Provide A Brief Overview Of The Public Health Issue Diabetes
provide A Briefoverviewof The Public Health Issue Diabetes Cdc Rec
Provide a brief overview of the public health issue: Diabetes: CDC-Recognized Diabetes Prevention Lifestyle Change Programs.
Identify the impact on the community. (Be sure to include incidence rates and demographic populations.)
How does the public health issue represent a gap or disparity in access, quality, or delivery of healthcare?
How do social determinants impact the issue? Be sure to justify your reasoning.
Paper For Above instruction
Diabetes, particularly type 2 diabetes, represents a significant and growing public health concern worldwide, with the Centers for Disease Control and Prevention (CDC) recognizing lifestyle change programs as a critical intervention in disease prevention (CDC, 2020). These CDC-recognized diabetes prevention programs focus on behavioral modifications such as improved diet, increased physical activity, and weight management to reduce the incidence of type 2 diabetes among at-risk populations. The public health relevance of diabetes is underscored by its widespread prevalence and its profound impact on individual health and healthcare systems. The condition is associated with severe complications, including cardiovascular disease, kidney failure, and blindness, resulting in increased morbidity and healthcare costs (American Diabetes Association [ADA], 2021). Understanding the scope of the issue and the effectiveness of preventive interventions is essential for addressing this chronic disease comprehensively.
The impact of diabetes on communities varies depending on demographics and geographic location. In the United States, the CDC reports an incidence rate of approximately 34.2 cases per 1,000 adults, with higher prevalence among racial and ethnic minorities such as African Americans, Hispanic Americans, and Native Americans compared to non-Hispanic whites (CDC, 2021). These groups experience disproportionately higher rates of diagnosis, complications, and mortality related to diabetes, which highlights persistent health disparities. Socioeconomic status further influences disease burden, with lower-income populations facing greater barriers to preventive services, healthy foods, and opportunities for physical activity, thus exacerbating the incidence and severity of diabetes in underserved communities (Menke et al., 2019).
Access to quality healthcare services, including preventive programs, remains a significant gap contributing to disparities in diabetes outcomes. Many individuals at risk do not participate in CDC-recognized lifestyle change programs due to barriers such as lack of insurance coverage, limited transportation, language barriers, and cultural differences in health perceptions (Smith et al., 2020). These disparities in access and delivery of healthcare services have led to unequal health outcomes, where vulnerable populations experience higher rates of uncontrolled blood sugar levels and related complications. The healthcare system's failure to equitably distribute resources and culturally tailor interventions underscores the ongoing disparities in managing this public health issue (Chow et al., 2019).
Social determinants of health—such as socioeconomic status, education, neighborhood environment, and social support—play a fundamental role in shaping an individual’s risk of developing diabetes and their ability to access preventive care. Socioeconomic disadvantages limit access to nutritious foods and safe spaces for physical activity, thereby increasing obesity and diabetes risk. Educational attainment influences health literacy and awareness about diabetes prevention, while neighborhood factors—such as food deserts and unsafe environments—further restrict healthy lifestyle choices (Walker et al., 2020). Social support networks also facilitate or hinder lifestyle modifications critical for prevention. Addressing these social determinants through policy changes, community engagement, and resource allocation is essential to reduce disparities, promote equitable health outcomes, and implement effective prevention strategies for diabetes (Ferdinand et al., 2018).
References
- American Diabetes Association. (2021). Standards of medical care in diabetes—2021. Diabetes Care, 44(Supplement 1), S1–S232.
- Centers for Disease Control and Prevention. (2020). National Diabetes Prevention Program: An Overview. CDC.
- Centers for Disease Control and Prevention. (2021). National Diabetes Statistics Report, 2020. CDC.
- Chow, E., Foster, H., Harris, G., et al. (2019). Disparities in Diabetes Management and Prevention: Strategies for Addressing Socioeconomic Barriers. Journal of Public Health Policy, 40(2), 231–245.
- Ferdinand, K. C., McCray, C., & Sow, M. (2018). Social determinants of health and cardiovascular disease disparities. American Journal of Preventive Medicine, 55(4), 546–552.
- Menke, A., Casagrande, S., Geiss, L., & Cowie, C. C. (2019). Prevalence of and trends in diabetes among adults in the United States, 1999–2018. JAMA, 322(12), 1156–1165.
- Smith, M. C., French, S., & Paasche-Orlow, M. K. (2020). Barriers to participation in diabetes prevention programs: A review. Diabetes Education, 46(2), 115–124.
- Walker, R. J., Smalls, B. L., Egede, L. E. (2020). Social determinants of health in adults with diabetes. Current Diabetes Reports, 20(8), 36.