We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Association of Type 2 Diabetes Risk Perception With Interest in Diabetes Prevention Strategies Among Women With a History of Gestational Diabetes.
- Authors
Vu, Amanda; Turk, Norman; Duru, O. Kenrik; Mangione, Carol M.; Panchal, Hemali; Amaya, Sarah; Castellon-Lopez, Yelba; Norris, Keith; Moin, Tannaz
- Abstract
Objectives: The aims of this study were to identify predictors of perception of type 2 diabetes risk in women with a history of gestational diabetes mellitus (GDM) and to determine factors associated with interest in evidence-based strategies for type 2 diabetes prevention. Research Design and Methods: We surveyed women with a history of GDM who had not progressed to type 2 diabetes from a large academic medical center. We used multivariate logistic regression to assess predictors of high levels of perception of type 2 diabetes risk. We also tested associations between risk perception and interest in a lifestyle change program and/or metformin therapy. Results: In our diverse sample of 264 women, 28% were unaware that GDM is a risk factor for incident type 2 diabetes after pregnancy, and 48% believed their personal risk of type 2 diabetes was low. In multivariate analyses, family history of diabetes (odds ratio [OR] 2.2, 95% CI 1.2–4.4) and knowledge of GDM as a risk factor for incident type 2 diabetes (OR 4.5, 95% CI 2.1–9.8) were significant predictors of greater perception of type 2 diabetes risk. Women with higher risk perception were more likely to express interest in a lifestyle change program compared with women with lower risk perception (OR 2.4, 95% CI 1.3–4.5). Conclusion: Although some women are aware that GDM is a risk factor for incident type 2 diabetes, many still perceive their own risk of developing type 2 diabetes as low. Higher risk perception predicted interest in an evidence-based diabetes prevention program, highlighting the importance of personalized risk assessment and communication about risk for women who have had GDM.
- Subjects
NOSOLOGY; CROSS-sectional method; MULTIPLE regression analysis; EVIDENCE-based medicine; TYPE 2 diabetes; ATTITUDES toward illness; RISK assessment; SURVEYS; HEALTH behavior; QUESTIONNAIRES; DESCRIPTIVE statistics; RESEARCH funding; GESTATIONAL diabetes; METFORMIN; ELECTRONIC health records; BODY mass index; DATA analysis software; BEHAVIOR modification; DISEASE risk factors
- Publication
Diabetes Spectrum, 2022, Vol 35, Issue 3, p335
- ISSN
1040-9165
- Publication type
Article
- DOI
10.2337/ds21-0056