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

Dorman, Janice S.; Valdez, Rodolfo; Liu, Tiebin; Wang, Catharine; Rubinstein, Wendy S.; O'Neill, Suzanne M.; Acheson, Louise S.; Ruffin, Mack T.; Khoury, Muin J.

doi:10.1016/j.diabres.2011.12.017

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

Published Date:

Jan 17 2012

Publisher's site:

http://dx.doi.org/10.1016/j.diabres.2011.12.017 New Site Icon

Source:

Diabetes Res Clin Pract. 2011; 96(2):156-162.

[PDF-90.21 KB]

Details:

Personal Authors:

Dorman, Janice S. ; Valdez, Rodolfo ; Liu, Tiebin ; Wang, Catharine ; Rubinstein, Wendy S. ; ... More ▼

Keywords:

[+]

Pubmed ID:

22257420

Pubmed Central ID:

PMC3905745

Description:

Aim

To evaluate perceived risk, control, worry, and severity about diabetes, coronary heart disease (CHD) and stroke among individuals at increased familial risk of diabetes.

Methods

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).

Results

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.

Conclusions

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.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

CWR-U36/CCU319276 MM0630/PHS HHS/United States
ENH-U50/CCU300860 TS-1216/TS/ATSDR CDC HHS/United States
K07 CA086958/CA/NCI NIH HHS/United States
K07 CA131103/CA/NCI NIH HHS/United States
K07 CA131103/CA/NCI NIH HHS/United States
UM-U36/CCU319276 MM-0789/PHS HHS/United States

Supporting Files:

nihms391538.nxml

application/octet-stream

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