Evidence-Based Interventions to Control Diabetes by Local Health Departments in the United States

The nearly 3,000 local health departments (LHDs) nationwide are the frontline of public health, and are positioned to implement evidence-based interventions (EBIs) for diabetes control. This study used a national online survey to determine the prevalence and correlates of four CDC Community Guide recommended EBIs in LHDs. Among 240 LHDs, each EBI was delivered directly or with key partners by ≥60% (Figure 1); 96 LHDs (40%) offered all four EBIs, and 15 (7%) offered none. Diabetes prevalence in the state was positively associated with offering the Diabetes Prevention Program (OR=1.28 (95% CI: 1.02-1.62)), diabetes self-management education (OR=1.32 (95% CI: 1.04-1.67)), and identifying patients and determining treatment (OR=1.27 (95% CI: 1.05-1.54)) (Table). Implementation of these EBIs by more LHDs can help control diabetes. Disclosure R.G. Tabak: Other Relationship; Self; Envolve PeopleCare/Centene Corporation. R.G. Parks: None. P.M. Allen: None. R.R. Jacob: None. S. Mazzucca: None. K. Stamatakis: None. M. Chin: Research Support; Self; Merck Foundation. R. Brownson: None.