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As diabetes prevalence and incidence continue to grow at unprecedented rates, addressing diabetes as a public health problem is more important than ever before. Treating diabetes as a public problem means understanding and appreciating that it affects not only individuals but also families, communities, and society. In order to halt or substantially slow the diabetes epidemic, we need to take action in each of these arenas. The Ecological Model of Health Behavior (see Figure 1) provides a framework for understanding the multiple levels of influence on health behavior. The further you move from the individual to societal interventions, the more complex and multifactorial the approaches become, the longer it can take to achieve change, and the more difficult it is to evaluate, but the impact is more far-reaching.

Public Health Practice and Diabetes—What More Can Be Done to Halt the Epidemic?