Faith and Health Book
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Protect your body. Protect your temple. A toolkit for building healthier places of worship. S.C. Department of Health and Environmental Control Office of Diversity, Equity, and Inclusion with the University of South Carolina Prevention Research Center CR-009934 07/21 Table of Contents 2 Introduction Chapter 1 Background 4 Purpose of Toolkit 5 How to Use This Toolkit 5 Terms You Should Know 6 Establishing a Health Committee Chapter 2 What is a Health Committee? 9 Tips for Identifying Health Committee Members 9 Steps for Establishing a Health Committee 10 Physical Activity Chapter 3 Tips for Safe and Successful Physical Activity Programs 15 Education and Awareness 15 Best and Promising Practice Models 16 Ideas to Consider 19 Set Policies or Guidelines 20 Nutrition Chapter 4 Education and Awareness 24 Best and Promising Practice Models 25 Ideas to Consider 27 Set Policies or Guidelines 28 Tobacco Use Prevention Chapter 5 Education and Awareness 32 Best and Promising Practice Models 33 Ideas to Consider 34 Set Policies or Guidelines 35 Resources Chapter 6 Sample Physical Activity Waiver Form 40 Sample Physical Activity Bulletin Insert 41 Sample Nutrition Bulletin Insert 42 Select Health Observations 43 Health Needs and Interests Tool 45 Toolkit Resources 50 References 51 Introduction 3 Chapter 1 4 The majority of Americans (77% of all adults) and the American Diabetes Association, the National South Carolinians (82% of all adults) identify with a Center for Disease Prevention and Health religious faith (Pew Research Center, 2015). There Promotion within the Centers for Disease Control are differences by race and ethnicity – and Prevention, the National Physical Activity Plan, and the World Health Organization identify faith-based organizations as important settings “Health is a state of complete physical, mental, and social for health promotion efforts. well-being, and not merely the Faith-based and public health communities absence of disease or injury.” This overlap in their approach, goals, and philosophy. definition challenges communities Both view health in a holistic way (mind, body, to respond to health and disease spirit), both appreciate the multiple determinants in new ways. of health, and both value social justice. Faith-based –World Health Organization settings offer a unique opportunity to reach large numbers of individuals typically underrepresented in health promotion efforts, including rural, racial a greater percentage of Hispanic (80%) and African and ethnic minorities, and low-income residents, as American (82%) adults in the United States identify places of worship are located nearly everywhere. with a religious faith than do non-Hispanic White Places of worship are well-suited to identify the adults (75%). health concerns within their congregations and to Faith-based organizations have a long history of address the needs of fellow members in a setting of meeting the needs of their attendees and local support and trust. communities. The faith community has been a major African Americans in the United States have focus of the spiritual, social, economic, educational, substantially higher mortality rates from chronic and political life of African-Americans and Hispanic conditions such as heart disease, cerebrovascular populations, and weekly attendance at religious disease (which includes stroke), cancer, and services is high in both Hispanic (39%) and African diabetes, while Hispanic populations have higher American (47%) populations as compared to non- mortality rates from diabetes compared to Hispanic Whites (34%) (Pew Research Center, their non-Hispanic White counterparts (U.S. 2015). Department of Health and Human Services, The literature shows that health promotion 2018). Obesity is also more common in African programs delivered through faith-based settings American and Hispanic populations in the United can improve the health and health behaviors of States as compared to non-Hispanic whites members (Florez et al., 2020; Tristao, Porfirio, (Hales et al., 2020). Behavioral risk factors for Arredondo, & Atallah, 2018; Bopp, Peterson & these diseases include sedentary behavior (i.e., Webb, 2012; Dunn et al., 2021). Additionally, sitting), low physical activity, poor nutrition, and groups including the American Heart Association, tobacco use. These risk factors can be reduced Introduction 5 with approaches that focus on both individual- level change (e.g., attitudes, beliefs, skills) and Purpose of Toolkit environmental- and policy-level change (e.g., improving access to health promoting resources, This toolkit is designed to provide faith-based improving education and economic stability) organizations with ideas and resources to help (Healthy People 2020). them plan, develop, and implement health related In South Carolina, like the United States, programs and activities. The activities and programs heart disease is the leading cause of death, contained within the toolkit are easy to use and and cerebrovascular disease (stroke) is the implement. You are encouraged to implement 5th leading cause of death. According to the activities in each section so that attendees can South Carolina Department of Health and make informed decisions regarding lifestyle changes Environmental Control, deaths in 2019 from and choices that can improve their quality of life. both heart disease and stroke were much higher This toolkit is not designed to be all inclusive. You among African Americans compared to non- or those who attend your place of worship may be Hispanic/Latinx Whites (189.9 vs. 159.7 per aware of other programs that interest you more 100,00 people for heart disease; 58.0 vs. 38.1 per or are more practical for you to put in place. Use 100,000 people for stroke; both rates are age- whatever program or activity works best for you. adjusted). In contrast, these rates were lower for Just make sure you get moving, eat smart, stop using Hispanic/Latinx populations in South Carolina tobacco, and have fun! (73.3 for heart disease; 22.3 for stroke). These racial and ethnic differences in health How to Use This Toolkit behaviors and outcomes are known as health This toolkit is divided into four sections. The first disparities. Health disparities are the differences in section describes how to create a strong health the incidence, prevalence, mortality, and morbidity committee in your place of worship. The remaining that exist between racial and ethnic groups. In sections focus on three risk factors that have other words, a health disparity is the significant the largest contribution to chronic diseases and difference between the rate at which one mortality: population group experiences a chronic disease or illness when compared to another population • Physical Activity group. Faith-based settings offer opportunities and • Nutrition community support to reduce racial and ethnic • Tobacco health disparities in South Carolina and across the United States. Each section provides information on: Chapter 1 6 Education and Awareness Activities These are suggested ways to get information Terms You Should Know out to your attendees or community on various topics related to physical activity, nutrition, and Aerobic physical activity Activity in which the body’s large muscles move tobacco. The Resources section offers suggestions in a rhythmic manner for a sustained period of on where to get reliable health information. Use time. Aerobic activity, also called endurance or this information, along with the monthly health cardio activity, improves cardiorespiratory fitness. observance list (see Resources Section), to plan Examples include brisk walking, running, swimming, your education and awareness activities. and bicycling. Ideas to Consider Burden of disease These suggestions are provided to assist you in The overall impact of disease and injuries at the planning and developing programs and activities individual, societal and economic level. for your attendees and/or community. Use these, think of your own, or ask for ideas from the leaders Cardio activities See the definition for aerobic physical activity. of your place of worship, other health committee members, or the attendees. Be creative! Chronic disease A disease that persists for a long time. The U.S. Best and Promising Practice Models National Center for Health Statistics considers These model activities or programs are ready chronic diseases to be those that last three months for you to use. A brief description of the activity/ or more. Chronic diseases generally cannot be program is provided. Some of the models require prevented by vaccines or cured by medication, nor additional training. This will be noted in the do they just disappear. Examples include arthritis, description. diabetes, and asthma. Sample Policies Ethnic groups One of the best ways to improve health and A group of human beings whose members identify implement change is to adopt a policy. This with each other, usually on the basis of a presumed or shows commitment from the leadership in your real common culture, language, religion, behavioral place of worship to improve the health of their or biological traits that contrast with other groups. congregation. Sample policies are contained within Health risk appraisal each section which can be adapted to fit your An assessment of a person’s current health needs. knowledge, beliefs, attitudes and practices. For technical assistance and consultation contact the DHEC Office of Diversity, Equity, and Inclusion. Incidence A measure of the number of new cases of