Castillo-Arriaga Alexis, Delgado-Sánchez Verónica, Carmona-Suazo J Antonio
Facultad de Medicina, Universidad Autónoma del Estado de México, Mexico.
Rev Med Inst Mex Seguro Soc. 2006 Nov-Dec;44(6):505-10.
To describe the relation between risk perception of people with relatives who have been hospitalized with diabetes mellitus, and also their modifiable risk factors.
We applied a validated questionnaire to a hundred of people who have any relatives with diabetes mellitus, because we wanted to know their perception for risk of this disease and their modifiable risk factors, as obesity, sedentary life style and meals. We think that the relatives who have two or more modifiable risk factors have a higher probability to develop diabetes mellitus than the relatives who have only one of them.
The risk perception to develop diabetes in patients' relatives could be 87%; 67% has fat, and 73% has a sedentary life style. So, the relation among the modification of risk factors and the risk perception towards diabetes mellitus was not really significant (p = 0.399, RR 0.94, IC 0.80-1.10 to 95%), but there is a statistical relation among high risk for diabetes mellitus acquisition and gender (chi2 5.0, p < 0.05, RR 1.61, IC 1.00 < Rr -2.58), when we associate the variable age and obesity (chi2 7.9, p < 0.05, RR 0.59, IC 0.37-0.93).
More of 50 % patients' relatives are in a high risk to develop diabetes mellitus because they have a similar life style than the patient had before getting the illness. For this reason, we suggest a different educational and cultural orientation in Mexico to identify all people in risk and do following of previous parameters about their health.
描述糖尿病住院患者亲属的风险认知与其可改变的风险因素之间的关系。
我们对100名有糖尿病亲属的人应用了一份经过验证的问卷，因为我们想了解他们对这种疾病风险的认知以及他们可改变的风险因素，如肥胖、久坐的生活方式和饮食。我们认为有两个或更多可改变风险因素的亲属比只有一个此类因素的亲属患糖尿病的可能性更高。
患者亲属患糖尿病的风险认知可能为87%；67%的人肥胖，73%的人生活方式久坐。因此，风险因素的改变与对糖尿病的风险认知之间的关系并不显著（p = 0.399，相对危险度0.94，95%置信区间0.80 - 1.10），但在考虑年龄和肥胖变量时，糖尿病患病高风险与性别之间存在统计学关系（卡方值5.0，p < 0.05，相对危险度1.61，置信区间1.00 < 相对危险度 - 2.58）（卡方值7.9，p < 0.05，相对危险度0.59，置信区间0.37 - 0.93）。
超过50%的患者亲属因生活方式与患者患病前相似而处于患糖尿病的高风险中。因此，我们建议在墨西哥进行不同的教育和文化指导，以识别所有处于风险中的人群，并遵循先前关于他们健康的参数。
