Literature DB >> 18718733

Perceptions of risk in adults with a low or high risk profile of developing type 2 diabetes; a cross-sectional population-based study.

Marcel C Adriaanse1, Jos W R Twisk, Jacqueline M Dekker, Annemieke M W Spijkerman, Giel Nijpels, Robert J Heine, Frank J Snoek.   

Abstract

OBJECTIVE: To compare the perceived seriousness and risk of type 2 diabetes among low risk with high risk profile non-diabetic subjects and examine the relationship of perceived risk with multiple self-reported risk indicators.
METHODS: A cross-sectional population-based study among 4435 low risk profile and 2607 high risk profile non-diabetic residents of the Hoorn region, participating in a stepwise type 2 diabetes screening study. Main outcome measures were perceived seriousness and risk of diabetes in subjects categorized (low vs. high risk profile) using the Symptom Risk Questionnaire.
RESULTS: 85.0% of the low risk and 81.2% of the high risk profile subjects perceived diabetes as a moderate to very serious disease. About half (43.0%) of all 7042 subjects reported that they do not know their risk of having diabetes. The mean perceived risk of having diabetes was slightly lower for the low risk compared with the high risk profile subjects (difference = 2.8%; 95% confidence interval [CI] = 1.8% to 3.8%; P < 0.001). This difference was mostly explained by having a parent or sibling with diabetes, frequent thirst and claudication (difference = 0.6%; 95% CI = -0.7% to 1.9%). Interestingly, perceived risk decreased with increasing age within both groups (P for trend < 0.001).
CONCLUSIONS: Both low risk and high risk profile subjects perceive diabetes as a serious disease. Even among those at high risk profile for type 2 diabetes, almost half appeared not to know their risk. Perceived risk of having diabetes was slightly lower for the low risk compared with the high risk profile subjects. Furthermore, perceived risk decreases with increasing age. PRACTICE IMPLICATIONS: This study points to a greater need to effectively address people's (mis)perceptions, and how to raise the awareness and understanding of type 2 diabetes and its risk factors in the general population in order to influence early detection and healthy lifestyle changes.

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Year:  2008        PMID: 18718733     DOI: 10.1016/j.pec.2008.06.009

Source DB:  PubMed          Journal:  Patient Educ Couns        ISSN: 0738-3991


  11 in total

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Journal:  Med Decis Making       Date:  2015-03-25       Impact factor: 2.583

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3.  Causal beliefs and perceptions of risk for diabetes and cardiovascular disease, The Netherlands, 2007.

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4.  Mixed methods study of engagement in behaviors to prevent type 2 diabetes among employees with pre-diabetes.

Authors:  Jeffrey T Kullgren; Megan Knaus; Kristi Rahrig Jenkins; Michele Heisler
Journal:  BMJ Open Diabetes Res Care       Date:  2016-09-15

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Journal:  Front Public Health       Date:  2017-07-13

6.  ForgIng New paths in DIabetes PrevenTion (FINDIT): Study Protocol for a Randomized Controlled Trial.

Authors:  Jeffrey T Kullgren; Bradley Youles; Shaina Shetty; Caroline Richardson; Angela Fagerlin; Michele Heisler
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7.  Perceived risk of diabetes seriously underestimates actual diabetes risk: The KORA FF4 study.

Authors:  Bernd Kowall; Wolfgang Rathmann; Andreas Stang; Brenda Bongaerts; Oliver Kuss; Christian Herder; Michael Roden; Anne Quante; Rolf Holle; Cornelia Huth; Annette Peters; Christa Meisinger
Journal:  PLoS One       Date:  2017-01-31       Impact factor: 3.240

8.  Perceived diabetes risk and related determinants in individuals with high actual diabetes risk: results from a nationwide population-based survey.

Authors:  Christin Heidemann; Rebecca Paprott; Lena M Stühmann; Jens Baumert; Kristin Mühlenbruch; Sylvia Hansen; Catarina Schiborn; Daniela Zahn; Paul Gellert; Christa Scheidt-Nave
Journal:  BMJ Open Diabetes Res Care       Date:  2019-06-21

9.  Accuracy of self-perceived risk for common conditions.

Authors:  Phyllis Brawarsky; Katyuska Eibensteiner; Elissa V Klinger; Heather J Baer; George Getty; E John Orav; Graham Colditz; Jennifer S Haas
Journal:  Cogent Med       Date:  2018-04-16

10.  The risk, perceived and actual, of developing type 2 diabetes mellitus for mothers of preschool children in urban China.

Authors:  Jia Guo; Yujia Tang; Honghui Zhang; Lisa Lommel; Jyu-Lin Chen
Journal:  PLoS One       Date:  2019-09-27       Impact factor: 3.240

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