ayp.ncpublicschools.org 2010 Four-Year Cohort Graduation Rates by Student Subgroup (DPI 2010) Up from 63% ’01* =12,599 more grads 12,599 @ +$10K per Year = +$99.2 Million per Year Up from 55% ’01* =4,065 more grads 4,065 @ +$10K per Year =$40.7 Million per Year *U.S. Department of Education, National Center for Education Statistics, Common Core of Data (CCD), “Local Education Agency Universe Dropout and Completion Data File: School Year 2000–01

  6. 7 Educationally Relevant Health Disparities • Vision • Asthma • Teen Pregnancy • Aggression and Violence • Physical Activity • Breakfast • Inattention and Hyperactivity Develop NC Evidence

  7. Addressing Teen Pregnancy • Nationally 31-33% of pregnant teens graduate on time. • NC Adolescent Parenting Program in ’06-’07 enrolled 785 teens from 31 Counties. • Only 35 (4%) of them dropped out of school. Expected Dropouts = 526 Actual Dropouts = 35 Additional graduates 491 491 X $10K = $4.9M http://tppi.its.state.nc.us/info/tppi.htm

  8. Health Risk Behaviors & Academic Grades NC High Schools 2007 YRBS

  9. Comprehensive School Health Education Family & Community Involvement Physical Education & Physical Activity School-site Health Promotion for Staff School Health Services Nutrition Services Healthy School Environment Counseling, Psychological & Social Services 8 Components of a Coordinated School Health Approach 1.5 Million Children 180,000+ Employees 2,500 Schools

  10. We Can Work Together To: • Promote Collaboration Between Health and the Education Agencies & Groups. • Advocate for school level assessment of the Coordinated School Health components. • Use 2010 Profiles & SLIMs data to plan. • Advocate for 2011YRBS participation.

  11. Healthy Schools Contact Infowww.nchealthyschools.org • Vacant- DPI Section Chief for Healthy Schools • ______@dpi.state.nc.us • 919-807-3859 • Rebecca Reeve – Sr. Advisor-DHHS • rebecca.reeve@dhhs.nc.gov • 919-707-5662 • Tanya Bass- HIV • tbass@dpi.state.nc.us • 919-807-3867 • Johanna Chase - Healthful Living • Jchase@dpi.state.nc.us • 919-807-3857 • NakishaFloyd- PANT • Nfloyd@dpi.state.nc.us • 919-807-3942 • Chris Minard – Allied Health • Cminard@dpi.state.nc.us • 919-807-3858 • Melody Hudson - Administrative Assistant • Mhudson@dpi.state.nc.us • 919-807-3939

  12. NC Healthy Schools Coordinated School Health Priority SLIMs CSHP/HE SLIM #3 The % of schools that have ever assessed their policies, activities and programs by using the School Health Index or similar self-assessment. 2008 Baseline34% 2010 SLIM26% 2013 Goal >39% *three areas Physical Activity, Nutrition, tobacco

  13. NC IOM Prevention PlanReduce Tobacco Use • Priority Recommendation: • Increase North Carolina’s Tobacco Taxes Other recommendations include funding and implementing the Comprehensive Tobacco Control Program; expanding tobacco-free policies; and expanding access to cessation services, counseling, and medications for smokers who want to quit.

  14. NC Healthy Schools Priority SLIM Tobacco SLIM #5 The % of schools that provide tobacco-use cessation services to faculty, staff and students through direct service at school or arrangements with providers not on school property 2008 Baseline 48% 2010 SLIM 43% 2013 Goal> 53%

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