Nevada's Strategic Approach to Advancing Health Equity for Priority Populations with or at Risk for Diabetes - Project Abstract Summary (DP-23-0020) The goal of this proposed project, led by the Chronic Disease Prevention and Health Promotion (CDPHP) Section of the Nevada Division of Public and Behavioral Health, 4150 Technology Way, Suite 210, Carson City, NV 89706, is to implement and evaluate evidence-based strategies to reduce health disparities for priority populations to help prevent and manage diabetes in Nevada. Based on our analysis, target populations for this project are individuals who identify as Hispanic and/or Latino, African American, Asian, and/or Native Hawaiian/Pacific Islander; people over 65; rural and frontier residents; and low-socioeconomic status and un- or underinsured people. All work supported under this award will address health disparities for priority populations as a primary and fully integrated part of each strategy. During the grant period, the CDPHP will implement Component A of the award with the aim of improving prevention and management for people with diabetes through the three (3) core strategies: evidence-based approaches to both diabetes management and Type 2 diabetes prevention/risk reduction, and policy and systems-level support for those approaches. To implement and evaluate the above strategies, the CDPHP will leverage sustainable, statewide multi-sector partnerships with partners in Nevada, including Comagine Health, the Roseman University of Health Sciences College of Pharmacy, the Nevada Business Group on Health, and the Sanford Center for Aging at the University of Nevada, Reno, all of whom have experience working with the priority populations in the State. Type 2 diabetes is a significant problem in Nevada, with prevalence rates higher than the national average and estimated costs of $2.7 billion a year in the State. In addition, an estimated 35 percent of Nevadans have prediabetes, many of whom do not know they have the condition, and who are at highly elevated risk of eventually developing type 2 diabetes. Diabetes also affects certain groups in Nevada more than others. The prevalence of diabetes in rural and frontier counties (8.8%) is higher than in urban counties (8%). The mortality rate for diabetes in the rural/frontier counties also increased by 72.2 percent between 2014 and 2018. Other groups likely to be disparately affected by diabetes include people who identify as African Americans (prevalence of 11.8%), Asian/Pacific Islander (14.5%), or Hispanic/Latino (13.7%), adults older than 65 years (25.6%), and those with household incomes less than $15,000 per year (20.2%). Through this grant opportunity, the CDPHP proposes to implement and evaluate evidence-based strategies supporting expansion of diabetes prevention and self-management programs, improving acceptability and quality of care for people with diabetes, promoting employer coverage of diabetes prevention programs, innovative bundling of self-management and prevention programs with services to address the relevant social and health needs of priority populations, and improving the capacity of the diabetes workforce to address social determinants of health affecting their patients and clients. Intended long-term outcomes of this project are to decrease in the proportion of Nevada residents with a A1C over nine (9) percent, increase in the number of people who complete a CDC-recognized lifestyle change program, and facilitate positive changes related to BMI and quality of life of children and their caregivers.
