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Oakland, CA, United States

Cohen L.,Prevention Institute
Health Education and Behavior

It is a great time for prevention. As the United States explores what health in our country should look like, it is an extraordinary time to highlight the role of prevention in improving health, saving lives, and saving money. The Affordable Care Act’s investment in prevention has spurred innovation by communities and states to keep people healthy and safe in the first place. This includes growing awareness that community conditions are critical in determining health and that there is now a strong track record of prevention success. Community prevention strategies create lasting changes by addressing specific policies and practices in the environments and institutions that shape our lives and our health—from schools and workplaces to neighborhoods and government. Action at the community level also fosters health equity—the opportunity for every person to achieve optimal health regardless of identity, neighborhood, ability, or social status—and is often the impetus for national-level decisions that vitally shape the well-being of individuals and populations. © 2016, Society for Public Health Education. Source

Mounting research has suggested linkages between neighborhood safety, communitydesign, andtransportation patterns and eating and activity behaviors and health outcomes. On the basis of a review of evaluation findings from 3 multisite healthy eating and activity initiatives in California,weprovide an overview of 3 community process strategies- engaging local advocates, linking safety to health, and collaborating with local government officials- that may be associated with the successful development and implementation of long-termcommunityimprovement efforts and should be explored further. Source

Bruna S.,University of New Mexico | Stone L.C.,University of New Mexico | Wilger S.,National Center for Frontier Communities | Cantor J.,Prevention Institute | Guzman C.,Prevention Institute
Journal of Ambulatory Care Management

This article examines the experience of a frontier-based community health center when it utilized the Tool for Health and Resilience in Vulnerable Environments (THRIVE) for assessing social determinants of health with a local health consortium. Community members (N = 357) rated safety, jobs, housing, and education among the top health issues. Community leaders integrated these health priorities in a countywide strategic planning process. This example of a frontier county in New Mexico demonstrates the critical role that community health centers play when engaging with local residents to assess community health needs for strategic planning and policy development. Copyright © 2014 Lippincott Williams & Wilkins. Source

Chehimi S.,Prevention Institute | Cohen L.,Prevention Institute | Valdovinos E.,Prevention Institute
Environment and Urbanization

This paper highlights the role of community prevention in improving overall health and in supporting health equity. By addressing the underlying causes of illness and injury, community prevention efforts can prevent illness and injury before they occur. The paper presents three frameworks that support quality community prevention efforts. The first, Taking Two Steps to Prevention, analyzes the underlying causes of illness, injury and health inequities and helps identify key opportunities for intervention and prevention. The second framework, the Spectrum of Prevention, guides users in thinking through the elements of a comprehensive community prevention strategy: strengthening individual knowledge and skills; promoting community education; educating providers and leaders (in all sectors); fostering coalitions and networks; changing organizational practice (within government, health institutions and workplaces, among others); and influencing policy and legislation. Both Taking Two Steps and the Spectrum are explained through the demonstration of two successful and ongoing community prevention efforts: first, preventing smoking; and second, promoting breastfeeding. The third framework, Collaboration Multiplier, focuses on developing sustainable interdisciplinary partnerships capable of addressing a variety of health and social problems. Collaboration Multiplier provides a matrix that clarifies the contributions that different sectors bring to a particular health or social problem and helps develop a shared language and understanding for working together. © 2011 International Institute for Environment and Development (IIED). Source

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