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Community Planning - Open Health Food Markets

Community Clinics/Federal Nutrition Programs - Teaching Parents to prepare healthy Foods

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Lack of self-efficacy to make good food choices

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Lack of self-efficacy to make good food choices

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Lack of knowledge about healthy eating/exercise

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Lack of knowledge about healthy eating/exercise

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Lack of Self Esteem

Chronic Obesity - Chronic Inflammation -- Early Diabetes , Hypertension Diagnosis - having to be on a prescription medication regimen early

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reduced mobility

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Living in Food Dessert

Unsafe Neighborhood

Personal Health Challenges - Autoimmune disorders/Thyroid Problems

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Lack of Exercise
Parents not providing nutritional meals
Unable to access health and affordable foods

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Phase 4: Personal Determinants - Environmental Agents

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Phase 4: Personal Determinants - Environmental Agents

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What are the personal determinants of the environmental agents (e.g., parents? City Council? Legislators?) who have control over a given environmental factor (lack of knowledge? beliefs? attitudes? low skills/self-efficacy?)

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Phase 4: Personal Determinants - At-risk Population

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Phase 4: Personal Determinants - At-risk Population

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What are the personal determinants (intrapersonal factors) that contribute to the risk behavior(s)? (lack of knowledge? beliefs? attitudes? low skills/self-efficacy?)

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What are the environmental factors/conditions that contribute to the risk behavior(s) or directly to the health problem? (Explore via social ecological levels below)

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What is (are) the risk/negative health behavior(s) that contribute to the health problem(s)?

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What are the QOL factors affected by the health problem? (e.g., absenteeism, social isolation/exclusion, productivity, economics)

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What is (are) the health problem(s)?