Research on health disparities among participants in the Diabetes Prevention Program (DPP) is limited. This study examined the outcomes of the DPP participants in Montana based on their Social Determinants of Health (SDoH) risk score. Participants in Montana’s DPP were assigned 1 point for each of the SDoH variables; ≤ High School, unemployment, annual household income below Federal Poverty Level, no health insurance, or lived in rural area. From 2015 through 2018, 2,900 MT adults enrolled in the DPP; 39% had a total SDoH risk score of ≥1 (Table). All risk groups lost weight, although logistic regression models found that as the SDoH risk score increased, the odds of achieving 5% weight loss decreased [AOR 1.61, 95% 1.24-2.09], compared to enrollees who scored 0. Characteristics independently associated with not meeting the 5% weight loss included age 18-44 years [AOR 1.58, 95% 1.26-1.99], BMI (kg/m2) 35+ [AOR 1.38, 95% 1.12-1.69], and female [AOR 1.31, 95% 1.08-1.60]. To effectively address health disparities and assist participants in meeting the 5% weight loss, the DPP lifestyle coaches (LSCs) and health care providers can use the SDoH risk score to identify participants who can benefit from accessing community-based programs. Additionally, LSCs can eliminate barriers by offering childcare, transportation or other incentives to better participation.


D. Carpenedo: None. S. Tysk: None. M. House: None. J. Fernandes: None. M.K. Butcher: None. T.S. Harwell: None. S.D. Helgerson: None. D.M. Gohdes: None.

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