Multi-level Outcomes for Structural Action and Inclusive Community Health for Type-2 Diabetes

Diabetes is rising in Canada, with nearly one in ten Canadians — an estimated 3.7 million people — having been diagnosed with diabetes, according to data from the Public Health Agency of Canada.  Rates are even higher in Peel Region with one in six adults living with diabetes. The risk of developing Type 2 diabetes is higher for some population groups (e.g., marginalized communities). Socioeconomic factors, the built environment, structural barriers, lifestyle factors, and healthcare access also influence the inequities in diabetes risk.

The goal of MOSAIC-T2D is to create a targeted approach to preventing Type-2 diabetes by understanding different risk factors, including social and other health influences, working closely with partners and communities in Peel region to ensure the strategy is equitable and fits local needs.

The specific objectives are to:

1. • Co-develop with community partners, a multi-level framework for capturing differences in diabetes risk that includes how different health determinants interact with each other and considers the local context.
   • Apply the co-designed multi-level framework to describe inequities in diabetes risk in Peel Region using validated population risk tools and data from different sources.
   • Collaborate with community partners to identify locally relevant multi-level diabetes prevention interventions, test how well these strategies reduce both the risk of diabetes and related inequalities, and use findings to expand the approach to other communities.

Expected Impact:

This comprehensive participatory approach will ensure that community perspectives shape locally relevant Type-2 diabetes prevention interventions that can benefit ethnically diverse communities.