Group items tagged

"stimulating a movement in which communities are convening stakeholders across sectors to pursue shared goals and collect data to track progress.23 Clinicians and health care systems find it unrealistic and overwhelming to tackle complex social problems, but they are not alone. Teachers, police officers, parents, employers, and many others also feel powerless to solve social problems without partners. Meaningful change requires broader thinking than what Chetty et al recommend: "changing health behaviors among low-income individuals." As the history of tobacco control teaches, multilevel interventions across the socioecological framework-from legislation to marketing-are essential to advance population health. A culture of collaboration across sectors provides a venue for medicine and public health to join forces with business leaders, school systems, the park authority, investors, retailers, the media, and community groups. Each sector can bring their respective skills to the task, together accomplishing more by leveraging resources and talent than any sector could achieve alone. A medical journal article reporting that income is significantly associated with life expectancy is a call to arms, but the answer cannot come from medicine or public health alone but from the health professions working with partners who share an interest in prosperity and good health. Finding common causes, bridging silos, and leveraging talents hold the promise of much deeper influence and benefit than yesterday's fragmented efforts could achieve."

"Using the 2007 National Survey of Children's Health data, we find a statistically and economically significant effect of neighborhood parks and playgrounds on childhood obesity based on covariate matching estimators. The park/playground effect depends on gender, age, race, household income, neighborhood safety, and other neighborhood amenities. The results suggest that adding a neighborhood park/playground may reduce the obesity rate and make children more fit, but relevant interventions must consider socioeconomic status of the targeted children as well as other neighborhood amenities."