Everybody Active
Making the Case Presentation Notes
The Making the Case PowerPoint can be used as a starting
point for your presentation. Included is general information
A joint initiative of
BC Recreation and Parks
Association and the Heart
and Stroke Foundation of
BC & Yukon.
around health, inequity, physical activity and some BC statistics.
Work with your partners to tailor this presentation as needed in your community.
Downloadable from www.PhysicalActivityStrategy.ca
Presentation Outline Template
Remember: 10 minutes An inititative of these
BC Healthy Living Alliance
members
Slides (15-20)
1.Introduction a. Purpose of the presentation - refer to your ask b. About your organization (Slide 1)
(Slide 2)
(Slide 3)
2. Link Between (Poor) Health & Poverty
a. Health & inequity b. Determinants of health (Slide 4)
(Slide 5)
3. Link Between Poverty and Low Participation In Physical Activity
a. Barriers to physical activity (Slide 6)
4. Link Between Health & Physical Activity: The Importance
a. Health benefits b. Social benefits c. Cost benefits (Slide 7)
(Slide 8)
(Slide 9)
5.Bringing It Home In Your Community
a. Poverty in BC b. Poverty in our community c. Adults are being left behind (Slide 10)
(Slide 11)
(Slide 12)
6.Together We Can Change This So The Entire Community Benefits
a. A case in point – testimonial optional, if you have one b. We can work “upstream” (Slide 13)
(Slide 14)
7.The Ask
a. A call to action – What are you asking for? (Slide 15)
8.Conclusion
a. Beginning the conversation b. Contact Information (Slide 16)
(Slide 17)
www.PhysicalActivityStrategy.ca
Everybody Active
P r e s e n t a t i o n Sp e a k i n g P o i n t s T e m p l a t e
Slide #
1
Speaking Points
Why Physical Activity Matters For Adults On Low Income
Good afternoon/evening ladies and gentlemen, my name is XX and I would like to talk about
an issue that affects health in our community.
2
Today’s Purpose
By the end of the presentation, you will:
Know more about how health is affected by inequity
Learn why physical activity is important for low-income adults
Understand what our role can be in ensuring all community members have the same chance
to improve health through physical activity.
3
About the Organization
NOTE: Introduce your organization or group and include some information about why you are
promoting access and inclusion for active living.
4
Health & Inequity
Inequity – through poverty and exclusion – has more impact on health than the choices people
make in their daily life.
(Turning the Tide)
Inequities stop community members from participating in and benefiting from physical activity.
“Inequity occurs when things are unfair or unjust. There can be inequities because of gender,
race, income, resources and other social and economic factors.” (Turning the Tide 2)
“Health inequities occur when some people – because they have more money, higher status,
more education, etc. – have a better chance of being healthy.” (Turning the Tide 2)
“Inequity – through poverty and exclusion – has more impact on health than the choices people
make in their daily life.” (Turning the Tide 10)
Studies show that higher income groups live longer and have better overall health than those with
middle incomes. And those with middle incomes tend to live longer and have better health than
those with lower incomes. This trend is called a health gradient; being poor is bad for your health.
2
Making the Case Presentation Notes
4
Slide #
Speaking Points
(continued)
Poverty is a more reliable predictor of poor health and chronic disease than factors such as
high cholesterol, high blood pressure, and smoking.
Inequity maintains this trend because of exclusion. Exclusion doesn’t happen intentionally, but
people affected by poverty are being forgotten.
In countries where the gap between rich and poor is narrower and benefits are more evenly
distributed across income groups (ie. people are included more) there is less disparity in
health between income groups.
NOTE: For more information, check out “Turning the Tide: Why acting on inequity can help
reduce chronic disease” (Public Health Agency of Canada, 2005)
www.phac-aspc.gc.ca/canada/regions/atlantic/Publications/Tides_of_change/Tool_kit.pdf
Determinants of health
5
The social, economic, political, environmental and cultural factors – outside of our individual
control – that affect our health.
We know from research that health is influenced by more than individual choice.
There are a number of factors that affect our ability to make healthy life choices.
Health Canada calls these factors DETERMINANTS OF HEALTH.
ASK: Can anyone name some determinants of health?
Income & social status
Social support networks
Education and literacy
Employment & working conditions
Social & physical environments
Gender & culture
Access to services
Personal health practices and coping skills
Healthy child development
Biology and genetic endowment
NOTE: For more information, check out “What determines health?” (Health Canada website)
www.phac-aspc.gc.ca/ph-sp/determinants
3
Making the Case Presentation Notes
www.PhysicalActivityStrategy.ca
Everybody Active
Presentation Speaking Points Template (continued)
Slide #
6
Speaking Points
Barriers to physical activity
Low income is correlated with lower levels of physical activity.
These determinants of health can manifest as barriers to participation.
The following statistics are cited in Social Disparities and Involvement in Physical Activity:
Shaping the Policy Agenda in Healthy Living to Successfully Influence Population Health
by Dr. Lise Gauvin, University of Montreal. www.gris.umontreal.ca/rapportpdf/R03-02.pdf
Between 1981 and 2001, the prevalence of inactivity decreased only slightly in
socio-economically disadvantaged groups but it has decreased dramatically among
persons with higher incomes and education. (Canadian Fitness and Lifestyle Research
Institute, 2001 Physical Activity Monitor)
Physical inactivity is higher among women, older persons, aboriginal peoples, some ethnic
groups, and socially disadvantaged persons. (CFLRI, 2001 PAM)
The 1998/99 National Population Health Survey revealed that approximately:
62% of persons with a household income of $20,000 or less were considered inactive.
62% of persons without a high school education were considered inactive.
Lower income Canadians are also more likely to report that excessively busy streets prevent
them from taking part in physical activity. Canadians with lower educational levels are
more likely to report lack of places to walk, cycle and be active. (Canadian Fitness and Lifestyle
Research Institute, 2006 Physical Activity Monitor) www.cflri.ca/eng/statistics/surveys/
documents/pam2006_sec2_en.pdf
Commonly cited barriers to physical activity include:
Costs and fees
Transportation, childcare, equipment
Lack of supportive social network
Lack of awareness of opportunities
Lack of safe supportive environment
Cultural barriers
Language barriers
Other needs are prioritized
Removing barriers to physical activity will not end poverty. But by equalizing chances for
people to participate in physical activity, we can lessen the health disparity in our communities
and help improve and maintain health in our communities.
4
Making the Case Presentation Notes
Slide #
Speaking Points
Health Benefits
7
Regular physical activity:
Prevents chronic illness
Reduces heart diseases
Protects against obesity
Prevents some cancers
Contributes to mental health
Physical activity is good for our health.
Some of the benefits of regular physical activity include:
Significantly reduces the risk of coronary heart disease and stroke
Reduces diabetes
Prevents site specific cancers (such as colon, breast and lung cancer)
Combats osteoporosis
Protects against obesity and assists in weight control
Fosters development of healthy muscles, bones and joints
Increases strength and endurance
Contributes to mental health by protecting against stress and anxiety and
reducing depression
NOTE: For more information, check out “Canada’s Physical Activity Guide”
www.phac-aspc.gc.ca/pau-uap/paguide/
Social Benefits
8
Physical activity opportunities can also:
Provide opportunities for building social skills and developing relationships
Reduce social isolation
Promote active participation in the community
Physical activity opportunities can help improve our social situations.
Build our social networks and make new friends
Feel more connected to the community in which we live, and
Enhance our overall quality of life.
5
Making the Case Presentation Notes
www.PhysicalActivityStrategy.ca
Everybody Active
Presentation Speaking Points Template (continued)
8
Slide #
Speaking Points
(continued)
Physical activity opportunities also offer a chance to meet new people and reduce social
isolation.
There is often shame associated with poverty because of lack of discretionary income.
Many people feel they have no choice but to forego physical activity because of the cost of
fees, clothing or equipment.
People may become isolated because they do not feel that they fit in.
Strong social support networks help people cope with difficult situations and can provide
encouragement and enable participation.
By ensuring opportunities are barrier free:
People can regain a sense of control over their own lives
People can maintain dignity and not have to “beg” to participate
People can participate in community life and build their social networks
9
We also save tax dollars
Improving access to physical activity is good for all community members because the
preventative benefits save our tax dollars.
In BC, it is estimated that physical INactivity costs us over $211 million dollars in direct health
care costs annually (hospital, physician, drug, institutional and other costs). (The Cost of
Physical Activity in British Columbia, 2004) www.health.gov.bc.ca/prevent/pdf/inactivity.pdf
10
Poverty in BC
BC has the highest provincial poverty rate in Canada – 13% (2006)
23% of Canada’s working poor live in BC (2001)
In BC, poverty is a real issue.
BC has the highest poverty rate of all Canadian provinces – 13%.
In 2006, 13% of BC’s population was 546,000 people – this is larger than the total number of
metro Victoria residents in that year- 330,088
(Statistics Canada., Income Trends in Canada 1976 to 2006 [table 802])
According to 2001 census data, 23% of all working poor individuals in Canada lived in BC.
(Human Resources and Social Development Canada, 2006) www.hrsdc.gc.ca/eng/cs/sp/sdc/
pkrf/publications/research/SP-630-06-06/SP-630-06-06E.pdf
6
Making the Case Presentation Notes
Slide #
Speaking Points
Poverty in our community
11
In our community XX% or X,XXX people fall below the poverty line
Poverty is an issue in our community too.
NOTE: Add one or two slides that may help illustrate your community’s profile.
Customize and insert some of the additional slides from the end of this presentation, or
insert your own findings if your community has conducted a needs assessment on physical
activity needs.
Adults are being left behind
12
In Canada, 44% of adults, 35 to 54 years, are not active enough to experience health benefits.
In our community…
There are few opportunities aimed at helping low-income adults to be more physically active.
There are a number of physical activity programs aimed at low-income children, youth and
older adults in your community, for example:
Children & Youth:
KidSport www.kidsportcanada.ca
Canadian Tire JumpStart www.canadiantire.ca/jumpstart
Older Adults:
Seniors programs are often discounted
NOTE: Try to acknowledge any opportunities that are already increasing physical activity among
low-income adults. Are there limitations? How can this be built upon?
Adults are key influencers in our communities.
When low-income adults are supported in choosing physical activity, they can impact the
activity levels of children, youth and seniors in our communities, as well as their peers.
7
Making the Case Presentation Notes
www.PhysicalActivityStrategy.ca
Everybody Active
Presentation Speaking Points Template (continued)
Slide #
13
Speaking Points
A case in point…/ Or promising practice…
NOTE: If you have a testimonial or local real-life story from your community to demonstrate the
value of physical activity (recreation, sport, walking, etc.) for those affected by poverty, take this
opportunity to share it.
14
We can work upstream…
Promote and maintain health upstream
or
Pay for medical costs downstream
We can play an important role in addressing issues “upstream” or through prevention.
Now that we UNDERSTAND the root causes, we can work to remove barriers to physical
activity for the health and social well-being of our community overall.
ROOT CAUSES of poverty are numerous…
They are reflected in Social and Economic INEQUITIES…but are rooted in access to the
basic resources necessary for good health, including the LACK of food, clean water, shelter
and clothing, as well as the LACK of opportunities for education, livelihood, transportation,
and recreation. (Tides of Change, 2003) www.phac-aspc.gc.ca/canada/regions/atlantic/
Publications/Tides_of_change/tides_change_2003_e.pdf
RISK FACTORS
As we’ve seen, there are many factors that inhibit participation: low income, social status, social
and physical isolation, and limited access to physical activity opportunities are examples.
INDIVIDUAL CHOICE
Considerable research indicates that the degree of control people have over life circumstances,
especially in stressful situations, and their discretion to act are the key influences. Higher income
and status generally results in more control and discretion.
UPSTREAM or DOWNSTREAM?
Why is so much of our effort directed downstream into our current medical system?
This is our opportunity to redirect our focus UPSTREAM.
We can have an impact because many of the barriers exist in our systems, which are
changeable when we promote inclusion and improve access.
8
Making the Case Presentation Notes
Slide #
Speaking Points
A call to action…
15
Insert your “ask” here
NOTE: Now is the time to present your “ask.”
What are you asking for? Ideas include:
Commitment in principle to the issue
Leadership in developing a plan of action
Conduct a needs assessment
Resources (funding, staffing)
Partnership or network development
Pilot an initiative
Beginning the conversation
16
We are just beginning to make a difference in our community.
Let’s get Everybody Active!
Questions?
These issues are complex… but if there is one thing to take away from this presentation, it is
that physical activity is important for the health of our community members, particularly those
affected by poverty.
By ensuring that everybody can choose physical activity, all community members benefit.
Please note that I’ve prepared some resource information for you.
NOTE: Bring Everybody Active information sheets and Include any other information that you
have found useful in your research.
Does anyone have any questions at this time?
…It’s time we (our community) came together to help GET EVERYBODY ACTIVE. Thank you.
9
Making the Case Presentation Notes
www.PhysicalActivityStrategy.ca
Everybody Active
Presentation Speaking Points Template (continued)
Slide #
17
Speaking Points
Contact Information
NOTE: Insert your contact information in this slide.
Extra slides
NOTE: Use these slides to add further information about your community.
To fill in the following slides, find statistics for your own community by clicking http://www12.
statcan.ca/census-recensement/2006/dp-pd/prof/92-591/index.cfm?Lang=E to search for
your community profile.
Income
% of low income persons (after tax):
BC:
Total - 13% (2006 Census)
Children & youth - 15%
In our community:
Total - % and or #
Children & youth - % and or #
This number represents the number or percentage of our community that falls under the
federally-determined poverty line.
However, this does not account for everyone affected by poverty. For example, this does not
reflect the working poor families in our community.
Lone Parent Families
% of lone parent families
BC - 15% (2006 Census)
In our community - % and or #
Lone parent families are over represented under the poverty line.
10
Making the Case Presentation Notes
Slide #
Speaking Points
Aboriginal
% of the population that identifies as Aboriginal:
BC - 4% (2006 Census)
In our community - % and or #
Aboriginal community members often face multiple barriers. Although Aboriginal peoples
comprise only 4% of the provincial population, they are over represented when we look at poor
health, smoking, inactivity, and chronic disease, such as diabetes.
Inequity is rooted in our common historical context and we have the opportunity to work together to address multiple barriers.
Immigration
% of the population who immigrated to Canada:
BC - 27% (2006 Census)
In our community - % and or #
Immigrants often come to Canada with very good health. However, the longer they are in
Canada, the poorer their health becomes. This is known as the healthy immigrant effect.
Generally, health deteriorates because immigrants do not have the same social status they
once had… it takes time to develop strong social networks and often immigrants’ education
and professional experience is not recognized.
Health of our community members
In our community:
XX% heart disease
XX% diabetes
XX% obesity
NOTE: For health statistics, contact:
Your local Health Authority www.health.gov.bc.ca/socsec/provmap.html
First Nations Health Council www.fnhc.ca
11
Making the Case Presentation Notes
www.PhysicalActivityStrategy.ca
Everybody Active
Notes:
12
Making the Case Presentation Notes