Mississippi Diabetes Research Proposal
This research proposal creates programs for children living with diabetes so that education and management of diabetes will continue during school hours. Mississippi State uses programs like these to address the incidence of diabetes in the state. The incidence and measurement of diabetes in the state, and at the county level, is completed yearly and quarterly and the state research agencies collaborate with the federal government both in the reporting requirements and in the building of programs that address the findings from the reports.
The state of Mississippi has one of the highest prevalence of diabetes in the country. Public health officials in the state of Mississippi understand that accessibility to health care research is basis for accurate surveillance efforts. The goal for this research proposal is to identify and create a culture of wellness for individuals living with diabetes. The Mississippi Diabetes Prevention and Control Program (DPCP) have teamed up with public health officials in an effort to facilitate the accessibility of diabetes control programs. Extra efforts are made in areas that are highest in prevalence with diabetes. Diabetes programs are being created in an effort to enable awareness and diabetes prevention. Self-management proposal/programs are included so that individuals living with diabetes can lead a healthy life. Mississippi has implemented a research proposal and programs that will target school children with diabetes by teaming up with public school officials.
Population and Data Targets
At the national level there is much measurement and oversight for the trending of diabetes across the nation. This data is compiled by numerous state and federal agencies. The state of Mississippi is required by law to make diabetes programs available as a resource to community members however it does not require the states to cover the cost of the programs as part of insurance coverage. Thus, the state research continues to see an increase in the diabetic population. The national measurement of diagnosed and undiagnosed individuals in the U.S. of all ages, is the “total number of people with diabetes is the sum of the number of those aged 20 years or older with diagnosed or undiagnosed diabetes and the number of those younger than 20 years with diagnosed or undiagnosed diabetes and the number of those younger than 20 years with diagnosed diabetes” (CDC, 2014). Self reported diabetes is listed as diagnosed diabetes.
This is similar to the research data collected by a yearly phone survey at the state level called the Behavioral Risk Factor Screening Survey (BRFSS). This survey method is used to help determine trends at the state level. The patients that have a positive response to the question of whether they have diabetes are also asked at what age they were first diagnosed. The researchers then subtract this from the current year, and with all the responses, are able to stratify the newly diagnosed diabetics into the findings. “To calculate incidence, the numerator was the weighted number of adults who were diagnosed with diabetes within the last year and the denominator was the weighted estimate of adult population, excluding adults who had been diagnosed with diabetes for more than one year and adults who answered "refused," "don’t know," or had missing values on the diabetes status question” (CDC, 2015).

The data from the 2013 BRFSS showed that Mississippi had approximately 12.4% of individuals that replied a “Yes” answer to the question of “Have you ever been told by a doctor that you have diabetes (MSDH, 2015)”? Interestingly, this number remains high as that of the national incidence response, per the CDC (2015) seems to present a national decrease from 1.7 million in 2009 to 1.4 million diabetes nationally. Age adjusted percentiles nationally, between the years of 2000-2002, U.S. standard population indicates that American Indians, Non-Hispanic Blacks and Hispanics, lead the percentage of diabetics in the U.S. with the respective percentages of 15.9%, 13.2% and 12.8% (CDC, 2014). Mississippi has a rate of 37.9% of adults who have difficulty performing daily living tasks compared to % national rate of 36.1% (CDC, n.d.).
According to the CDC (n.d.) the number of pre-diabetics in the state has increased by 11,000 between the years of 2011 and 2013. While the national age-adjusted rate for diabetics remained steady at 9% between the years of 2011 and 2013, Mississippi’s diagnosed diabetic’s rate rose from 11.6% to 12% (CDC, n.d.). The mortality rate from diabetes is “the seventh largest in the U.S. and is listed on 234,051 death certificates” (CDC, 2014). This is not the most accurate representation due to the fact that diabetes has many sequel of the disease and thus there are secondary cause’s deaths (CDC, 2014).
Method Determining Size Community-based Meridian, MS responded to the issue of diabetes, including the percent of adults diagnosed with diabetes in surrounding areas in Meridian, MS. The results were 12.31% Ms., 12.9% Lauderdale or Scott County or 8.95% United States and the Body Mass Index greater than 30 (Obesity) Ms. 35.58%, Lauderdale or Scott County 38% or United States 27.29% by prioritizing and identifying local community health care needs to establish an ongoing evidence-based process or assessment Also, the focus on successive chronic disease management and addressing health problems that is lifestyle-related through cultural and education change. With the focus on the diabetes population in the community of Meridian research proposal rather than just the outcomes that may influence a person's health. From the circulation and level of health outcomes in populations that resulted from intermediate diseases and injuries, factors genetic factors, a complex web of cultural, social, political, economic, environmental, and behavioral in this connecting web (Anderson Regional. org, n.d).
Data Collection Methodology Great news for Lauderdale or Scott County, they have qualitative research interviews with key informant community-based planning, assessments needs, and local identified objectives for diabetes health care issues presented to those they serve in the community, the individuals are playing an important role and are well aware. Cases in point, The “Interviews with Key Informant” were conducted with community leaders on behalf of a variety of institutions to gather outlooks about the community health needs and important planning information on diabetes. They held diabetes surveys meetings in surrounding areas of Meridian, MS to understanding the needs of the underserved, their objectives, and those with the greatest health risk. They have a detailed plan of “gathering thoughts” to better provide for people with diabetes with this focus group of key informants (Rush Health Systems.org, n.d).
Social Marketing Tests Analyze Data According to Lancaster & Stanhope, (2012), social marketing uses commercial marketing principles and technologies for programs designed to influence the knowledge, attitudes, values, beliefs, behaviors, and practices of the population of interest (p. 204). The importance of Evidence Based Practices in marketing advertisement would facilitate diabetes control, awareness and prevention education via billboards and posters. Billboards and poster advertisement can help to create a culture of awareness for diabetes and ways of controlling the disease. It is important for the public to know that without controlling or preventing diabetes the disease can lead to secondary health disparities and can even cause death. These marketing tools are then placed in the populated areas for those who have or are at high and increased risk for developing diabetes. Public health officials must partnership with primary care providers so that all patients view such educational advertisement for diabetes. Over time social marketing for diabetes is the first step in an effort to change the status quo of the community that in the past made no efforts to control sugar intake. The goals of social marketing are to increase the amount of individuals who can control, prevent, and be screened for diabetes (Lancaster & Stanhope, 2012).

Conclusion
In an effort to create a culture of wellness in Mississippi for health cares’ target population for its diabetes research proposal, it is essential that the healthy essentials to maintain life be research. This would include educating the population about the benefits and risk of social and physiologic determinants that can lead to diabetes. Controlling diabetes in a state known to have one of the highest prevalence of diabetes can only contribute to public health campaigns that would lower the incidence of diabetes throughout the country. This would be in an effort to bring awareness and education to target populations and promote healthy lifestyles and better health.