TN diabetes prevention and control - tennessee department of health (TDH), 710 james robertson parkway, nashville, TN 37243, is applying for component a of CDC-RFA-DP-23-0020, a strategic approach…

TN diabetes prevention and control - tennessee department of health (TDH), 710 james robertson parkway, nashville, TN 37243, is applying for component a of CDC-RFA-DP-23-0020, a strategic approach to advancing health equity for priority populations with or at risk for diabetes. TDH has the capability to serve all populations and communities statewide and identified priority counties. Diabetes is the 8TH leading cause of death, claiming the lives of approximately 1,700 tennesseans each year. Diagnosed diabetes is prevalent across all 50 states and washington, DC with tennessee ranking 46TH in diabetes prevalence. TDH conducted an analysis of demographic and socioeconomic disparities for diabetes and prediabetes prevalence using behavioral risk factor surveillance system (brfss) data. The results confirmed higher risks for older tennesseans (ages 45 years and older), persons with lower household incomes (under $50,000/year), and lower education levels (high school diploma or less). In addition, there was a higher risk among non-hispanic blacks or african americans, especially for prediabetes. TDH efforts will be statewide, focusing on the sixteen priority counties including lauderdale, haywood, gibson, henderson, hardeman, hardin, montgomery, rutherford, macon, bradley, cocke, greene, washington, hamilton, madison, and shelby. These counties were selected due to the highest age-adjusted diabetes prevalence rates between 11.0% and 13.2%. Activities will address social determinants of health (sdoh) and associated barriers to increase the identification and referral of eligible persons into prevention and management programs and to decrease morbidity and mortality of diabetes in identified disparate populations. The purpose of this application is to allow TDH to continue its commitment to supporting evidence-based diabetes management and type 2 diabetes prevention and risk mitigation strategies, with an emphasis on reducing health disparities for priority populations. The goal is to increase the use of evidence-based public health strategies while focusing on approaches aimed at increasing program reach and influencing long-term outcomes to reduce diabetes incidence and prevalence. Component a strategies selected will build and expand upon the previous work and partnerships generated in the 1815 cooperative agreement. Tennessee recognizes that impact is greatest when leveraging innovation and collaborating with external partners to identify, plan, develop, implement, and evaluate diabetes prevention, diabetes management, and childhood obesity interventions. TDH will also increase screening for retinopathy and chronic kidney disease (CKD), identify and provide sdoh and health equity training for the diabetes workforce, and increase employer coverage of the national diabetes prevention program (ndpp) that expands reach to priority populations and high-need counties with the greatest diabetes burden. TDH will further assure statewide reach by collaborating with internal programs and offices within family health and wellness (FHW), the office of rural health (ORH), community health services (CHS), health and disparities elimination (HDE), and coordinated school health (CSH).