Project SummaryFor over 20 years the Arizona Prevention Research Center (AzPRC) has provided an umbrella for academiccommunity collaborative research training capacity building and translation efforts to reduce healthdisparities in chronic disease in the state. The AzPRC foundation of practice-based research on chronic diseaseprevention and control with a focus on Latinos of Mexican-origin well positions us to substantively contributeto CDCs winnable battle of nutrition physical activity and obesity as well as addressing major nationaldisparities identified for diabetes. In doing so AzPRC goals and objectives will carry forward existing efforts ofAzPRC personnel and partners to further the National Center for Chronic Disease Prevention and HealthPromotions mission to support people and communities in preventing chronic disease and promoting healthfor all specifically through our efforts to: 1) integrating evidence-based strategies in health systems includinghealth departments and federally qualified health centers; 2) working with public health systems and theCommunity Health Worker (CHW) workforce to implement policy systems & environmental change effortsdesigned to create healthy places for people to work learn and play; and 3) improving community-clinicallinkages to ensure access to and quality of culturally relevant prevention and promotion efforts. Over the nextfive years the AzPRC will work with county health departments federally qualified health centers the ArizonaDepartment of Health Services and community organizations to reduce chronic disease risk and address socialdeterminants of health statewide. The AzPRC will achieve this goal through the integrated impact of efforts ininfrastructure community engagement partnering and technical assistance communication anddissemination training evaluation and translation. The AzPRC using state of the art and efficientmethodologies will also execute a rigorous practice-based public health research project that will use leverageexisting resources and use group support processes to reduce chronic disease risk and address socialdeterminants of health. The project will also test a theoretical model of Latino health advantages and evaluatepotential novel assessment tools of potential integration in primary care and community health services. In thelatter stages of this research guided by our prior successful statewide public health system-based efforts toexpand CHW intervention models the sustainability and scalable of this program throughout the State will befocal.