The NCLR/CSULB Center for Latino Community Health, Evaluation, and Leadership Training; the Long Beach Department of Health and Human Services; St. Mary’s Medical Center; the Children’s Clinic: Serving Children and Their Families; and Long Beach Latino residents are collaborating to create a community-informed proposal to address a health equity research question on diabetes prevention among low-income Latinos with pre-diabetes living in Long Beach, California. Together, we will create a proposal to examine whether outcomes are better for Latino adults with pre-diabetes living in Long Beach receiving (1) a chronic disease self-management program (Stanford Chronic Disease Management), (2) a diabetes-focused lifestyle change program (Diabetes Prevention Program), or (3) a general healthy lifestyle (e.g., Eat Healthy Be Active Community workshops with support group). Type 2 diabetes is among the top five causes of death in the City of Long Beach and is a leading health disparity in terms of neighborhood and ethnicity. Mostly impacting minority groups, the percentage of adults diagnosed with diabetes/pre-diabetes in Long Beach by ZIP code ranges from 15 percent to 24 percent (CHA, 2013). The 90813 ZIP code has the highest rate, with 24.3 percent of the adult population receiving either a diabetes or pre-diabetes diagnosis. The concentrated impact of high poverty, high Latino-ethnic population makeup, and high rates of diabetes/pre-diabetes diagnosis together with community member motivation to act on this disparity creates an opportunity to work within a specific geography for the development of a Latino-focused pre-diabetes collaborative effort.
*All proposed projects, including requested budgets and project periods, are approved subject to a programmatic and budget review by PCORI staff and the negotiation of a formal award contract.