Health beliefs among individuals at increased familial risk for type 2 diabetes: Implications for prevention

Department of Health, Promotion and Development, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
Diabetes research and clinical practice (Impact Factor: 2.54). 01/2012; 96(2):156-62. DOI: 10.1016/j.diabres.2011.12.017
Source: PubMed


To evaluate perceived risk, control, worry, and severity about diabetes, coronary heart disease (CHD) and stroke among individuals at increased familial risk of diabetes.
Data analyses were based on the Family Healthware™ Impact Trial. Baseline health beliefs were compared across three groups: (1) no family history of diabetes, CHD or stroke (n=836), (2) family history of diabetes alone (n=267), and (3) family history of diabetes and CHD and/or stroke (n=978).
After adjusting for age, gender, race, education and BMI, scores for perceived risk for diabetes (p<0.0001), CHD (p<0.0001) and stroke (p<0.0001) were lowest in Group 1 and highest in Group 3. Similar results were observed about worry for diabetes (p<0.0001), CHD (p<0.0001) and stroke (p<0.0001). Perceptions of control or severity for diabetes, CHD or stroke did not vary across the three groups.
Among individuals at increased familial risk for diabetes, having family members affected with CHD and/or stroke significantly influenced perceived risk and worry. Tailored lifestyle interventions for this group that assess health beliefs and emphasize approaches for preventing diabetes, as well as its vascular complications, may be an effective strategy for reducing the global burden of these serious but related chronic disorders.

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    • "Harwell et al. (2001) found that rural survey participants who were obese and had a family history of diabetes were more likely to consider themselves at risk for diabetes [22]. Dorman et al. (2012) found that those with increased familial risk for diabetes, CHD and stroke had high levels of perceived risk and worry about diabetes [23]. In contrast, Adriannse et al (2003) found that participants in a diabetes screening program with diabetes risk factors such as having a family history, obesity and hypertension, did not perceive themselves to be at increased risk for the disease [24]. "
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