Gone are the Days of Saturday Morning Cartoons…

Jean O’Connor, JD, MPH, DrPHChronic Disease Prevention Director

Georgia Department of Public Health

“That’s All Folks!” Saturday Morning Cartoons Bid Farewell

1. Kids patterns of screen use are changing

2. Youth obesity has been rising until very recently

3. Youth nutritional behaviors remain relatively unchanged

4. Social media and technology presents opportunities to promote health among school age youth

5. Georgia SHAPE offers a statewide approach to addressing these opportunities

Screen Time (High School)

2005 2007 2009 2011 20130

10

20

30

40

50

Percent of High School Students who Play Video/Computer Games and Watch TV for

three or more hours, GA vs US, 2013

GA-VideoGA-TVUS-VideoUS-TV

Year

Pe

rce

nt

Trend (2005-2013)• The prevalence of students

having used a computer for three or more hours increased in both GA and the US

• The prevalence of students having watched TV for 3 or more hours decreased in both GA and the US

In 2013• 60% of high school students

watched TV and/or played video or computer games for three or more hours per day on an average school day

• 37% texted or e-mailed while driving on one or more days in the past 30 days.

*Played video or computer games or used a computer for something that was schoolwork for three or more hours per day on an average school day

Screen Time (Middle School)

Trend (2005-2013)• The prevalence of students

having used a computer for three or more hours increased in GA

• The prevalence of students having watched TV for 3 or more hours decreased in GA

In 2013• 60% of middle school

students watched TV and/or played video or computer games for three or more hours per day on an average school day

200520072009201120130

10

20

30

40

50

60

Percent of Middle School Students who Play Video/Computer Games* and

Watch TV for three or more hours, GA vs US, 2013

GA-VideoGA-TV

Year

Pe

rce

nt

*Played video or computer games or used a computer for something that was schoolwork for three or more hours per day on an average school day

Overweight and obesityGeorgia (High School)

• Overweight: 17%• Obese: 13% • Non-Hispanic (NH) black

students were more likely to be overweight & obese than NH white students 2003 2005 2007 2009 2011 2013

02468

10121416

% of Georgia High School Stu-dents who were Obese, 2003-2013

GeorgiaUnited States

Year

Perc

enta

ge (

%)

Dietary behaviors Georgia (High School)

In 2013—• 19% ate fruit or drank 100%

fruit juice ≥ 3 times/day• 11% ate vegetables ≥ 3

times/day• 8% ate fruit or drank 100%

juice ≥ 2 times/day and ate vegetables ≥ 3 times/day

• 24% drank a can/bottle/glass of soda ≥ 1 time/day

• 34% ate fast food ≥ 3 days/week

• 15% skipped breakfast every day

2003 2005 2007 2009 2011 20130

5

10

15

20

25

Daily Fruit and Vegetable Intake among Georgia High School Students,

2003-2013

Georgia - Fruits ≥ 3 times/dayGeorgia - Vegetables ≥ 3 times/dayU.S. - Fruits ≥ 3 times/dayU.S. - Vegetables ≥ 3 times/day

Year

Perc

enta

ge (

%)

Social Media Technology Potential

• Four out of five of teens now have a cell phone and half of those own smartphones

• Nearly 40% of all teens who have smartphones, up from just 23% in 2011

• One in four teens have a tablet computer• Nine in ten teens have a computer or

have access to one at home• One in four teens are “cell-mostly”

internet users and one in two older girls• One in three teen girls ages 14-17 say

they mostly go online using their cell phone, compared with 24% of teen boys ages 14-17

Opportunities• Social

Connectedness• School

Connectedness• Parental

connectedness• Health-related

applications • Tools to

moderate risk-taking behavior

• Health information

Source: Pew 2013

Shape is Shared Stewardship for Youth Obesity Prevention in Georgia

Georgia Schools

SHAPE GrantsPower Up for 30

Investment, Resources & TA:• Action for Healthy Kids• Alliance for a Healthier

Generation• Children’s Healthcare• Georgia Organics• HealthMPowers• i4 Learning WAY• Universities

Recognition:• SHAPE Honor Roll• Alliance Awards

Professional Development

Georgia School PA & Nutrition Toolkit

Private Companies & Foundations Supporting

Programs: BCBS, Centene, The Coca-Cola Company

Academic Research: Programs & Policies

State Agency Collaboration: DOE, DPH, DOA, DCH

SHAPE Logic Model

Inputs

•Shared Vision/Values•Partnerships•Collaborations

•State level Leadership Governor, Lt. Governor, Public Health Commissioner, SHAPE Council

•Resource Investment•State agency investment: DPH, DCH, DoE, Ag, DECAL

•Private partners •Federal investments

•Data and Evidence •Vital Records•Fitnessgram•BRFSS/YRBS•School Health Profile•National Surveys•Georgia-specific research and surveillance

Activities

•Partner Engagement•SHAPE Council•Academic community•Schools, DOE, Ag, DECAL•Public health system

•Communication•School Supports•SHAPE School Grants• Implementation of Power Up for 30 statewide

•Georgia Grown School Foods

•Training, TA and Dialog with School Nutrition Directors

•Partnerships with after school programs

•Research and Data Gathering

•Healthy Communities Efforts• Georgia Grown•Health Promotion•CDC 1305 grant

•Breastfeeding•5 Star Hospitals project•Workplace health breastfeeding project

Short-Term Outputs

•Individual level• Increased youth physical activity and consumption of fruits and vegetables

• Increased adult and youth awareness

•School/Community Level• Increased number of schools, ECEs, and after school programs with physical activity and nutrition-friendly environments

• Increased # of Georgians engaged in SHAPE in disparate communities

•Clinical Level• Increased # of clinicians/public health staff trained in pediatric obesity mgmt

•Policy Level•Sustainability of Power Up and SHAPE grants

•Breastfeeding hospital and workplace policies

•School district policies supporting nut/PA

•School food procurement policy implemented

Long Term Outcomes

•Change in aerobic capacity measure (Fitness assessment)

•Healthier school and early care food environments

•Increased physical activity opportunities for youth aged 1-18

•Increased rates of breastfeeding initiation and sustainment to 6 months

• Increased community capability to implement youth obesity prevention efforts

•Reduced race/ethnicity and urban rural disparities in youth obesity rates and breast feeding rates

EXAMPLE: SHAPE School Grants

$175,000 for

physical activity

47 schools

in 25 counties

34,000 kids in

healthier

schools

   Jean O’Connor, JD, DrPHChronic Disease Prevention DirectorGeorgia Department of Public Health 2 Peachtree Street, NW, 16th Floor Atlanta, Georgia 30303 Phone: 404-656-2480Email: Jean.OConnor@dph.ga.gov  DPH online: www.dph.ga.gov DPH on Facebook: www.facebook.com/GaDPH DPH on Twitter: www.twitter.com/GaDPH