Risk perception for diabetes among women with histories of gestational diabetes mellitus
Risk perception for diabetes among women with histories of gestational diabetes mellitus
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DOI：
10.2337/dc07-0618
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发表时间：
2007-09-01
期刊：
影响因子：
16.2
通讯作者：
Walker, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Kim, Catherine;McEwen, Laura N.;Walker, Elizabeth A.
目的-研究糖尿病的风险认知的妇女与历史的妊娠期糖尿病（GDM）。研究设计和方法-我们调查了217名妇女与历史的GDM谁参加了管理式护理计划，目前没有糖尿病。在一个横断面设计中，我们评估了风险认知与当前生活方式行为实践、改变行为的计划和最近生活方式行为变化之间的关联。多变量模型包括参与者的特征以及风险感知的潜在修正因素（糖尿病危险因素的知识，乐观的偏见，感知的个人控制，以及对生活方式改变的益处和障碍的信念）.结果-90%的妇女认识到GDM是未来糖尿病的危险因素，但只有16%的人认为他们自己有很高的机会患糖尿病;当妇女被要求估计她们的风险时，她们认为的风险增加到39%，假设她们保持目前的生活方式。每天食用三份或三份以上但少于五份水果和蔬菜的女性报告中/高风险感知的几率较低（调整后的比值比[OR] 0. 39 [95% CI 0. 39]）。16 - 0.92]），尽管在进一步调整收入后这种关联并不显著，但认为自己处于中度/高度风险的女性更经常计划改变未来的生活方式行为（9.1 [0.16-0.92]）.结论-尽管了解GDM和产后糖尿病之间的关系，有GDM病史的妇女通常不认为自己处于高风险中。
OBJECTIVE - To examine risk perception for diabetes among women with histories of gestational diabetes mellitus (GDM).RESEARCH DESIGN AND METHODS - We surveyed 217 women with histories of GDM who were enrolled in a managed-care plan and who did not currently have diabetes. In a cross-sectional design, we assessed the associations between risk perceptions and current lifestyle behavioral practices, plans to modify behaviors, and recent lifestyle behavior changes. Multivariable models included participant characteristics as well as potential modifiers of risk perception (knowledge of diabetes risk factors, optimistic bias, perceived personal control, and beliefs in the benefits and barriers of lifestyle modification).RESULTS - Ninety percent of women recognized that GDM was a risk factor for future diabetes, but only 16% believed that they themselves had a high chance of developing diabetes; perceived risk increased to 39% when women were asked to estimate their risk assuming they maintained their current lifestyle. Women who consumed three or more but less than five servings a day of fruits and vegetables reported lower odds of moderate/high risk perception (adjusted odds ratio [OR] 0.39 [95% Cl 0. 16 - 0.92]) than women who consumed less than three servings a day, although this association was not significant after further adjustment for income, Women Who perceived themselves to be at moderate/high risk more often planned to modify their future lifestyle behaviors (9.1 [0.16-0.92]).CONCLUSIONS - Despite understanding the association between GDM and postpartum diabetes, women with histories of GDM usually do not perceive themselves to be at elevated risk.