Perceived risk of diabetes seriously underestimates actual diabetes risk: The KORA FF4 study
Perceived risk of diabetes seriously underestimates actual diabetes risk: The KORA FF4 study
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DOI：
10.1371/journal.pone.0171152
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发表时间：
2017-01-31
期刊：
影响因子：
3.7
通讯作者：
Meisinger, Christa
中科院分区：
文献类型：
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作者：
Kowall, Bernd;Rathmann, Wolfgang;Meisinger, Christa
糖尿病和糖尿病前期状态的早期检测对患者是有益的，但可能由于患者A对自己的健康过于乐观而被延迟。因此，我们评估了没有已知糖尿病的人如何看待他们患糖尿病或发展糖尿病的风险，并确定了与糖尿病风险感知相关的因素。研究设计和方法来自德国KORA FF 4研究（59.1岁，47.8%男性）的1,953名先前没有已知糖尿病的参与者进行了口服葡萄糖耐量试验。他们估计了他们在六类量表上患未诊断糖尿病（UDM）的概率，并评估了他们未来是否有患糖尿病的风险。结果74%（95%CI：65-82）的UDM患者认为自己患糖尿病的可能性很低或很低。72%（95% CI：69-75）的糖尿病前期患者认为他们没有患糖尿病的风险。在糖尿病前期患者中，认为自己有患糖尿病的风险与自我评估的总体健康状况较差有关（患病率（PR）= 3.1（95%置信区间：1.4-6.8），父母糖尿病（PR = 2.6，1.9-3.4），教育程度高（PR = 1.9（1.4-2.5）），较低年龄（PR = 0.7，0.6-0.8，每增加1个标准差），女性（PR = 1.2，0.9-1.5）和肥胖（PR = 1.5，1.2-2.0）。结论未确诊糖尿病或糖尿病前期的人大大低估了他们患或发展糖尿病的概率。与实际糖尿病风险的相关性相反，男性、受教育程度较低和老年人的糖尿病风险较低。
ObjectiveEarly detection of diabetes and prediabetic states is beneficial for patients, but may be delayed by patients A being overly optimistic about their own health. Therefore, we assessed how persons without known diabetes perceive their risk of having or developing diabetes, and we identified factors associated with perception of diabetes risk.Research design and methods1,953 participants without previously known diabetes from the population-based, German KORA FF4 Study (59.1 years, 47.8% men) had an oral glucose tolerance test. They estimated their probability of having undiagnosed diabetes mellitus (UDM) on a six category scale, and assessed whether they were at risk of developing diabetes in the future. We cross-tabulated glycemic status with risk perception, and fitted robust Poisson regression models to identify determinants of diabetes risk perception.Results74% (95% CI: 65-82) of persons with UDM believed that their probability of having undetected diabetes was low or very low. 72% (95% CI: 69-75) of persons with prediabetes believed that they were not at risk of developing diabetes. In people with prediabetes, seeing oneself at risk of diabetes was associated with self-rated poor general health (prevalence ratio (PR) = 3.1 (95% CI: 1.4-6.8), parental diabetes (PR = 2.6, 1.9-3.4), high educational level (PR = 1.9 (1.4-2.5)), lower age (PR = 0.7, 0.6-0.8, per 1 standard deviation increase), female sex (PR = 1.2, 0.9-1.5) and obesity (PR = 1.5, 1.2-2.0).ConclusionsPeople with undiagnosed diabetes or prediabetes considerably underestimate their probability of having or developing diabetes. Contrary to associations with actual diabetes risk, perceived diabetes risk was lower in men, lower educated and older persons.