西班牙裔社区样本中的心血管和糖尿病风险认知。
Cardiovascular and diabetes risk perception in a Hispanic community sample.
机构信息
Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA.
出版信息
Ethn Dis. 2012 Winter;22(1):5-11.
PURPOSE
We examined perceptions of 10-year coronary heart disease (CHD) risk or likelihood of having undiagnosed diabetes or impaired fasting glucose (IFG) with actual risk in a community sample of Hispanic adults.
METHODS
We conducted a survey of 183 Hispanic adults (> or =18 years) recruited at community events around Charleston, SC. Likelihood of having undiagnosed diabetes/IFG as well as 10-year CHD risk were calculated. Perceived risk was assessed with questions based on the Risk Perception Survey-Diabetes Mellitus.
RESULTS
Over half of respondents (54.8%) underestimated their likelihood of undiagnosed diabetes/IFG and 14.8% underestimated their 10-year CHD risk. Older and overweight respondents were more likely to underestimate their likelihood of undiagnosed diabetes/IFG. Respondents with family history of diabetes were the least likely to underestimate their likelihood of current undiagnosed diabetes/IFG. Respondents with diagnosed hypertension, diabetes, high cholesterol or a family history of heart attack were more likely to underestimate their 10-year CHD risk. Men were more likely to underestimate their risk for diabetes/IFG and CHD risk.
CONCLUSIONS
Health education to improve accurate risk perception could improve health promotion for this population.
目的
我们在南卡罗来纳州查尔斯顿市周围的社区活动中招募了 183 名西班牙裔成年人，调查了他们对 10 年冠心病（CHD）风险或未确诊糖尿病或空腹血糖受损（IFG）可能性的看法与实际风险之间的差异。
方法
我们对 183 名（年龄≥18 岁）西班牙裔成年人进行了一项调查。计算了未确诊糖尿病/IFG 的可能性以及 10 年 CHD 风险。通过基于“糖尿病风险感知调查”的问题来评估感知风险。
结果
超过一半的受访者（54.8%）低估了他们未确诊糖尿病/IFG 的可能性，而 14.8%低估了他们 10 年 CHD 风险。年龄较大和超重的受访者更有可能低估他们未确诊糖尿病/IFG 的可能性。有糖尿病家族史的受访者最不可能低估当前未确诊糖尿病的可能性。患有高血压、糖尿病、高胆固醇或心脏病家族史的受访者更有可能低估他们 10 年 CHD 风险。男性更有可能低估他们患糖尿病/IFG 和 CHD 的风险。
结论
改善准确风险感知的健康教育可以改善该人群的健康促进。
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