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A Community Integration Approach to Social Determinants of Health in New Mexico

McCloskey, Joanne PhD; Tollestrup, Kristine PhD, MPH; Sanders, Margaret PhD

doi: 10.1097/FCH.0b013e318202a852
Racial and Ethnic Approaches to Community Health (REACH): Translating Processes of Change and Attributing Improved Health Outcomes to Social Determinants of Health Programs: Original Article

Lifestyle and Values Impacting Diabetes Awareness (LA VIDA), a community-based diabetes intervention program targeting Hispanics in southwestern New Mexico, addresses social determinants of health by utilizing promotores and collaborating with community partners and health care providers. Using a mixed-methods approach, a program evaluation documented the promotores’ crucial role in providing social support, contributing to social cohesion, and accessing health care, community resources, and LA VIDA's educational and healthy lifestyle activities. Findings suggest that patients with diabetes who participated in the LA VIDA program significantly increased the number of days they checked their feet and took their diabetes medications and significantly lowered their glycated hemoglobin levels.

Department of Family and Community Medicine, Health Sciences Center, School of Medicine, University of New Mexico, Albuquerque, New Mexico (Drs McCloskey, Tollestrup, and Sanders)

Correspondence: Kristine Tollestrup, PhD, MPH, Department of Family and Community Medicine, Health Sciences Center, School of Medicine, University of New Mexico, Albuquerque, NM 87131 (ktollestrup@salud.unm.edu).

Disclosure: LA VIDA, A Diabetes Prevention Program for Hispanics in Grant and Hidalgo Counties, New Mexico, was funded from the US Centers for Disease Control and Prevention REACH 2010 & REACH U.S. Cooperative Agreements.

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