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Preventive advice given by patients with type 2 diabetes to their offspring

Authors :
Mitsunao Yokoyama
Taeko Yokomura
Keiko Kazuma
Masakazu Nishigaki
Naoko Kato
Naoto Seki
Koji Kobayashi
Source :
British Journal of General Practice. 59:37-42
Publication Year :
2009
Publisher :
Royal College of General Practitioners, 2009.

Abstract

Background Patients' advice-giving behaviour could be a useful preventive strategy for type 2 diabetes. Aim To investigate the conditions under which patients offer advice to their offspring and to assess the factors that facilitate advice giving. Design of study Cross-sectional observational study. Setting A general hospital with a diabetes clinic in a metropolitan suburb in Japan. Method Parents with type 2 diabetes ( n = 221) who had offspring aged 20–49 years inclusive without diabetes completed a self-administered questionnaire containing items relating to advice-giving behaviour, demographic characteristics, risk perception, and their disease status. Results A total of 184 (83.3%) patients responded that parental advice-giving behaviour is needed for their offspring, while 138 (62.4%) actually advised their offspring. Multiple logistic regression analysis showed that patients who were female (odds ratio [OR] = 1.94, 95% confidence interval [CI] = 1.03 to 3.65, P = 0.041), living with their offspring (OR =1.92, 95% CI = 1.04 to 3.57, P = 0.038), had complications (OR = 2.74, 95% CI = 1.25 to 6.00, P = 0.029), or perceived that their offspring had a high risk of developing diabetes (OR =1.45, 95% CI = 1.09 to 1.93, P = 0.011) were most likely to advise their offspring. Conclusion Patients with type 2 diabetes recognised the need to give advice about preventive behaviour to their offspring but were not necessarily engaging in advice-giving behaviour. Advice-giving behaviour was affected by the parents' own disease status, their perception of their offspring's risk of developing diabetes, and the relationship between the patients and their offspring.

Details

ISSN :
14785242 and 09601643
Volume :
59
Database :
OpenAIRE
Journal :
British Journal of General Practice
Accession number :
edsair.doi.dedup.....37f5f693885f47553e4b07924141068f
Full Text :
https://doi.org/10.3399/bjgp09x394842