Extension
It Starts With Us
Healthy Lifestyles
Healthy Communities
Hull, Broderick, Stewart
Making Healthy Lifestyle Choices (Curriculum)
Truth and Consequences: The Choice is Yours
Family and Consumer Sciences 4-H Core Curriculum
Health 4-H Core Curriculum
The obesity epidemic threatens the quality and years of life of Kentuckians. Obese individuals are at increased risk for many chronic health conditions, including type 2 diabetes, heart disease, stroke, and some types of cancers. The obesity rate in Kentucky increased 90 percent over the last 15 years.
Thirty percent of individuals in the Commonwealth report no leisure-time physical activity. Increased consumption of unhealthy food, stress, and built environments that promote physical inactivity are largely responsible for the obesity epidemic. According to the CDC’s County Diabetes Atlas, in Gallatin County in 2012, 11.3% (15.3%-8.0%) of adults reported having been diagnosed with diabetes. 31.1% (38.9%-24.1%) of adults 18 years and over were
Obese. 37.3% (46.4%-28.7%) of adults reported no leisure-time exercise in the past month.
As a result, Kentuckians are dying from heart disease and cancer at higher rates than all Americans and they have a lower life expectancy.
Between 2006-2012 in Gallatin County 31.2% (46.8%-18.9%) of adults reported fair or poor health.
8.3% had adequate access to locations for physical activity compared to 72.0% for the state. 15 deaths were from a drug overdose between 2009-2013.
• Increase in the practice and promotion of physical activity.
• Environmental changes implemented to support physical activity guidelines in the county (e.g., walking trails opened, equipment purchased and installed, bike paths built).
• Increase the estimated health savings in dollars for chronic diseases.
• Manage and prevent the risk, debilitation, and premature death related to diabetes, cancer, heart disease, stroke and hypertension.
• Reduce long term substance abuse among Gallatin Countians
• Practice of physical activity in families and communities and decreased time spent on sedentary behaviors
• Community members advocate for policy.
• Practice healthy food choices and strengthen individuals’ ability to build healthy eating plans and patterns.
• Strengthen community coalitions or partnerships to address obesity, physical inactivity and chronic disease.
• Data supports a decrease number of youth involved in substance abuse practices.
• Knowledge gained about the benefits of being physically active.
• Increase in knowledge, opinions, skills, or aspirations regarding lifestyle changes (diet, stress management, etc.) that improve personal health.
• Reduction of chronic disease
• Students developed a better understanding of the consequences of substance abuse (legal, health, emotional, and financial)
• Students developed a better understanding of the risk and harm of substance abuse.
Long-term Outcome:
Indicator: Individuals make lifestyle changes (diet, exercise, managing stressors, etc.) for the purpose of improving their health.
Method: Observations, Follow up interviews and evaluations
Timeline: 2-3 years
Intermediate Outcome:
Indicator: Strengthen community coalitions or partnerships to address obesity, physical inactivity and chronic disease.
Method: observations, attendance and number who participate in coalitions
Timeline: 6 months to year
Initial Outcome:
Indicator: Students developed a better understanding of the risk and harm of substance abuse.
Method: End of program evaluations
Timeline: End of program 2 month follow up
Audience: Adults
Project or Activity: Making Healthy Lifestyle Choices
Content or Curriculum: Making Healthy Lifestyle Choices Curriculum
Inputs: Extension staff, Kentucky CES publications and resources,
Date: January 2018 - August 2018
Audience: Adults, KEHA members
Project or Activity: Ovarian Cancer Awareness
Content or Curriculum: UK Ovarian Cancer Screening Program, UK publications
Inputs: Extension staff, Kentucky CES publications and resources, UK Ovarian Cancer Screening Program
Date: Summer/Fall 2017
Audience: Gallatin County Middle School Youth
Project or Activity: Truth and Consequences
Content or Curriculum: Truth and Consequences
Inputs: Community coalitions & organizations, Human and social service agencies, Faith-based organizations, Health professionals, Extension staff, and Kentucky CES publications and resources.
Date: Spring 2018
Audience: Youth
Project or Activity: Red Ribbon Week
Content or Curriculum: 4-H
Inputs: Extension Staff, volunteers, external organizations
Date: Fall 2017
Audience: Youth
Project or Activity: Get Fit
Content or Curriculum: 4-H
Inputs: Extension Staff
Date: 2017-2018 School Year
Audience: Adults
Project: LiveWell NKY - Gallatin County Group
Content or Curriculum: Working collaborative group to address the health needs in Gallatin County
Inputs: Extension Staff, Volunteers
Date: meets monthly - ongoing
Audience: Adults
Project: Gallatin County Better Health and Safety Collation
Content or Curriculum: Working collaborative group to address the health needs in Gallatin County
Inputs: Extension Staff, Volunteers, Three Rivers Health Department
Date: meets monthly - ongoing
Author: Lora Stewart
Major Program: Health 4-H Core Curriculum
Adolescents who live in households that struggle to afford food are more likely than others to be overweight. Teens who are "food insecure" - that is, who are regularly unable to get enough to eat due to economic difficulties - reported eating behaviors associated with obesity. (Project EAT from University of Minnesota Medical School 2009). The Gallatin County Extension Service offered several different cooking opportunities throughout the school year. Two cooking clubs were offered af
