Thursday, January 8, 2026 1/8/2026

Equitable Approaches to Preventing Obesity: Extension and Engagement Across 10 Rural North Carolina Counties

Award Number: NU58DP007338
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/30/2023
PERIOD OF PERFORMANCE END DATE: 09/29/2028

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Equitable Approaches to Preventing Obesity: Extension and Engagement Across 10 Rural North Carolina Counties - Nearly 70% of adults and 30% of children/adolescents living in North Carolina (NC) are overweight or obese. Structural inequalities across our state have led to limited access to healthy foods and opportunities for physical activity, particularly within rural communities. Families living in rural areas with low income and from historically marginalized backgrounds are less likely to exercise and eat the recommended servings of fruits and vegetables (FV). These neighborhood disparities have negative health impacts, including increased risk for obesity, type 2 diabetes, heart disease, and stroke. While obesity is a multifaceted problem, lack of access to healthy foods and safe places to be active are significant driving factors. Our project focuses on families living in rural communities and aims to: (1) increase access to healthy foods through produce prescription and FV voucher programs, (2) increase the number of places to be active through quick-builds, pop-ups, and shared use, (3) spread and scale family healthy weight programs, and (4) strengthen obesity prevention standards in early care and education settings across 10 counties with high obesity rates. NC State Extension will implement these activities through an approach grounded in health equity and the social-ecological model, partnering closely with local partners, county-level Extension staff, and key state-level partners. Implementation across these four strategy areas will provide opportunities to strengthen existing, evidence-based policy, systems, and environmental (PSE) strategies for preventing obesity and provide training and resources to support Extension’s role in community engagement and capacity-building within these counties.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	NORTH CAROLINA STATE UNIVERSITY	2601 WOLF VILLAGE WAY	RALEIGH	NC	27695	WAKE	USA	Outreach Programs to Reduce the Prevalence of Obesity in High Risk Rural Areas	01	3	12/1/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $768,000 )
2025	2025	NORTH CAROLINA STATE UNIVERSITY	2601 WOLF VILLAGE WAY	RALEIGH	NC	27695	WAKE	USA	Outreach Programs to Reduce the Prevalence of Obesity in High Risk Rural Areas	00	3	9/24/2025	NON-COMPETING CONTINUATION	$768,000
														Subtotal = $768,000

Issue Date FY: 2024 ( Subtotal = $768,000 )
2024	2024	NORTH CAROLINA STATE UNIVERSITY	2601 WOLF VILLAGE WAY	RALEIGH	NC	27695	WAKE	USA	Outreach Programs to Reduce the Prevalence of Obesity in High Risk Rural Areas	00	2	6/15/2024	NON-COMPETING CONTINUATION	$768,000
2024	2023	NORTH CAROLINA STATE UNIVERSITY	2601 WOLF VILLAGE WAY	RALEIGH	NC	27695	WAKE	USA	Outreach Programs to Reduce the Prevalence of Obesity in High Risk Rural Areas	01	1	11/22/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NORTH CAROLINA STATE UNIVERSITY	2601 WOLF VILLAGE WAY	RALEIGH	NC	27695	WAKE	USA	Outreach Programs to Reduce the Prevalence of Obesity in High Risk Rural Areas	02	1	9/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $768,000

Issue Date FY: 2023 ( Subtotal = $768,000 )
2023	2023	NORTH CAROLINA STATE UNIVERSITY	2601 WOLF VILLAGE WAY	RALEIGH	NC	27607	WAKE	USA	Outreach Programs to Reduce the Prevalence of Obesity in High Risk Rural Areas	00	1	6/8/2023	NEW	$768,000
														Subtotal = $768,000

Grand Total All Awards = $2,304,000

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Equitable Approaches to Preventing Obesity: Extension and Engagement Across 10 Rural North Carolina Counties

Award Number: NU58DP007338

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/30/2023

PERIOD OF PERFORMANCE END DATE: 09/29/2028

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