Accuracy of self-perceived risk for common conditions.
Accuracy of self-perceived risk for common conditions.
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DOI：
10.1080/2331205x.2018.1463894
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Haas, Jennifer S
中科院分区：
文献类型：
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作者：
Brawarsky, Phyllis;Eibensteiner, Katyuska;Haas, Jennifer S
背景：对常见疾病风险的准确认识对于促进健康的生活方式和防止不必要的焦虑和评估是必要的。我们的目的是确定患者的特点，不准确地认识到他们的风险发展冠心病（CHD），糖尿病（DM），乳腺癌（BC）和结直肠癌（CRC）。方法：使用个性化的疾病风险报告和风险认知调查，受试者（n = 4703）被分为高或低/平均风险和高或低/平均感知风险的每一个条件。模型被用来检查相关因素的风险低估的高风险患者和风险高估的低/平均risk patients.RESULTS：患者在高风险的DM，BC和CRC往往（60%-75%的时间）低估他们的风险，而低/平均风险患者高估他们的风险13%-40%的时间。对于CHD，高风险个体的低估近似于低/平均个体的高估。与癌症高风险的正常体重患者相比，肥胖患者更可能低估他们患BC（OR 3.1，CI 1.9-5.0）和CRC（2.6，1.5-4.5）的风险，超重患者也是如此。超重和肥胖的患者在低/平均风险的糖尿病或冠心病比正常体重的患者更容易高估他们的风险。低/平均风险的女性比男性更有可能高估自己的风险DM（1.3，1.1-1.5）和CHD（1.8，1.5-2.1）。结论：我们的数据显示，体重指数是最一贯与不正确的风险认知的几个常见的条件。
BACKGROUND: Accurate awareness of common disease risk is necessary to promote healthy lifestyles and to prevent unnecessary anxiety and evaluation. Our objective is to identify characteristics of patients who do not accurately perceive their risk of developing coronary heart disease (CHD), diabetes (DM), breast cancer (BC) and colorectal cancer (CRC).METHODS: Using personalized disease risk reports and risk perception surveys, subjects (n = 4703) were classified as high or low/average risk and high or low/average perceived risk for each condition. Models were used to examine factors associated with risk under-estimation by high risk patients and risk over-estimation by low/average risk patients.RESULTS: Patients at high risk for DM, BC and CRC often (60%-75% of the time) under-estimated their risk, while low/average risk patients overestimated their risk 13%-40% of the time. For CHD, under-estimation by high risk individuals approximated over-estimation by low/average individuals. Compared to normal weight patients at high risk for cancer, obese patients were more likely to under-estimate their risk for BC (OR 3.1, CI 1.9-5.0) and CRC (2.6, 1.5-4.5) as were overweight patients. Overweight and obese patients at low/average risk of DM or CHD were more likely than normal weight patients to over-estimate their risk. Low/average risk women were more likely than men to over-estimate their risk of DM (1.3, 1.1-1.5) and CHD (1.8, 1.5-2.1).CONCLUSIONS: Our data show that body mass index is the factor most consistently associated with incorrect risk perceptions for several common conditions.