Diabetes Projects
Racial and Ethnic
Health Disparities Initiatives
Table of Contents
President's Initiative
on Race
On February 21, 1998, President Clinton announced a new
initiative that sets a national goal of eliminating by the year 2010,
longstanding disparities in health status that affect racial and ethnic
minority groups. The president announced that the federal government will,
for the first time, set high national health goals for all Americans,
ending a practice of separate, lower goals for racial and ethnic minorities.
To help reach these ambitious targets, the president also announced a
plan to mobilize the resources and expertise of the federal government,
the private sector, and local communities to eliminate disparities that
for too long have been treated as intractable. The plan includes the following:
- Building on the record of improvements in health status for all Americans.
- Recognizing and condemning unacceptable racial and ethnic health disparities
that exist today.
- Mobilizing all Americans to close gaps in health status.
- Developing historic national health goals.
From White House Fact Sheet / Contact: HHS Press Office 202-690-6343
For more information, visit President's
Initiative on Race.
In his February 21, 1998, radio address, the president committed the
nation to an ambitious goal: by the year 2010, eliminate the disparities
in six areas of health status experienced by racial and ethnic minority
populations while continuing the progress we have made in improving the
overall health of the American people. The Department of Health and Human
Services (HHS) is leading this effort to eliminate disparities in health
access and outcomes in the following: Infant mortality, cancer screening
and management, cardiovascular disease, diabetes, HIV infection, and child
and adult immunizations.
For more information, visit HHS
Racial and Ethnic Health Disparities Initiative.
HHS Overview Excerpt
Eliminating
Racial and Ethnic Disparities in Health
The president has committed the nation to an ambitious goal by the year
2010: eliminate the disparities in six areas of health status experienced
by racial and ethnic minority populations while continuing the progress
we have made in improving the overall health of the American people. This
goal will parallel the focus of Healthy People 2010, the Nation's health
objectives for the 21st century, to be released by the president in the
year 2000. Achieving the president's vision will require a major national
commitment to identify and address the underlying causes of higher levels
of disease and disability in racial and ethnic minority communities. These
include poverty, lack of access to quality health services, environmental
hazards in homes and neighborhoods, and the need for effective prevention
programs tailored to specific community needs.
HHS recognizes that eliminating racial and ethnic disparities in these
six areas will require new knowledge about the determinants of disease
and effective interventions for prevention and treatment. This goal will
also require improved access for all to the resources that influence health.
However, focused improvement in these six health conditions will make
an important contribution to improving the health of racial and ethnic
minorities as well as advance the knowledge needed to achieve the president's
commitment to eliminate all disparities in the next century.
For more information, visit HHS
Overview Excerpt Racial and Ethnic Disparities in Health.
Office of Minority Health Resource Center
The Office of Minority Health Resource Center (OMH-RC) was established
by the U.S. Department of Health and Human Services Office of Minority
Health in 1987. OMH-RC serves as a national resource and referral service
on minority health issues. The center collects and distributes information
on a wide variety of health topics, including substance abuse, cancer,
heart disease, violence, diabetes, HIV/AIDS and infant mortality. The
Resource Center also facilitates the exchange of information on minority
health issues. Unlike a clearinghouse, OMH-RC offers customized database
searches, publications, mailing lists, referrals, and more regarding American
Indian and Alaska Native, African American, Asian American and Pacific
Islander, and Hispanic populations. Information resources on minority
health include databases on funding, media, research, data, and listings
of volunteer resource persons as well as scientific reports, journals,
and documents.
OMH-RC services are free, and can be obtained by calling toll-free 1-800-444-6472,
sending E-mail to info@omhrc.gov,
or on the Web, by visiting Office
of Minority Health Resource Center.
Chicago Prevention Center Promotora
The University of Illinois Prevention Center program will implement
diabetes prevention research within the Hispanic/Latino population at
different stages of life, including youths, young adults, adults, and
senior adults. It will use a peer education model of diabetes disease
prevention and health promotion. Priority will be placed on Hispanic/Latino
populations at high risk for diabetes, including the following: obese,
family member with diabetes, and diagnosed with glucose intolerance. The
Promotora Lay Health Workers project empowers participants by raising
awareness among participants about their condition and building skills
to manage and control diabetes. It also teaches decision-making and problem-solving
skills about lifestyles and behaviors and encourages social support among
participants.
For more information, call toll-free 1-877-CDC-DIAB or E-mail diabetes@cdc.gov.
Diabetes Flu/Pneumococcal Campaign
Diabetes. One Disease. Many Risks. is a multifaceted national
campaign to raise awareness about the increased risks people with diabetes
face. The first phase of the campaign was introduced in August 1998 to
increase the number of people with diabetes who receive a flu shot during
the flu season. The 1999 campaign will continue to focus on diabetes,
flu, and pneumonia. The campaign contains health communications and health
systems components. Print and broadcast materials will emphasize several
special populations.
Developed and implemented in collaboration with CDC's National Immunization
Program and state health department-based diabetes prevention and control
programs, the campaign is based on research that indicates that people
with diabetes are more likely than people without the disease to die from
complications of the flu. Currently, 10,000 to 30,000 people with diabetes
die each year from complications of flu and pneumonia. CDC's message is
that a flu shot offers a safe, effective way to avoid complications
a flu shot can be a life preserver for people with diabetes. During the
1998 flu season, it is estimated that CDC's diabetes/flu message reached
over 108.7 million Americans through various print and broadcast media.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov
, or on the Web, visit the Diabetes Flu/Pneumococcal
Campaign.
Diabetes Today
Diabetes Today provides health professionals and community leaders
with the skills needed to mobilize communities and to develop appropriate
interventions to prevent diabetes complications and improve diabetes care.
One outcome of this educational program is the development of a strategic
plan that is community owned and culturally relevant to the local population.
Two organizations have been contracted to provide Diabetes Today
Training Centers and follow-up assistance to CDC's diabetes prevention
and control program (DPCP) staffs and partner organizations using the
Diabetes Today community mobilization model. Diabetes Today
provides skill-building instruction to participants who in turn lead local
communities through the Diabetes Today process. The course helps
them to understand the scope of the diabetes burden in their areas and
to develop specific interventions to promote improved diabetes control.
One center will serve DPCPs and partners in the continental United States,
Alaska, Puerto Rico, and the Virgin Islands; the other will serve Hawaii
and the six U.S.- affiliated island jurisdictions in the Pacific. Diabetes
Today training sessions will be offered in Spanish and all course
materials will be culturally appropriate for the Pacific area.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or on the Web, visit the Diabetes
Today National Training
Center* and the Pacific Diabetes Today Resource Center.
Links to non-Federal organizations are provided solely as a service to
our users. This link does not constitute an endorsement of this organization
by CDC or the Federal Government, and none should be inferred. The CDC
is not responsible for the content of the individual organization Web
pages found at this link.
Family Center Support Project
CDC's Division of Diabetes Translation (DDT) has begun a 5-year behavioral
research project that will identify and examine nontraditional psychosocial
factors regarding diabetes education and the family. These factors include
community characteristics, health care reimbursement, family processes,
diabetes education, provider-patient characteristics, acculturation or
westernization, as well as psychological factors. Previously unrecognized
factors include racism, living arrangements, perceptions of safety, and
intergenerational coping skills, and their overall impact on psychological
well being. Most studies in diabetes education examine a patient's knowledge
levels and perceptions about diabetes, and they ask a few questions about
family support, perceptions of mental well being, and others. Such an
approach ignores human behavior and minimizes the importance of evidence
that uses a much broader definition of environmental factors.
Cumulative exposure to both traditional and nontraditional environmental
factors might impede both individual and family readiness to adopt and
support diabetes management recommendations. This study will (1) establish
the need for nontraditional methods and approaches to better understand
community-level dynamics that influence psychological well being among
families; (2) determine the most effective way to identify these environmental
factors; and (3) provide a rationale to develop family-centered interventions
targeting these environmental factors to help people support family members
living with diabetes.
For more information, call toll-free 1-877-CDC-DIAB or E-mail diabetes@cdc.gov.
Guide to Community Preventive Services
Under the auspices of the U.S. Public Health Service, a non-federal
task force is developing a Guide to Community Preventive Services.
The guide will provide public health practitioners, their community partners,
and policy makers with information needed for informed decision making
on the most effective and cost-effective public health strategies, policies,
and programs for their communities. CDC's Division of Diabetes Translation
is coordinating development of a chapter on diabetes, to be completed
by December 2000; some of partners in this project are other federal agencies,
topic experts in academia, and managed care organizations.
For more information on the diabetes chapter, call toll-free 1-877-CDC-DIAB
or E-mail diabetes@cdc.gov. On the
Web, you can visit Guide to
Community Preventive Services.
Hispanic Radio Network
CDC arranged for 15 radio programs about diabetes to be aired (in Spanish)
on radio stations affiliated with the Hispanic Radio Network (HRN) in
March and April 1999. The programs aired in markets in about 41 U.S. cities,
plus the District of Columbia and Puerto Rico. Developed in conjunction
with CDC, the programs were 3 minutes in length and included these program
titles: Diabetes, the Incidence of Diabetes in Latinos, the Prevention
of Diabetes Complications, Diabetes Symptoms, Diabetes Testing, Preventing
Diabetes Complications Through Diet, Preventing Diabetes Complications
Through Exercise, General Complications of Diabetes, Taking Care of Your
Feet, Taking Care of Your Eyes, Monitoring Your Blood Sugar, the Role
of Stress in Diabetes, Counseling for Friends and Family of People with
Diabetes, How Should I Speak With My Doctors if I Have Diabetes?, and
How to Confront/Accept Diabetes. HRN maintained a toll-free phone number
to receive calls from listeners and, on request, sent them printed information
on diabetes including Spanish-language material developed by the National
Diabetes Education Program. Listeners were also given CDC's toll-free
inquiry and publications phone number on diabetes, 1-877-CDC-DIAB.
For more information, call toll-free 1-877-CDC-DIAB or E-mail diabetes@cdc.gov.
National Diabetes Education Program (CDC and
NIH)
The National Diabetes Education Program (NDEP) is a joint program sponsored
by the Centers for Disease Control and Prevention and the National Institutes
of Health (NIH). It involves public and private partners to improve the
treatment and outcomes for people with diabetes, to promote early diagnosis,
and ultimately to prevent the onset of diabetes. The goal of the program
is to reduce the morbidity and mortality associated with diabetes and
its complications through these objectives:
- To increase public awareness of the seriousness of diabetes, its risk
factors, and potential strategies for preventing diabetes and its complications.
- To improve understanding about diabetes and its control and to promote
better self-management behaviors among people with diabetes.
- To improve health care providers' understanding of diabetes and its
control and to promote an integrated approach to care.
- To promote health care policies that improve the quality of and access
to diabetes care.
Key organizations involved in planning the program include the following:
American Academy of Family Physicians; American Association of Diabetes
Educators; American College of Physicians; American Diabetes Association;
American Dietetic Association; Association of Asian/Pacific Community
Health Organizations; Department of Veterans Affairs; Diabetes Prevention
and Control Programs, CDC Grantees; Diabetes Research and Training Centers,
National Institute of Diabetes and Digestive and Kidney Diseases of the
National Institutes of Health (NIH) grantees; Health Care Financing Administration;
Indian Health Service; International Diabetes Federation; Juvenile Diabetes
Foundation International; Links, Inc.; Lions Clubs International; National
Coalition of Hispanic Health and Human Services Organizations.
For more information, call toll-free 1-877-CDC-DIAB or E-mail diabetes@cdc.gov.
At NIH, call 301-654-3327 or E-mail NDIC@info.niddk.nih.gov.
On the Web, you can visit NDEP at CDC or NDEP
at NIH.
National Diabetes
Prevention Center Gallup, NM
American Indian populations have a high incidence and prevalence of
diabetes and its complications. In 1998, CDC funded the National Diabetes
Prevention Center (NDPC) in Gallup, New Mexico, to promote diabetes prevention
and control among the Navajo Nation and the Zuni Pueblo. The center will
develop culturally relevant prevention strategies through focused intervention
research, surveillance, program evaluation, training, and tribal capacity-building
activities. Research findings, strategies, and benefits will ultimately
be applicable to other Indian tribes and similar populations. The NDPC
will be built on a partnership of the Pueblo of Zuni, the Navajo Nation,
Gallup Indian Medical Center (GIMC), Zuni-Ramah PHS, Din้ College, CDC,
Indian Health Service (IHS), and the University of New Mexico Prevention
Research Center.
The goals of the NDPC are to prevent diabetes through efforts that encourage,
support, and incorporate the traditional wellness principles. These goals
will be accomplished by addressing overarching aims that include the following:
multidisciplinary collaborative partnerships, focused interventional research,
surveillance, program evaluation, health professional and community training,
clearinghouse and public information activities, tribal capacity-building
activities for diabetes prevention and control, and developing NDPC infrastructure
as the foundation for expansion in future years.
For more information, call toll-free 1-877-CDC-DIAB, or E-mail diabetes@cdc.gov.
National Hispanic/Latino
Diabetes Initiative for Action
The National Hispanic/Latino Diabetes Initiative for Action (NH/LDIA)
special-population project develops diabetes prevention strategies relevant
to U.S. Hispanic/Latino communities. CDC will incorporate strategic recommendations
from an expert consultant group into the new 5-year funding cycle for
state diabetes control programs. The NH/LDIA was created in 1995 by the
Program Development Branch, Division of Diabetes Translation, to serve
as a blueprint for DDT to frame interdisciplinary, culturally relevant
approaches to control diabetes and its complications in the U.S. Hispanic/Latino
community. Some achievements of the NH/LDIA include the following:
- Convened the first National Hispanic/Latino Expert Consultant Group.
- Revised and published Controle
Su Diabetes: Guํa Para el Cuidado de su Salud, which is the
Spanish version of the CDC's popular patient guide, Take
Charge of Your Diabetes. This document was extensively tested
among Hispanic/Latino customers to insure that it was linguistically
and culturally appropriate.
- Conducted an in-depth literature review in both English and Spanish
of articles describing epidemiologic studies, community intervention
programs, barriers to care, patient education, and other social and
demographic variables related to diabetes in the U.S. Hispanic/Latino
population. The NH/LDIA reviewed more than 500 articles and wrote about
200 abstracts that were published in Building Understanding to Prevent
and Control Diabetes Among Hispanics/Latinos: Selected Annotations.
- Established a memorandum of understanding with the Public Health Service
Office of Minority Health to provide funding and technical assistance
to the National Council of LaRaza (NCLR), a national Hispanic/Latino
organization.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or visit National Hispanic/Latino Diabetes Initiative
for Action on the Web.
Return to Hispanic/Latino Publications
Return to Publications in Spanish
National Minority Organizations
In September 1998, CDC selected six national minority organizations
to support National Diabetes Education Programs to reach African American,
Hispanic/Latino, American Indian, and Asian American/Pacific Islander
populations with culturally and linguistically appropriate diabetes prevention
and control messages. These organizations will help develop and deliver
diabetes care messages through trusted community channels and develop
partnerships with other national organizations that serve those groups.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or visit NDEP at CDC on the Web.
Project DIRECT
Project DIRECT is a multiyear community diabetes demonstration
project in a predominantly African American community of 25,000 in southeast
Raleigh, North Carolina. DIRECT is an acronym for ADiabetes Intervention
Reaching and Educating Communities Together.@ Community outreach, health
promotion activities, and quality improvement strategies for local providers
are the key program intervention components. Diabetes management and nutrition
courses, organized walking programs, and diabetes screenings are being
implemented to improve the health-related quality of life for this community.
Lessons learned will be incorporated into CDC's 59 state- and territorial-based
diabetes prevention and control programs. It is intended to develop, implement,
and evaluate strategies that can be incorporated into state-based diabetes
control programs nationwide.
DIRECT involves a partnership among the following: the community of southeast
Raleigh, NC; the Division of Health Promotion in the North Carolina Department
of Environment, Health, and Natural Resources; Wake County Human Services;
and the CDC. A coalition supports the project in its mission. It involves
key individuals and organizations in southeast Raleigh and the surrounding
area. There is representation from community leaders, business and industry,
community organizations and centers, media, public health agencies, professional
organizations, health care providers, religious leaders, fraternities
and sororities, and university faculty members, including people from
historically black colleges and universities.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or visit Project DIRECT on the Web.
Publications on Special Populations
American
Indians
Prevalence of Diagnosed Diabetes Among American Indians/Alaska Natives
United States, 1996. CDC's Morbidity and Mortality Weekly Report
(MMWR Oct. 30;47[42]:901-904).
Publications on Special Populations
Diabetes and Women's Health Across the
Life Stages:
A Public Health Perspective
CDC's monograph, Diabetes and Women's Health Across the Life Stages:
A Public Health Perspective, highlights the effect of diabetes on
the life cycle of women. To be published in 2000, the monograph will describe
the epidemiology of the disease, address community needs, and examine
psychosocial issues related to women with diabetes. Issues considered
for each life stage include the following: diabetes prevalence, incidence,
and trends; sociodemographic characteristics of women with diabetes; the
impact of diabetes on the health status of women; the impact of health-related
behaviors on diabetes; the psychosocial determinants of health behaviors
and health outcomes; concurrent illness as a determinant of health behaviors
and health outcomes; and the public health implications.
Call toll-free 1-877-CDC-DIAB to be put on the waiting list for a free
copy, or E-mail diabetes@cdc.gov.
Publications on Special Populations
Hispanic/Latino Publications
Call toll-free 1-877-CDC-DIAB
for
free copies of these publications
Return
to the National Hispanic/Latino
Diabetes
Initiative for Action
Building understanding to prevent and control diabetes among Hispanics/Latinos.
Selected annotations. Order # 995114. Sept. 1996. 236 pages.
National Hispanic/Latino Diabetes Initiative for Action Recommendations
Report: CDC Response. Order # 0995777. 23 pages. March 1998. This
is CDC's point-by-point response to the National Hispanic/Latino Expert
Consultant Group's recommendations. It includes categories on policy,
partnership, education, funding, research and data, health systems, and
public awareness.
Self-Reported Prevalence of Diabetes Among Hispanics -- United States,
1994-1997.
http://www.cdc.gov/epo/mmwr/preview/mmwrhtml/
00056251.htm. MMWR. January 15, 1999 / 48(01);8-12.
Publications on Special Populations
Publications in Spanish
Call
toll-free 1-877-CDC-DIAB
for
free copies of these publications
Return
to the National Hispanic/Latino
Diabetes
Initiative for Action
Diabetes Flu/Pneumococcal Campaign CDC has implemented a national
campaign to educate people with diabetes on their increased risk for other
illnesses. CDC developed campaign kits that it disseminated through national
media channels and state diabetes prevention and control programs. Individual
states can tailor these materials (available in English and Spanish)
to their own populations. The campaign Diabetes.
One disease. Many risks. initially focused on increasing the
number of people with diabetes who receive annual influenza shots. In
this ongoing campaign, CDC provides media training and technical assistance
to representatives from state diabetes prevention and control programs.
Spanish National Diabetes Fact Sheet in Spanish: Hoja
nacional de datos sobre la diabetes. Estimados nacionales e informacion
general sobre la diabetes en los Estados Unidos. Order # 995875.
Revised edition. Nov. 1, 1998. 8 pages.
Spanish Patient guide: Take charge of your diabetes
in Spanish. Controle su diabetes:
una guํa para su cuidado. Order # 0995479. Camera-ready version
Order # 0995398. This is a large print, 7th-grade reading level text
written in Spanish for people with diabetes.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or visit the Diabetes Flu/Pneumococcal Campaign
on the Web.
Public
Health Surveillance on Special Populations
Lower-extremity disease. Lower-extremity disease (LED) disproportionately
affects aged and minority populations and often leads to disabling and
costly late-stage complications, such as chronic ulcers, gangrene, and
amputation. The Division of Diabetes Translation and CDC's National Center
for Health Statistics have designed a lower-extremity exam component to
be included in the National Health and Nutrition Examination Survey (NHANES
IV).
For the first time, an LED exam among NHANES IV participants 40 years
of age will allow (1) the determination of a national LED prevalence estimate
(symptomatic and asymptomatic), including those at high risk for late
complications of LED such as ulceration and amputation, and (2) identification
of the risk factors of LED in a national sample. Measurement of LED in
NHANES IV will provide a baseline to monitor the prevalence of LED and
its disabling consequences. The data will also better inform health policy
decisionmakers and influence the design of preventive interventions.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or visit Diabetes Surveillance, 1999
on the Web.
Surveillance of diabetes in American Indian and Alaska Native populations.
Through an agreement with the Indian Health Service (IHS), the division
technically assists the IHS Diabetes Program with surveillance of diabetes
and its complications. This has produced trend data on the prevalence
of diabetes among American Indians and Alaska Natives. An article published
on page 901 in CDC's Morbidity
and Mortality Weekly Report (MMWR 1998 Oct. 30;47[42]:901-904)
examines the prevalence of diagnosed diabetes among American Indians and
Alaska Natives in 1996 and compares the prevalence of this high-risk group
to non-Hispanic white adults. Work is ongoing in examining trends in the
prevalence of diabetes among children of this population as well as other
racial and ethnic groups.
For more information, call toll-free 1-877-CDC-DIAB or E-mail diabetes@cdc.gov.
Surveillance in minority populations. This new activity will
assess the feasibility of using the Behavioral Risk Factor Surveillance
Survey (BRFSS) to perform surveillance of diabetes in minority populations.
Three recently funded projects will focus on one or more geographically
defined minority populations and will assess the technical factors related
to the feasibility of using the Behavioral Risk Factor Surveillance Survey
(BRFSS) to conduct diabetes surveillance. This feasibility assessment
will determine the location and size of target populations, sample size
requirements, phone coverage, estimates of response rates, resources needed
to conduct the survey, and technical and cultural factors that would influence
conducting telephone surveys in these populations.
For more information, call toll-free 1-877-CDC-DIAB or E-mail diabetes@cdc.gov.
State Programs for High-Risk Populations
New York Diabetes Prevention and Control
Program
The New York DPCP has developed public service announcements and brochures
on controlling blood glucose that are targeted at the African-American
and Hispanic communities. It is also implementing CDC's Diabetes Today
program, and will issue awards of $10,000 to 18 community-based sites
throughout the state in support of this model to develop community-based
programs for people with diabetes. The purpose of CDC's Diabetes TodayA
Course for Community Leaders is to help individuals from the same community
to work together as a team and to develop a plan for a diabetes program
in their community.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or visit the New York Diabetes Prevention and
Control Program on the Web.
North
Dakota Diabetes Prevention and Control Program
The North Dakota DPCP is developing three educational campaigns to empower
North Dakotans with diabetes to seek self-care education and treatment.
Using focus groups, community input is being gathered from the Turtle
Mountain and Devil's Lake Sioux tribes to help develop these approaches.
The North Dakota DPCP is establishing a culturally accepted psychosocial
support system based on identification of the stages of change in self-care
behaviors.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or visit the North Dakota Diabetes Prevention
and Control Program on the Web.
Texas Diabetes
Prevention and Control Program
The Texas DPCP has implemented the Diabetes
Today model in some African-American communities to guide diabetes
advocates and community leaders in organizing their communities to reduce
diabetes and its associated risk factors and complications among their
neighbors. The purpose of CDC's Diabetes
Today A Course for Community Leaders is to help individuals
from the same community to work together as a team to develop a plan for
a diabetes program in their community.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or visit the Texas Diabetes Prevention and
Control Program on the Web.
Translation Research Centers (TRIAD)
CDC announced a new multicenter 5-year study in managed care organizations
that will evaluate and improve the health care and health status of people
with diabetes. CDC calls this new initiative Translational Research.
Total first-year funding is $2.4 million for the project, which has these
objectives: (1) to assess the level and quality of care implemented in
practice; (2) to explore the factors that affect variations in implementation
and to identify barriers to change; and (3) to identify and test change
strategies aimed at achieving optimal care.
The diabetes study involves six research centers located in Hawaii,
California, Texas, Michigan, Indiana, and New Jersey. Along with a coordinating
center and CDC, the research centers will work together to achieve the
objectives across different ethnic groups. The centers will serve ethnically
diverse populations of the United States, including African Americans,
American Indians, Hispanic/Latinos, Asian-Pacific Islanders, and Caucasians.
For more information, call toll-free 1-877-CDC-DIAB, E-mail diabetes@cdc.gov,
or visit the related CDC press
release dated January 27, 1999, on the Web.
US/Mexico Border Diabetes Prevention
and Control Project
The United States and Mexico Border Diabetes Prevention and Control
Project involves four United States and six Mexican states along the border.
State-based diabetes control programs are collaborating with the Mexican
states and the Mexico Department of Health Ministry to devise and implement
strategies to reduce the burden of diabetes among people who live along
the border. Diabetes program representatives for all 10 U.S. and Mexican
states met in August 1998 in Juarez, Mexico, to agree on the protocols
to conduct a household diabetes surveillance study along the U.S./Mexico
border. The group held three other meetings, and many conference calls,
to draft a proposal to request funding from the Centers for Disease Control
and Prevention, the Office of Minority Health, the Office of International
and Refugee Health, and the Pan American Health Organization (through
the U.S./Mexico Border Health Association).
For more information, call toll-free 1-877-CDC-DIAB or E-mail diabetes@cdc.gov.
Links to Related Sites
Department of Health
and Human Services (HHS) Initiative to Eliminate Racial and Ethnic Health
Disparities in Health
http://raceandhealth.hhs.gov
HHS
Related Sites on Racial and Ethnic Health Disparities
* Links to non-Federal organizations found at this site
are provided solely as a service to our users. These links do not constitute
an endorsement of these organizations or their programs by CDC or the
Federal Government, and none should be inferred. The CDC is not responsible
for the content of the individual organization Web pages found at these
links.
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