- (Strategic Initiative) Healthy Families and Communities
- Author: Eli Israel Figueroa
- Editor: Andra Nicoli
CalFresh Healthy Living (CFHL), University of California Cooperative Extension (UCCE) in Contra Costa County promotes healthy communities with a nutrition education curriculum designed to improve teens' eating and fitness choices. Of the 117 middle school youth who participated in EatFit, 30% increased the number of times they ate vegetables.
The Issue
Food and beverage companies invest over $1 billion in marketing each year to advertise their food products to Black and Hispanic consumers, specifically the youth. Students at Hillview Jr. High School (HJHS)–which is located in a low-income neighborhood of Pittsburg and has a 60% Hispanic and 19% African American student population– are not exempt from these widespread and targeted food marketing campaigns. Fast food restaurants, convenience stores, and gas stations line the main street avenue near the school, attracting hungry teens.The easy availability and promotion of these foods, which are linked to negative life-long consequences, influence the food choices made by youth every day. When hunger strikes, healthy eating and active living are out of sight and out of mind to many teens.
How UC Delivers
CFHL, UCCE in Contra Costa County partnered with HJHS to deliver EatFit during the 2022-2023 school year. EatFit is a nutrition education goal-setting curriculum designed to challenge middle school students to improve their eating and fitness choices. The program reached 149 students who participated in activities focused on goal setting, nutrition facts label, energy, breakfast, exercise, fast food, and the media's influence on food choices.
In one of the EatFit lessons, students learned about food marketing. They were asked to name a commercial or ad on the Internet about water or healthy food. None could. However, when asked for examples of fast food or soda ads and commercials, all hands went up. Some students even sang the jingle or acted out the commercial. Students realized that food companies target young people and hardly promote healthy foods. Instead, TV commercials and advertisements on the Internet and social media try to persuade teens to eat and drink unhealthy foods and sugary beverages that harm their health. In the same lesson, students also learned about food marketing techniques and were encouraged to create fruit and vegetable posters to promote healthy choices at school.
With support from the principal, the school's busiest hallways were decorated with students' colorful fruit and vegetable posters. Not one poster was vandalized or torn off.
The Impact
One hundred and seventeen students in grades 6-8 completed the Eating and Activity Tool for Students (EATS) pre-post survey at Hillview Jr. High to assess changes in their behaviors after participating in the FY 2023 EatFit lesson series. Respondents were ten to thirteen years old, and identified as Latino or Hispanic (48%), Black or African American (18%), or more than one race (27%). After taking part in EatFit, the student survey results included the following:
- 34% increased the number of time they ate fruit yesterday.
- 30% increased the number of time they ate vegetables yesterday.
- 50% reduced the number of times they drank sweetened beverages yesterday - with the largest decreases seen in fruit drinks, soda, and sweetened coffees and teas.
- 40% increased the number of days they were physically active for 60 minutes or more last week.
“One change I made to eat healthier/be more physically active is to exercise/stretch when I wake up and lower how much unhealthy food I eat (high fat food, high calories etc) and start eating more fruits and veggies.” — EatFit Participant
This work is vital in adolescents as they begin to become more independent in the way they think, learn, and interact with food. Likewise, nutrition education intervention efforts in majority Black, Indigenous, and People of Color (BIPOC) communities are of particular importance because these groups have been expressly targeted as potential consumers of nutrient-poor food while also facing barriers to accessing affordable and convenient healthy food. By supporting students to reflect critically on how unhealthy food and beverages are advertised to them and then develop their counter-messages to promote healthy choices, inclusive SNAP-Ed-approved programs like EatFit and others can help improve nutrition behaviors among low-income adolescent Californians and prevent the chances of developing chronic disease later in life.
CFHL, UCCE staff will continue to partner with Hillview Jr. High to deliver quality nutrition education during the 2023-2024 school year. The fruit and vegetable posters made by students serve as a friendly reminder to all that food marketing does not steal your independence; you can still make a healthy, tasty choice.
“Before, I use to just get snacks to eat them but a lot of them were unhealthy and I got cavities. During the lesson we learned that the labels are actually important. Now I check the label to compare and buy the snack that is more healthy. It is working I am more healthy and happy.”— Jacob Ponce, EatFit Participant
- Author: Amanda M Linares
- Contributor: Kaela Plank
- Contributor: Sridharshi Hewawitharana
- Contributor: Gail Woodward-Lopez
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Nutrition Policy Institute rolled out an online evaluation tool, EATS, for local health departments to evaluate school-based CalFresh Healthy Living during pandemic-related school closures. EATS data showed that students receiving school meals during the closures were more likely to eat fruits and vegetables, an important insight that could impact school nutrition policy in the future.
The Issue
In March 2020, schools across California shuttered in an effort to protect students and staff from COVID-19 infection. School closures impacted provision of the National School Lunch Program and School Breakfast Program, and thus, the nutrition safety net they provided. School districts across the state pivoted to centralized meal distribution via grab-and-go and drive-up, or even utilized home delivery in some cases. Despite monumental efforts to get school meals to the children who needed them most, meal participation declined significantly during this time.
The California Department of Public Health's CalFresh Healthy Living Program (CDPH-CFHL) prioritizes improving child nutrition security and diet quality. Local health departments partner with K-12 schools to implement CFHL nutrition education and policy, systems, and environmental (PSE) change strategies that aim to increase consumption of fruits and vegetables and decrease consumption of sugary drinks. Their existing relationships with school districts enabled them to support efforts to ensure that school meals met dietary standards and student needs during school closures.
How UC Delivers
During the pandemic, local health departments modified their school-based programs to continue to reach students outside of the school setting. For example, they delivered nutrition education remotely via Zoom or pre-recorded lessons, and they pivoted to PSE change strategies like modifying school meal distribution practices to help ensure students continued to have access to healthy foods.
Nutrition Policy Institute supports local health department evaluation of school-based CDPH-CFHL interventions, and without modifying the existing data collection methodology to reach students learning at home, evaluation would not have continued. Evaluators adapted their methods, including migration of the Eating and Activity Tool for Students (EATS) to an online platform. This survey measures student eating and physical activity behaviors, and during pandemic school closures, included questions about if and where students ate school breakfast and lunch. Nutrition Policy Institute prioritized school data collection during this extraordinary period, understanding that analysis of these data could draw attention to the impacts of COVID-19 on California's youth, in particular, those already facing nutrition disparities.
The Impact
During the 2020-21 school year, as a result of Nutrition Policy Institute's development and coordination of the online EATS tool, local health departments were able to collect data from 3,297 4th and 5th grade students from 67 CFHL-eligible schools (where at least half of students are eligible for free or reduced-price meals). About half of students were female (52%) and half identified as Latino (50%). Most students were attending school exclusively by distance learning at the time of the survey (83%). Approximately one quarter of students had eaten at least one school meal the previous day (27%), with about 1 in 7 reporting they ate both breakfast and lunch (15%).
We found that students who ate one or two school meals a day had significantly higher intakes of vegetables, whole fruits, and 100% fruit juice, compared to students who did not eat school meals. Specifically, students who ate one school meal a day ate more beans and orange vegetables, while those who ate two school meals a day consumed a wider variety of vegetables, including beans and orange vegetables. However, children who ate one school meal a day drank more fruit drinks (non-100% juice) and flavored milks than those who did not eat school meals. Further, students who ate two school meals consumed more fruit drinks, flavored milks, and sports and energy drinks than those who did not eat school meals.
Our findings suggest that school meals continued to be an important source of fruits and vegetables for school-aged children during the pandemic. This highlights the importance of focusing PSE efforts on improving school meal distribution and overall quality, should students' in-person attendance be challenged again. Despite this, findings also underscore the need to reduce consumption of sugary drinks, which are a primary source of added sugars and nutrient poor energy in children's diets. This highlights an opportunity to strengthen school-based CFHL interventions by incorporating nutrition education and PSE strategies that focus specifically on healthy beverage consumption. Nutrition Policy Institute's leadership of CDPH-CFHL local program evaluation not only highlights the successes of CFHL, but just as important, the areas for program improvement. Nutrition Policy Institute's commitment to strengthening CDPH-CFHL interventions in California schools is a hallmark of UC ANR's public value of promoting healthy people and healthy communities.
This study was conducted as part of a contract with the California Department of Public Health with funding from the United States Department of Agriculture (USDA) Supplemental Nutrition Assistance Program-- SNAP. These institutions are equal opportunity providers and employers.
- Author: Alireza Pourreza
UC Digital Agriculture Program's innovative spray backstop system reduces airborne pesticide drift by 78% in almond orchards– a big step forward for improving air quality and working conditions in California's agricultural production areas.
The Issue
Pesticide drift is a significant concern, especially in California's almond orchards. It's not just an environmental issue. Pesticide drift can pose a public health risk by contaminating the skin, lungs, and gut of people in nearby communities. These chemicals can lead to respiratory issues, skin irritation, and other adverse health effects. Another study highlights that pesticide poisoning is a significant cause of morbidity and mortality, affecting not just agricultural workers but also the general population.The challenge has been to control this drift without reducing the effectiveness of the pesticide application. This project aims to tackle this pressing issue head-on.
How UC Delivers
Addressing the issue of pesticide drift requires a multi-disciplinary approach, combining engineering, agriculture, and environmental science expertise. The UC Digital Agriculture Program team rose to the challenge by developing an innovative spray backstop system. This system is a blend of practicality and advanced technology, designed to be both farmer-friendly and effective in reducing pesticide drift.
The core components of this system are a foldable mast and a shade structure. The mast is the backbone, providing the necessary height and stability, while the shade structure acts as a barrier covering the trees from the top. This barrier is crucial in preventing the upward movement of pesticide droplets, thereby reducing the potential for drift.
Figure 1: Schematic design of the backstop prototype installed on a sprayer in an almond orchard.
To validate the effectiveness of this system, a series of tests were conducted in young almond orchards. The sprayer was operated at a 3.2 km/h speed to simulate real-world conditions. But before hitting the field, the team employed advanced uncrewed aerial systems equipped with thermal and RGB cameras. These cameras captured images and videos of the spray pattern from multiple angles, providing invaluable data for analysis.
The aerial imagery was not just for show; it played a pivotal role in the project. It allowed the team to monitor the spray application in real-time and understand the spray cloud's movement pattern. This imagery was then used to refine the design of the shade structure, ensuring it effectively blocked droplet movement beyond the treetop.
Figure 2: Aerial views showing the efficiency of the backstop prototype in blocking the spray cloud.
The results were more than just promising. The backstop system effectively blocked the spray cloud, ensuring that the pesticides stayed precisely where they were intended to be—on the trees. This was further validated through a ribbon test, a simple yet effective method to measure drift. A ribbon placed in the spray path remained in its resting position when the backstop system was used, indicating a significant reduction in drift.
The project didn't stop at just reducing drift; it also ensured that the reduction did not come at the cost of effectiveness. The on-target deposition of the pesticide was not compromised, affirming that the system could achieve dual objectives: reducing drift while maintaining efficacy.
The Impact
The spray backstop system's impact goes beyond just numbers. It represents a significant stride toward sustainable agriculture and community well-being. The system successfully reduced the drift potential by 78%. This isn't merely a statistic; it's a tangible change that has far-reaching implications for both environmental stewardship and human safety.
Figure 3: Statistical results showcasing a significant reduction in drift potential.
The environmental impact is equally noteworthy. Reduced drift means fewer chemicals in the air, contributing to "improved air quality," a UC ANR condition change. This is a step forward in reducing air pollution, which has wide-ranging implications for human health and climate change.
One of the most noteworthy aspects of this innovation is that it managed to reduce drift without compromising the effectiveness of the pesticide application. The on-target deposition remained consistent, ensuring the almond trees received the necessary pesticide coverage for optimal growth and yield. This is a crucial factor for farmers who are often caught in the dilemma of choosing between effective pest control and environmental responsibility.
Figure 4: Comparative leaf samples illustrating consistent on-target deposition and coverage.
The project aligns with another UC ANR's condition change, "improved living and working conditions for California's food system and farm workers." One of the goals of reducing pesticide drift is to mitigate the health risks associated with working and living in agricultural production areas. Therefore, the work directly supports UC ANR's commitment to promoting the public health of California's communities.
Looking ahead, the project has set the stage for further research and development to adapt the system for different types of orchards and terrains. Additional modifications are being considered to make the system even more robust and versatile, ensuring its long-term sustainability and broader applicability.
Want to learn more? See the method in action here.
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- Author: Kelly Hong
- Editor: Mishelle Costa
- Editor: Rosa I Vargas
- Editor: Shannon A Klisch
After attending a Teens Love Cooking summer series focused on nutrition and culinary skills, 83% of youth participants were more willing to try new foods and ask for them at home. The class helped reinforce their healthy eating habits and support their long-term health.
The Issue
Collectively, Santa Maria-Bonita and Santa Maria Joint Union High school districts serve over 25,600 students, with more than half of the students qualifying for free or reduced-price school meals. While schools provide nutritious meals for students, teens, in particular, purchase fast food during non-mealtimes such as after school. Fast food meals are heavily targeted towards youth living in low-income neighborhoods and are typically high calorie foods that contain added sugars, saturated fats, and sodium. Furthermore, 52.1% of youth in Santa Barbara County reported eating fast food two or more times a week. Studies have indicated that children and adolescents who learn how to cook at a young age are more likely to adopt healthier eating practices that follow into adulthood. Eating a healthy diet and getting regular exercise can help reduce the risk of diseases related to poor nutrition and weight management such as high blood pressure, heart disease, and stroke.
How UC Delivers
To address this need, CalFresh Healthy Living, University of California Cooperative Extension in Santa Barbara County (UCCE) partnered with Santa Maria Recreation and Parks (SM R&P) to promote a Teens Love Cooking series to middle school and high school-aged youth throughout the city of Santa Maria. Additionally, SM R&P provided access to a full commercial kitchen, kitchenware, and storage space for program materials. With the support of a SM R&P staff member, UCCE staff met with students for two hours, twice a week over three weeks to teach various nutrition and cooking topics, including knife safety, how to follow a recipe, and how to cook a healthy meal using MyPlate as a guide. Additionally, participants put into practice what they learned by preparing recipes from the Cooking for Health Academy curriculum. As needed, recipes were modified to meet COVID-19 safety protocols when cooking in groups using Eat Fresh and Food Hero. Although some recipes needed to be simplified for COVID-19 safety, each participant was provided ample opportunities to practice and grow their food safety and culinary skills. Lastly, every student took home lesson and recipe information to reinforce the learning and to share with their families.
The Impact
At the end of each session, youth were asked to complete the Teacher Tasting Tool, which measures how willing participants are to consume a particular target food again. After tasting a pizza on a whole wheat tortilla, eight (80%) out of 10 respondents reported that they were willing to eat it again. Additionally, after a separate session where participants tasted a fruit salad made with jicama, 15 (83%) of the 18 respondents reported they were both willing to eat it again and ask for it at home.
At the end of the class series, youth completed the “What Did You Learn” open-ended qualitative survey, which asks about changes in knowledge and behaviors. Ten youth responded to the survey, and for the question related to learning, the theme of improved knife skills and safety was reported most frequently, followed by reports related to increased nutrition knowledge, and increased knowledge of healthy food preparation. When asked about one thing that they do differently because of these classes, students responded with the theme of comfortability using a knife and preparing nutritious foods. When teens are confident in their culinary and nutrition skills, they are more likely to make healthier food choices. Overall, participants gained valuable life skills in culinary, food safety, and nutrition to support healthy choices to reduce the risk of diet related diseases which supports ANR's efforts to promote healthy people and communities.
/h3>/h3>/h3>/h3>“I really liked the Oatmeal Bites, so I made them at home for my family to taste”. - high school student
- Author: Beatriz Adrianna Rojas
- Author: Andra Nicoli
CalFresh Healthy Living (CFHL), UCCE Kern County aims to improve health in farm working families by encouraging healthy eating and physical activity. As a result of a partnership with Head Start centers serving migrant communities, youth completed over 140 hours of physical activity and 92% of adult family members intended to use nutrition facts when shopping.
The Issue
According to County Health Rankings & Roadmaps, Kern County is ranked among the least healthy counties in California in terms of length and quality of life and a significant portion of residents have one or more risk factors that threaten their longevity and quality of life. For instance, 34% of adults are either overweight or obese, 35% of residents are physically inactive, and 23% are food insecure.
Children and adults with these risk factors are more likely to develop chronic diseases like heart disease and diabetes.
How UC Delivers
In order to work with residents on early healthy start interventions, CFHL, UCCE Kern County partnered with Community Action Partnership of San Luis Obispo (CAPSLO), which has five migrant Head Start centers in Kern County. CAPSLO provides no-cost childcare and preschool services to low-income families whose primary occupation is agricultural production and harvesting in the Arvin, Lamont/Weedpatch, Wasco, and Delano communities.
CFHL, UCCE Kern has conducted evening adult nutrition education at the centers.
- 94 parents received evidence based lessons from Plan, Shop, Save, and Cook (PSSC) and Healthy, Happy Families.
- Parents learned how to read the nutrition facts label, save money on food and how to start healthy habits with their children. Parents also learned how to incorporate physical activity in their everyday family routine. Physical Activity Guidelines for Americans (2018)recommends moderate-to-vigorous physical activity to reduce the risk of many chronic diseases among children and adults.
In order to impact families CFHL, UCCE Kern provided CAPSLO teachers with four hour training on Coordinated Approach to Child Health Early Childhood Education (CATCH ECE). CATCH ECE provides children with skill development exercises to develop locomotor, non-locomotor, manipulative skills and nurture their love for physical activity through games and activities. Teachers conducted CATCH 2-4 days per week for 30 minutes.
The Impact
Seventeen parents who received the PSSC lesson on understanding food labels completed an “Intent to Change” survey. Results of the survey include:
- Of the 12 respondents who did not use the “Nutrition Facts” label prior to the lesson, 92% reported that they will use the nutrition facts on the food label to choose foods the next time they go shopping.
- A parent shared how the workshop helped her family and that they are “eating better and know how to choose foods with better nutrition.”
From August to October 2022, 130 children participated in 143 hours of physical activity through CATCH ECE lessons delivered by 15 teachers at CAPSLO's centers. Research shows that regular moderate-to-vigorous physical activity reduces the risk of many chronic diseases among children and adults.
“All my children enjoy the CATCH activities. The CATCH program is fun and beneficial,” one teacher shared. The Center Director said “I really like how teachers and children are physically active with CATCH. The nutrition sessions given to the parents also makes it more impactful for the whole family.”
By motivating and teaching CFHL participants to adopt healthier lifestyle practices, and training ECE teachers to support physical activity, CFHL, UCCE Kern helps create healthier families and communities.