You should be able to answer the following questions:1. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death.2. Achieve health equity, eliminate disparities, and improve the health of all groups.3. Create social and physical environments that promote good health for all.4. Promote quality of life, healthy development, and healthy behaviors across all life stages.Adolescents and Children60 min of Physical activity a dayMajority aerobic, high intensity at least 3 days a weekPart bone-strengthening  3 days a weekPart muscle-strengthening  3 days a weekAge appropriate physical activityAdultsSome physical activity is better than none150 min moderate PA intensity OR 75 min vigorous PA intensityOR combo of bothAerobic activity more than 10 min at a time and multiple times a weekInclude muscle-strengthening 2 or more daysReadings/Websites/Videos/PodcastsHealthy People 20201. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death.2. Achieve health equity, eliminate disparities, and improve the health of all groups.3. Create social and physical environments that promote good health for all.4. Promote quality of life, healthy development, and healthy behaviors across all life stages.PA Guidelines for AmericansWhat is Cultural Competency?It allows health care providers to give appropriate health care to all varieties of people.Some topics that go in consideration why providing health care include:Personal identification, language, thoughts, communications, actions, customs, beliefs, values, and institutions that are often specific to ethnic, racial, religious, geographic, or social groupsThe above affect how health, healing, wellness, illness, disease, and delivery of health services are providedImportanceAllows for everyone to have an equal accessibility to a high level of health care. (Decreases health disparities)When developed and implemented as a framework, providers and patients will be able to meet on common groundCultural competence benefits consumers, stakeholders, and communities and supports positive health outcomes.Critical in achieving accurate medical researchMore People Walk to Better HealthFacts and Figures48% of all adults get enough aerobic PA to improve their health6 in 10 adults prefer walking (most popular aerobic PA)Adults who walk (any kind) went up by 6% in the past 5 yearsPeople who are physically active live longer and have a lower risk for heart disease, stroke, type 2 diabetes, depression, and some cancers.Problem:<50% of all adults get the recommended amount of PAWomen and Elderly receive lessWalkable communities increase PAMore people are walking, depends on neighborhood, health, and ageIn the past 5 yearsThe North and Northeast have the highest PA %The South has increase PA the mostMore adults with arthritis or high blood pressure are now walkingNot Type 2 Diabetes thoughIncrease with the elderlyPeople need safe, convenient places to walkMaintaining surfaces/creating sidewalks and bike lanesKnowledge about the locations needs to increaseSuggestionsUsing community-wide campaigns to provide health education and social support for PAConsidering walkability in designsCreating more places for PA with information and outreach that lets people know where these areWhat can be done:US Government is…Working with partners to carry out the National Prevention Strategy to make physical activity easier where people live, work, and play.Helping people get active through programs like Community Transformation Grants and Nutrition, Physical Activity, and Obesity state programs, and by working with partners like Safe Routes to Schools.Studying ways that communities can make it easy and convenient for people to be more active.State governments can provide…Safety and accessibility for walkers in development plansOpportunities to let community residents use local school tracks or gyms after classes have finishedMaintain good conditions of walking pathsCreate walking path signs/maps that are prevalent and easy to readEmployers can provide…Locker room facilitiesInformation about local walking paths/routesWalking programs for employeesIndividuals can create…Group walks with friendsA safe walking environment byObeying speed limits and cross walk signsYielding to pedestriansNot j-walkingParticipate in local planning efforts that identify best sites for walking paths and sidewalksLee & Cubin (2009) - Striding Toward Social Justice: The Ecologic Milieu of Physical ActivitySocial Justice“The absence of systematic disparities in health (or in the major social determinants of health) between social groups who have different levels of underlying social advantage or disadvantage – that is different position in a social hierarchy”Past injustices are the roots of today’s injusticesHealth is an equal rightNot a privilege even though that is how the US is todaySocioeconomic Status (SES)Higher SES = greater access to PALow SES affectsAccess to safe and affordable places to exerciseLeisure time and energyExposure to norms and networks supporting PAStressful living conditionsThe cause of the current minority disadvantages stem from the long history of racial discrimination. Can affect health in the following ways:Lower levels of population-level SESResidential segregationPsychological distressThe measures typically used as indicators of SES mask the level of inequality found between populations of color and whitesNeighborhoods influence the health of all residents, regardless of the residents’ own characteristics, because they share the same local environmentVery difficult to begin or continue doing PA when one is distressedEcological models of healthDefinition – provide a structure to account for multiple levels of influences and the linkages and processes among themImportance – Guiding research and practice across a variety of health domainsSubcategoriesMicroDay to day environments in which a person lives, works and playsBarriers to PA – time and competing demandsThose who suffer from social injustices tend to live in neighborhoods where there may be few opportunities for PA both within and nearby the home.Neighborhoods can be considered micro & macroInterpersonal discriminationMesoPhysical environment linkages and the interactive processes, or the lack thereof, which may occur across micro environments such as conversations and other shared experiences with