Table 3.
Associations between respondent and LHD characteristics and delivering diabetes-related EBIs directly or in collaboration
| DPP* | CHWs† | DSME‡ | Identify§ | Offering all 4 diabetes EBIs | |
| OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |
| Respondent characteristics | |||||
| Master’s degree or higher in any field | 1.76 (0.90 to 3.45) | 0.74 (0.44 to 1.25) | 0.86 (0.44 to 1.69) | 0.96 (0.55 to 1.66) | 0.83 (0.49 to 1.40) |
| Public health master’s or doctorate | 1.00 (0.48 to 2.10) | 0.74 (0.42 to 1.32) | 0.64 (0.31 to 1.30) | 0.76 (0.42 to 1.38) | 0.76 (0.42 to 1.38) |
| Position (top executive, health director, health officer, commissioner=referent) | 0.74 (0.56 to 0.99) | 1.07 (0.86 to 1.33) | 0.87 (0.65 to 1.15) | 0.82 (0.64 to 1.04) | 0.86 (0.69 to 1.08) |
| Years in current position | 0.93 (0.66 to 1.33) | 0.62 (0.46 to 0.82) | 0.94 (0.66 to 1.34) | 0.88 (0.66 to 1.17) | 0.65 (0.47 to 0.88) |
| Years in public health | 1.04 (0.75 to 1.45) | 0.78 (0.59 to 1.01) | 0.88 (0.62 to 1.24) | 0.78 (0.59 to 1.04) | 0.75 (0.58 to 0.97) |
| Age | 0.94 (0.69 to 1.28) | 0.71 (0.55 to 0.91) | 0.89 (0.66 to 1.22) | 0.78 (0.60 to 1.01) | 0.72 (0.56 to 0.93) |
| Race/Ethnicity | 0.99 (0.60 to 1.63) | 1.44 (0.92 to 2.24) | 0.88 (0.55 to 1.40) | 1.26 (0.80 to 1.98) | 1.44 (0.97 to 2.13) |
| Sex | 0.72 (0.26 to 1.97) | 0.93 (0.45 to 1.93) | 0.39 (0.11 to 1.35) | 0.50 (0.20 to 1.21) | 0.80 (0.39 to 1.64) |
| Short Grit Scale | 1.19 (0.59 to 2.38) | 0.76 (0.44 to 1.31) | 0.90 (0.44 to 1.83) | 1.32 (0.75 to 2.33) | 0.89 (0.52 to 1.54) |
| LHD characteristics | |||||
| Jurisdiction population categories (<50 000=referent) | 1.59 (1.05 to 2.40) | 1.23 (0.90 to 1.68) | 1.08 (0.72 to 1.61) | 1.01 (0.73 to 1.41) | 1.03 (0.75 to 1.40) |
| PHAB accreditation status | 0.84 (0.66 to 1.08) | 0.87 (0.72 to 1.05) | 0.99 (0.78 to 1.26) | 1.04 (0.85 to 1.26) | 1.04 (0.86 to 1.25) |
| Academic partnership | 0.62 (0.30 to 1.25) | 0.70 (0.39 to 1.25) | 0.57 (0.28 to 1.17) | 0.65 (0.36 to 1.19) | 0.58 (0.32 to 1.07) |
| Diabetes prevalence in the state | 1.28 (1.02 to 1.62) | 1.06 (0.89 to 1.26) | 1.32 (1.04 to 1.67) | 1.27 (1.05 to 1.54) | 1.15 (0.97 to 1.36) |
| Organizational support for EBDM | |||||
| Factor 1: awareness of EBDM | 1.09 (0.67 to 1.75) | 1.00 (0.69 to 1.45) | 1.31 (0.80 to 2.16) | 1.45 (0.96 to 2.20) | 1.59 (0.75 to 3.37) |
| Factor 2: capacity for EBDM | 1.12 (0.72 to 1.74) | 1.04 (0.74 to 1.46) | 1.23 (0.78 to 1.95) | 1.42 (0.97 to 2.09) | 1.62 (0.81 to 3.22) |
| Factor 3: resource availability | 1.33 (0.81 to 2.19) | 0.99 (0.67 to 1.47) | 1.17 (0.70 to 1.96) | 1.40 (0.91 to 2.15) | 1.72 (0.79 to 3.76) |
| Factor 4: evaluation capacity | 1.23 (0.83 to 1.83) | 0.88 (0.64 to 1.20) | 1.36 (0.90 to 2.05) | 1.54 (1.08 to 2.19) | 1.60 (0.87 to 2.96) |
| Factor 5: EBDM climate cultivation | 0.84 (0.46 to 1.53) | 0.79 (0.49 to 1.26) | 1.10 (0.60 to 2.02) | 1.52 (0.92 to 2.51) | 1.38 (0.55 to 3.47) |
| Factor 6: partnerships to support EBDM | 1.03 (0.62 to 1.73) | 0.97 (0.65 to 1.45) | 0.99 (0.59 to 1.68) | 1.34 (0.88 to 2.06) | 1.65 (0.78 to 3.48) |
OR from unadjusted bivariate model.
Bold values indicate statistically significant relationships according to a n alpha=0.05 threshold.
*Diet and physical activity promotion programs with people at increased risk for type 2 diabetes, such as the Diabetes Prevention Program (DPP).
†Community health workers (CHWs) to deliver diet and physical activity promotion and weight management to groups or individuals with increased risk for type 2 diabetes.
‡Diabetes self-management education (DSME) with persons with diabetes delivered in community gathering places.
§Diabetes management interventions identifying patients with diabetes and determining effective treatment (identify).
EBDM, evidence-based decision making; EBI, evidence-based intervention; LHD, local health department; PHAB, Public Health Accreditation Board.