The Importance of Health Equity in Preventive Services to the NIDDK

The Importance of Health Equity in Preventive Services to the NIDDK



well at NIDDK many of the diseases in our research mission exhibit dramatic health disparities these include obesity type 2 diabetes which place individuals at high risk many other conditions and complications like kidney disease while increasing risk for premature death and lower quality of life about 1/3 of US adults have obesity and rates are significantly higher among Hispanics african-americans Native Americans Pacific Islanders and many minority groups about 12% of US adults or 30 million people have diabetes 90 to 95 percent of these are caused by cases of type 2 diabetes which again disproportionately affects certain racial ethnic and socially disadvantaged groups now another 84 million US adults are about one in three adults has pre-diabetes these asperities clearly point to a need to achieve health equity and preventive services at NIDDK we address health equity and preventive services by funding research and our studies we strive hard to get broad representation of diverse populations so we're more confident that the research finding and recommendations will hold true for the populations that are most affected for example the NIDDK LED diabetes prevention program or DPP recruited heavily among African Americans Hispanics American Indians and Asian communities and showed that structured lifestyle changes designed to promote modest weight loss can delay and potentially prevent the onset of type 2 diabetes and those at high risk and people from those backgrounds niddk supported translational research led to an adaptation of those interventions that form the basis of the congressionally established national diabetes prevention program which is being disseminated nationwide by the CDC and CMS achieving health equity and preventive services would improve the overall health of social economically disadvantaged communities their rates of obesity and diabetes are highest health equity approaches could transform access to evidence-based services affordable diabetes screening and feasible treatment options that align with people's culture and values this requires strong collaboration with communities healthcare systems and researchers from a research perspective it's imperative that we develop and test new approaches to prevention especially interventions that could be used in under-resourced communities including the innovative use of technologies oh I believe achieving equity in preventive services will reduce disparities and diabetes and obesity and help prevent their complications therefore improving uptake of evidence-based services and diverse settings will improve many health outcomes so people have a better opportunity to live longer and healthier lives regardless of income where they live or racial and ethnic background these outcomes are important for our nation and motivate the work that we do in NID

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