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Human exposure to environmental toxins has been correlated with diabetes. To examine the relationship between remote exposure to hazardous waste sites (HWS) and Type 2 diabetes (T2DM), data from the National Health and Nutrition Examination Survey and the National Priorities List of Superfund sites were analyzed. The results support obesity and advanced age as risk factors for T2DM and suggest that non- Hispanic Whites residing farther from a HWS had a reduced risk for T2DM. The social change contribution is in supporting environmental health assessments in clinical practice and influencing dialogue about social justice and the distribution of HWS.