Year of Publication

2018

College

Public Health

Degree Name

Master of Public Health (M.P.H.)

Committee Chair

Mark Swanson, PhD

Committee Member

Kathryn Cardarelli, PhD

Committee Member

Corrine Williams, ScD, MS

Abstract

The National Diabetes Prevention Program (DPP) is sponsored by the Centers for Disease Control and Prevention (CDC). The program’s goal is to reduce the incidence of diabetes through dietary modification and physical activity. On one hand, the DPP is currently offered by various organizations through the country. On the other hand, the DPP is mostly unavailable in rural areas, especially the Diabetes Belt. The Diabetes Belt is in the eastern Appalachian region of the United States. People who live in this area of the country are more likely to develop diabetes than those who do not. Mason County, Kentucky has a higher than average diabetes incidence rate, and residents present with increased diabetes risk factors such as obesity, physical inactivity, low fruit and vegetable intake, being age 45 and over, and poor overall health, including hypertension, heart disease, obesity- related cancer, and arthritis. This proposal, by the Buffalo Trace District Health Department in Mason County, is backed by a diverse Community Advisory Group in its implementation in 3 community event sites over 3 years. Participants will either receive a lifestyle intervention or a medication intervention, both following the CDC’s ‘Prevent T2’ curriculum. Change will be assessed by measuring biological and behavioral outcomes and compared to a baseline measurement.

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