DP14-1422

State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke

About the Program

This cooperative agreement built on and complemented activities initiated under 1305 and intensified work in state and large city health departments to prevent obesity, type 2 diabetes, heart disease, and stroke, and reduce health disparities. Each state sub-awarded half of the funds they received to support prevention activities in four to eight communities to reach high-burden priority populations with the largest disparities in high blood pressure and prediabetes. Under 1422, the state and city health departments conducted activities to address environmental, health care system, and community-clinical linkage strategies to prevent obesity, type 2 diabetes, heart disease, and stroke.

Profiles

Evaluation Approach

Performance Measure Snapshot

Briefs

Publications

Three Focus Areas of the State and Local Public Health Actions Cooperative Agreement (1422)
Domain	Strategies
1. Environmental	Promote health and support and reinforce healthful behaviors.
2. Health Care System Interventions	Improve the quality of health care delivery to populations with the largest disparities in high blood pressure and diabetes.
3. Community Programs Linked to Clinical Services	Support heart disease, stroke, and type 2 diabetes prevention efforts.

Type 2 Diabetes Prevention Activities under State and Local Public Health Actions – 1422

CDC funded 17 states and 4 large cities to plan, implement, and evaluate type 2 diabetes prevention interventions addressing environmental, health care system, and community-clinical linkage strategies. The specific strategies can be seen below.

Diabetes Activities Under State and Local Public Health Actions—(1422)
Domain	Strategies
Environmental	Implement nutrition and beverage standards including sodium standards (i.e., food service guidelines for cafeterias and vending) in public institutions, worksites, and other key locations such as hospitals. Strengthen healthier food access and sales in retail venues (e.g., grocery stores, supermarkets, chain restaurants, markets) and community venues (e.g., food banks) through increased availability (e.g., fruit and vegetables, more low/no sodium options), improved pricing, placement, and promotion. Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint- use agreements in communities and jurisdictions. Develop or implement transportation and community plans that promote walking.
Health Care System Interventions	Implement systems to facilitate identification of patients with undiagnosed high blood pressure and people with prediabetes.
Community Programs Linked to Clinical Services	Plan and execute strategic data-driven actions through a network of partners and local organizations to build support for lifestyle change under the National DPP. Implement evidence-based engagement strategies to build support for lifestyle change under the National DPP. Increase coverage for evidence-based supports for lifestyle change under the National DPP by working with network partners. Increase engagement of community health workers to promote linkages between health systems and community resources for adults with high blood pressure and adults with prediabetes or at high risk for type 2 diabetes. Implement systems to facilitate bi-directional referral between community resources and health systems, including CDC-recognized lifestyle change programs under the National DPP.