Availability of the National Diabetes Prevention Program in United States Counties, March 2017

PEER REVIEWED

Map A shows U.S. counties with one or more CDC-recognized publicly available in-person National Diabetes Prevention Program Lifestyle Change Program Class locations as of March 2017, by diabetes incidence status. The map shows more clustering of Lifestyle Change Programs in counties with low diabetes incidence, and less clustering in counties with high diabetes incidence. More counties in the lowest tertile of diabetes incidence (26.8%) had an in-person Lifestyle Change Program class location, whereas fewer counties in the middle and high diabetes incidence tertiles (23.7% and 17.4%, respectively) had a class location.

Map B shows U.S. counties with 1 or more CDC-recognized publicly available in-person National Diabetes Prevention Program Lifestyle Change Program Class locations as of March 2017, by socioeconomic disadvantage status. The map shows more clustering of Lifestyle Change Programs in counties with low socioeconomic disadvantage and less clustering in counties with high socioeconomic disadvantage. More counties (39%) in the lowest Area Deprivation Index tertile had a Lifestyle Change Program class location than did counties in the middle and highest Area Deprivation Index tertiles (19.3% and 9.7%, respectively). Counties with the middle and highest Area Deprivation Index tertiles have the greatest economic need.

These maps show publicly available in-person lifestyle change program (LCP) classes, as of March 1, 2017, by diabetes incidence (Map A) and socioeconomic status (Map B) at the county level. Because higher diabetes incidence is correlated with lower socioeconomic status, this information may be useful in targeting type 2 diabetes prevention efforts. Organizations wanting to expand the availability of the LCP may use these maps to determine counties most in need of new programs.

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