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Document Type

Conference Proceedings

Abstract

Objective: Examine how socioeconomic factors contribute to elevated diabetes prevalence in Miami Gardens, Florida, and synthesize evidence on culturally tailored prevention models applicable to this community. Methods: Descriptive community analysis using public datasets (CDC, Florida DOH, Miami-Dade assessments). Independent variables included income, education, insurance, transportation, and language; outcomes included diabetes prevalence, obesity, and physical inactivity. A targeted PubMed review (2014–2024) of urban/suburban, minority-serving, DPP-based interventions used dual-reviewer screening (467 records → 4 studies). Frameworks such as RE-AIM were noted where applicable. Results: Miami Gardens shows a diabetes prevalence of 14.3% (top statewide quartile) with neighborhood variation (≈ 5.5–19.7%). Context includes lower median income (~ $42,700), 61.7% of children < 200% of poverty, ~ 20% adults without a high-school diploma, ~ 26% non-English home language; risk factors include 33% physical inactivity and 34.6% obesity. Culturally and linguistically tailored, community-delivered DPP implementations demonstrated greater short-term weight loss and A1c reductions among participants with T2D, and improved engagement/retention versus non-tailored comparators; weight effects attenuated by 24 months in one RCT. Conclusion: Diabetes burden in Miami Gardens clusters with socioeconomic disadvantage and access barriers. Evidence supports bilingual, culturally tailored, community-based DPP models (e.g., health coaching, family involvement, culturally relevant nutrition, RE-AIM-guided evaluation) to enhance engagement and metabolic outcomes. Partnerships with local organizations and technology-enabled support may improve reach and sustainability.

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