Date of Conferral



Doctor of Public Health (DrPH)


Health Services


Harold Griffin


In the United States, Hispanics diagnosed with type 2 diabetes (T2DM) have not accessed tertiary level prevention, which is critical in diabetes management and the prevention of further complications. The purpose of this quantitative study was to examine the association between neighborhood crime, the absence of community health centers, the lack of culturally competent providers, the lack of public transportation, the residential setting, the distance to T2DM education classes, and access to tertiary prevention among Hispanics diagnosed with T2DM. The research was guided by the Andersen behavioral model. A sample size of N = 4,977 was used in the study, and the secondary data was obtained from the 2018 Behavioral Risk Factor Surveillance System. Inclusion criteria consisted those Hispanics diagnosed with diabetes, 18 years and older, residing in the United States, and participating in the study during 2018. Pearson’s Chi-square test of independence was used to examine the association between the independent variables (IVs) and dependent variable (DV). The results showed a non-statistically significant (p > .05) relationship between public transportation, competent providers, residential setting, and access to tertiary level prevention among Hispanics with a T2DM diagnosis. The evidence to make assertions on the relationship between the tested IVs and the DV was insufficient. These study findings present opportunities for further research on the environmental factors that influence access to tertiary level prevention for Hispanics with a T2DM diagnosis. Results could contribute to positive social change and guide policy decisions by promoting awareness of the importance of tertiary level preventive care through the education of individuals and communities at large.