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Engagement in the National Diabetes Prevention Program Among Hispanic Men.
Christopher J Gonzalez1, Clarence N Perez-Mejia1, Noelia Hernandez1
1Division of General Internal Medicine, Weill Cornell Medical College, New York, New York.
JAMA Network Open
|June 18, 2025
Summary
Hispanic men face unique barriers to the National Diabetes Prevention Program (NDPP), including limited awareness and financial challenges. Addressing these issues is crucial for reducing diabetes disparities and improving engagement.
Area of Science:
- Public Health
- Health Disparities
- Behavioral Science
Background:
- Hispanic men have higher diabetes rates but lower participation in preventive programs.
- Underrepresentation in lifestyle interventions like the National Diabetes Prevention Program (NDPP) contributes to health inequities.
Purpose of the Study:
- To identify unique barriers contributing to low engagement among Hispanic men in the NDPP.
- To inform the development of targeted strategies for improving participation and reducing diabetes disparities.
Main Methods:
- Qualitative study involving phone interviews with Hispanic men at risk for diabetes.
- Analysis of interviews guided by behavior change frameworks to identify themes related to engagement.
Main Results:
- Low engagement was associated with limited awareness of prediabetes, skepticism about program benefits, and financial/access barriers.
- Key themes included self-sufficiency beliefs, distrust in program efficacy, and perceived negative aspects of participation.
Conclusions:
- Addressing specific barriers like knowledge gaps, financial constraints, and program relevance is essential for Hispanic men's engagement in the NDPP.
- Tailoring recruitment and program content to cultural identities and motivations is vital for reducing diabetes-related inequities.
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