Vlaar Everlina M A, Nierkens Vera, Nicolaou Mary, Middelkoop Barend J C, Stronks Karien, van Valkengoed Irene G M
1Department of Public Health,Academic Medical Centre,University of Amsterdam,Meibergdreef 9,K2.204-1,1105 AZ Amsterdam,The Netherlands.
2Department of Public Health,Leiden University Medical Centre,Leiden,The Netherlands.
Public Health Nutr. 2015 Apr;18(6):1109-18. doi: 10.1017/S1368980014001086. Epub 2014 Jun 10.
To evaluate the association between risk perception and attendance in a diabetes prevention programme among South Asians with a high risk for diabetes.
An observational study. We measured risk perception during the baseline interview with causal beliefs, perceived susceptibility and perceived controllability. We used logistic regression to examine the relationship between risk perception and attendance. We adjusted for relevant sociodemographic factors, screening results and psychosocial factors.
The Hague, the Netherlands.
Five hundred and thirty-five Hindustani Surinamese (South Asians) aged 18-60 years from a lifestyle-versus-control intervention for the prevention of diabetes.
In total, 68·2% attended the lifestyle or control intervention. Participants perceived lifestyle and heredity to increase the risk of diabetes and perceived increasing physical activity to decrease it. Only 44·2% of the participants perceived themselves as susceptible to diabetes and only those who perceived a family history of diabetes as a cause of diabetes appeared to be more inclined to attend. However, after adjustment for confounding, the association was not statistically significant.
Risk perception was not significantly associated with attendance. The results suggest that increasing the risk perception alone in this South Asian population is unlikely to increase the attendance at a diabetes prevention programme.
评估糖尿病患病风险高的南亚人群中，风险认知与参加糖尿病预防项目之间的关联。
一项观察性研究。我们在基线访谈期间通过因果信念、感知易感性和感知可控性来衡量风险认知。我们使用逻辑回归分析来检验风险认知与参与率之间的关系。我们对相关的社会人口学因素、筛查结果和心理社会因素进行了调整。
荷兰海牙。
535名年龄在18至60岁之间的印度斯坦苏里南人（南亚人），他们参与了一项预防糖尿病的生活方式与对照干预研究。
总共有68.2%的人参加了生活方式干预或对照干预。参与者认为生活方式和遗传因素会增加患糖尿病的风险，而增加体育活动则会降低风险。只有44.2%的参与者认为自己易患糖尿病，只有那些将糖尿病家族史视为糖尿病病因的人似乎更倾向于参加。然而，在对混杂因素进行调整后，这种关联在统计学上并不显著。
风险认知与参与率没有显著关联。结果表明，仅提高这一南亚人群的风险认知不太可能增加其参加糖尿病预防项目的人数。
