scholarly journals Are Malaysian Type 2 Diabetes patients willing to be trained to speak to their offspring about risk of diabetes and preventive measures?

2020 ◽  
Author(s):  
Siti Fatimah Badlishah-Sham ◽  
Anis Safura Ramli ◽  
Mohamad Rodi Isa ◽  
Nurzakiah Mohd-Zaki ◽  
David Leonard Whitford
Keyword(s):  
Type 2 Diabetes ◽  
Risk Factor ◽  
Perceived Risk ◽  
Absolute Risk ◽  
Positive Family History ◽  
Diabetes Risk ◽  
Willingness To Accept ◽  
Training Methods ◽  
Diabetes Patients

Abstract Background : Offspring of diabetes patients have an absolute risk of 20-40% of developing the condition. Diabetes patients should be encouraged to speak to their offspring regarding diabetes risk and prevention strategies. The Health Belief Model conceptualises that the higher the perceived risk, the more likely an individual will modify their behaviour. The objectives of this study were to i) determine the distribution of type 2 diabetes patients regarding their willingness to accept training to speak to their offspring, ii) determine the distribution of type 2 diabetes patients regarding their willingness to accept training based on the HBM and iii) to determine the factors associated with their willingness to accept training. Methods : This was a cross-sectional study amongst type 2 diabetes patients attending two primary care clinics in Malaysia. Sociodemographic data and knowledge of diabetes risk factors were collected. The adapted, translated and validated Diabetes Mellitus in the Offspring Questionnaire-Malay version (DMOQ-Malay) was self-administered. Statistical analysis included descriptive statistics, univariate and multiple logistic regression. Results : A total of 425 participants were recruited. Of these, 61.6% were willing to accept training. In MLogR, six variables were found to be significantly associated with willingness to accept training. These were i) positive family history [Adj. OR 2.06 (95% CI: 1.27, 3.35)], ii) having correct knowledge that being overweight is a risk factor [Adj. OR 1.49 (95%CI: 1.01, 2.29)], iii) correctly identifying age 40 years old as a risk factor [Adj. OR 1.88 (95%CI: 1.22, 2.90)], iv) agreeing that speaking to their offspring would help them to prevent type 2 diabetes [Adj. OR 4.34 (95%: 1.07, 17.73)], v) being neutral with the statement ‘I do not have much contact with my offspring’ [Adj. OR: 0.31 (95% CI: 0.12, 0.810] and vi) being neutral with the statement ‘my offspring are not open to advice from me’ [Adj. OR: 0.63 (95% CI: 0.31, 0.84]. Conclusion : The majority of type 2 diabetes patients were willing to accept training to speak to their offspring to prevent diabetes. A training module should be designed to enhance their knowledge, attitude and skills to become family health educators.

scholarly journals Are Malaysian Type 2 Diabetes patients willing to be trained to speak to their offspring about risk of diabetes and preventive measures?

2020 ◽  
Author(s):  
Siti Fatimah Badlishah-Sham ◽  
Anis Safura Ramli ◽  
Mohamad Rodi Isa ◽  
Nurzakiah Mohd-Zaki ◽  
David Leonard Whitford
Keyword(s):  
Type 2 Diabetes ◽  
Risk Factor ◽  
Perceived Risk ◽  
Absolute Risk ◽  
Positive Family History ◽  
Diabetes Risk ◽  
Willingness To Accept ◽  
Training Methods ◽  
Diabetes Patients

Abstract Background : Offspring of diabetes patients have an absolute risk of 20-40% of developing the condition. Diabetes patients should be encouraged to speak to their offspring regarding diabetes risk and prevention strategies. The Health Belief Model conceptualises that the higher the perceived risk, the more likely an individual will modify their behaviour. The objectives of this study were to i) determine the distribution of type 2 diabetes patients regarding their willingness to accept training to speak to their offspring, ii) determine the distribution of type 2 diabetes patients regarding their willingness to accept training based on the HBM and iii) to determine the factors associated with their willingness to accept training. Methods : This was a cross-sectional study amongst type 2 diabetes patients attending two primary care clinics in Malaysia. Sociodemographic data and knowledge of diabetes risk factors were collected. The adapted, translated and validated Diabetes Mellitus in the Offspring Questionnaire-Malay version (DMOQ-Malay) was self-administered. Statistical analysis included descriptive statistics, univariate and multiple logistic regression. Results : A total of 425 participants were recruited. Of these, 61.6% were willing to accept training. In MLogR, six variables were found to be significantly associated with willingness to accept training. These were i) positive family history [Adj. OR 2.06 (95% CI: 1.27, 3.35)], ii) having correct knowledge that being overweight is a risk factor [Adj. OR 1.49 (95%CI: 1.01, 2.29)], iii) correctly identifying age 40 years old as a risk factor [Adj. OR 1.88 (95%CI: 1.22, 2.90)], iv) agreeing that speaking to their offspring would help them to prevent type 2 diabetes [Adj. OR 4.34 (95%: 1.07, 17.73)], v) being neutral with the statement ‘I do not have much contact with my offspring’ [Adj. OR: 0.31 (95% CI: 0.12, 0.810] and vi) being neutral with the statement ‘my offspring are not open to advice from me’ [Adj. OR: 0.63 (95% CI: 0.31, 0.84]. Conclusion : The majority of type 2 diabetes patients were willing to accept training to speak to their offspring to prevent diabetes. A training module should be designed to enhance their knowledge, attitude and skills to become family health educators.

scholarly journals Are Malaysian T2DM patients willing to be trained to speak to their offspring about risk of diabetes and preventive measures?

2019 ◽  
Author(s):  
Siti Fatimah Badlishah-Sham ◽  
Anis Safura Ramli ◽  
Mohamad Rodi Isa ◽  
Nurzakiah Mohd-Zaki ◽  
David Leonard Whitford
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factor ◽  
Perceived Risk ◽  
Absolute Risk ◽  
Positive Family History ◽  
Health Belief ◽  
Diabetes Risk ◽  
Willingness To Accept ◽  
Training Methods ◽  
Cross Sectional

Abstract Background: Offspring of Type 2 Diabetes Mellitus (T2DM) patients have an absolute risk of 20-40% of developing the condition. Therefore, T2DM patients should be encouraged to speak to their offspring regarding diabetes risk and prevention strategies. The Health Belief Model (HBM) conceptualises that the higher the perceived risk, the more likely an individual will modify their behaviour. The objectives of this study were to i) determine the distribution of T2DM patients according to their willingness to accept training to speak to their offspring, ii) determine the distribution of T2DM patients according to their willingness to accept training based on the HBM and iii) to determine the factors associated with their willingness to accept training. Methods: This was a cross-sectional study amongst T2DM patients attending two primary care clinics in Malaysia. Data on socio-demography and knowledge of diabetes risk factors were collected. The adapted, translated and validated Diabetes Mellitus in the Offspring Questionnaire-Malay version (DMOQ-Malay) was self-administered. Statistical analysis included descriptive statistics, univariate and multiple logistic regression (MLogR). Results: A total of 425 participants were recruited. Of these, 61.6% were willing to accept training. In MLogR, six variables were found to be significantly associated with willingness to accept training. These were i) positive family history (Adj. OR 2.06 (95% CI: 1.27, 3.35)), ii) having the correct knowledge that being overweight is a risk factor (Adj. OR 1.49 (95%CI: 1.01, 2.29)), iii) correctly identifying age of more than 40 years old as a risk factor (Adj. OR 1.88 (95%CI: 1.22, 2.90)), iv) agreeing that speaking to their offspring would help them to prevent T2DM (Adj. OR 4.34 (95%: 1.07, 17.73)), v) being neutral with the statement ‘I do not have much contact with my offspring’ (Adj. OR: 0.31 (95% CI: 0.12, 0.810)) and vi) being neutral with the statement ‘my offspring are not open to advice from me’ (Adj. OR: 0.63 (95% CI: 0.31, 0.84)). Conclusion: The majority of T2DM patients were willing to accept training to speak to their offspring to prevent diabetes. A training module should be designed to enhance their knowledge, attitude and skills to become family health educators.

Limited benefit of haemoglobin glycation index as risk factor for cardiovascular disease in type 2 diabetes patients

2019 ◽  
Vol 45 (3) ◽  
pp. 254-260 ◽  
Author(s):  
H.B. Østergaard ◽  
T. Mandrup-Poulsen ◽  
G.F.N. Berkelmans ◽  
Y. van der Graaf ◽  
F.L.J. Visseren ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Risk Factor ◽  
Diabetes Patients

scholarly journals Understanding the complexity of socioeconomic disparities in type 2 diabetes risk: a study of 4.3 million people in Sweden

2019 ◽  
Vol 7 (1) ◽  
pp. e000749 ◽  
Author(s):  
Maria Wemrell ◽  
Louise Bennet ◽  
Juan Merlo
Keyword(s):  
Public Health ◽  
Type 2 Diabetes ◽  
Low Income ◽  
Educational Achievement ◽  
Absolute Risk ◽  
Diabetes Risk ◽  
Socioeconomic Disparities ◽  
Heterogeneous Distribution ◽  
Discriminatory Accuracy

ObjectiveInvestigating demographic and socioeconomic factors as intersecting rather than as separate dimensions may improve our understanding of the heterogeneous distribution of type 2 diabetes in the population. However, this complexity has scarcely been investigated and we still do not know the accuracy of these factors for predicting type 2 diabetes. Improved understanding of the demographic and socioeconomic disparities predicting type 2 diabetes risk in the population would contribute to more precise and effective public health interventions.Research design and methodsWe analyzed the risk of type 2 diabetes among 4 334 030 individuals aged 40–84 years who by 2010 had resided in Sweden for at least 5 years. We stratified the study population into 120 strata defined by categories of age, gender, income, education, and immigration status. We calculated measures of absolute risk (prevalence) and relative risk (prevalence ratio), and quantified the discriminatory accuracy of the information for predicting type 2 diabetes in the population.ResultsThe distribution of type 2 diabetes risk in the population was highly heterogeneous. For instance, immigrated men aged 70–79 years with low educational achievement and low income had a risk around 32 times higher than native women aged 40–49 years with high income and high educational achievement (ie, 17.6% vs 0.5%). The discriminatory accuracy of the information was acceptable.ConclusionA more detailed, intersectional mapping of socioeconomic and demographic distribution of type 2 diabetes can assist in public health management aiming to reduce the prevalence of the disease.

Low plasma lactate concentration as a biomarker of an incompetent brain-pull: A risk factor for weight gain in type 2 diabetes patients

2010 ◽  
Vol 35 (9) ◽  
pp. 1287-1293 ◽  
Author(s):  
Regina van Dyken ◽  
Christian Hubold ◽  
Sonja Meier ◽  
Britta Hitze ◽  
Aja Marxsen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Risk Factor ◽  
Weight Gain ◽  
Lactate Concentration ◽  
Plasma Lactate ◽  
Plasma Lactate Concentration ◽  
Diabetes Patients

Perceived Versus Actual Risk of Type 2 Diabetes by Race and Ethnicity

2018 ◽  
Vol 44 (3) ◽  
pp. 269-277 ◽  
Author(s):  
Kyeongra Yang ◽  
Lynn M. Baniak ◽  
Christopher C. Imes ◽  
JiYeon Choi ◽  
Eileen R. Chasens
Keyword(s):  
Type 2 Diabetes ◽  
Risk Factor ◽  
Risk Perception ◽  
Perceived Risk ◽  
Weight Status ◽  
Activity Level ◽  
Lifestyle Modifications ◽  
Family History Of Diabetes ◽  
Actual Risk

Purpose The purpose of this study was to examine associations between perceived risk and actual risk of type 2 diabetes by race and/or ethnicity. Methods The study sample included 10 999 adults from the 2011 to 2014 National Health and Nutrition Examination Survey. Sociodemographic, clinical, and behavioral data were collected using interviews and physical examinations. Participants were asked if they felt at risk for diabetes or prediabetes and then asked the reasons why. Data analyses were conducted with SAS to properly analyze complex survey data. Results About 86% of the sample (n = 9496) answered the risk perception question for diabetes, and among those, 28.4% indicated having a high perceived risk. Among this subsample, 38.3% were identified as having an actual risk for prediabetes or diabetes according to the American Diabetes Association guidelines. Across all race groups, the most frequently reported risk factors participants believed to contribute to their risk for diabetes were family history of diabetes, obesity, and poor diet habits. When the percentage of participants with an actual risk factor who correctly perceived it as a risk factor was examined, fewer Asians correctly perceived weight status and physical activity level as a risk for diabetes in contrast to the other racial/ethnic groups. Conclusions Our study showed that when perception was compared to actual risks, associations differed statistically by race. It will be essential to discuss their risk perception to proper screening for diabetes and relevant lifestyle modifications to prevent and delay the onset of diabetes.

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