In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Health-related disparities remain a persistent, serious problem across the nation's more than 60 million rural residents. Rural Populations and Health provides an overview of the critical issues surrounding rural health and offers a strong theoretical and evidence-based rationale for rectifying rural health disparities in the United States. This edited collection includes a comprehensive examination of myriad issues in rural health and rural health care services, as well as a road map for reducing disparities, building capacity and collaboration, and applying prevention research in rural areas. This textbook offers a review of rural health systems in Colorado, Kentucky, Alabama, and Iowa, and features contributions from key leaders in rural public health throughout the United States. Rural Populations and Health examines vital health issues such as: Health assessment Strategies for building rural coalitions Promoting rural adolescent health Rural food disparities Promoting oral health in rural areas Physical activity in rural communities Preventing farm-related injuries Addressing mental health issues Cancer prevention and control in rural communities Reducing rural tobacco use Rural Populations and Health is an important resource for students, faculty, and researchers in public health, preventive medicine, public health nursing, social work, and sociology.

Physical inactivity is a key determinant of health across the lifespan. A lack of activity increases the risk of heart disease, colon and breast cancer, diabetes mellitus, hypertension, osteoporosis, anxiety and depression and others diseases. Emerging literature has suggested that in terms of mortality, the global population health burden of physical inactivity approaches that of cigarette smoking. The prevalence and substantial disease risk associated with physical inactivity has been described as a pandemic. The prevalence, health impact, and evidence of changeability all have resulted in calls for action to increase physical activity across the lifespan. In response to the need to find ways to make physical activity a health priority for youth, the Institute of Medicine's Committee on Physical Activity and Physical Education in the School Environment was formed. Its purpose was to review the current status of physical activity and physical education in the school environment, including before, during, and after school, and examine the influences of physical activity and physical education on the short and long term physical, cognitive and brain, and psychosocial health and development of children and adolescents. Educating the Student Body makes recommendations about approaches for strengthening and improving programs and policies for physical activity and physical education in the school environment. This report lays out a set of guiding principles to guide its work on these tasks. These included: recognizing the benefits of instilling life-long physical activity habits in children; the value of using systems thinking in improving physical activity and physical education in the school environment; the recognition of current disparities in opportunities and the need to achieve equity in physical activity and physical education; the importance of considering all types of school environments; the need to take into consideration the diversity of students as recommendations are developed. This report will be of interest to local and national policymakers, school officials, teachers, and the education community, researchers, professional organizations, and parents interested in physical activity, physical education, and health for school-aged children and adolescents.

Nutrition Education, Second Edition provides a simple, straightforward model for designing effective nutrition education that addresses the personal and environmental influences that affect food choice and assists individuals in adopting healthy behaviors. Using a six-step process, this text integrates theory, research, and practice and provides advice on designing, implementing, and evaluating theory-based nutrition education.

Promotes the recognition, treatment, and prevention of conditions of overweight and obesity in the United States.

Background - The health problems of overweight and obesity are growing concerns in the United States and in many parts of the world. At the time of this study, African American women had the highest mortality and obesity rates of any other racial/ethnic group in this country, and the highest level of physical inactivity (CDC, 2008; OMHRC, 2007). Research has suggested that despite African American women's awareness of the benefits of physical activity their rates of physical activity have remained low. A need existed to understand how physically active African American women, particularly those who resided in a rural area, perceived and experienced physical activity. Objective - The purpose of this qualitative phenomenological study was to explore the meaning and cultural context of physical activity among physically active, rural African American women, and to understand how they related physical activity and overweight to their health status. Methodology - To achieve this purpose, the researcher conducted 4 in-depth, open-ended focus group interviews in North Carolina. A qualitative methodology using a phenomenological approach enabled the researcher to better understand the meaning and sociocultural influences that the participants associated with physical activity participation. Analysis of verbatim transcriptions of the focus group interviews involved immersion, coding, categorizing, and identifying themes that emerged from the data. Results - Several primary themes emerged from the data from this study that revealed the participants experience of physical activity. These themes included perceptions of personal health, the evolution of physical activity, body image and overweight, social support, barriers, societal views of African American health status, and health related education. This chapter explored themes and various subthemes in order to get a more in-depth view of the participants' experience of physical activity, and definitions of physical activity and overweight as they relate to health in the minds of the participants. Conclusion - Health education programming aimed at this target population group must recognize several factors in order to provide culturally appropriate programs: the motivating factors of this population group; the association between size, overweight and health; their perception of what types of physical activities are appropriate; their support needs; the barriers that they face. In addition, it is important to provide education regarding their risks as well as information on how to get the information that they need to address these risks from their medical provider.