Journal of Preventive Medicine and Public Health

  • 제54권3호
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  • Pages.190-198
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  • 2021
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Determinants of Adherence to Diabetes Screening in Iranian Adults With a Positive Family History of Diabetes

  • Malih, Narges (Social Determinants of Health Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences) ;
  • Sohrabi, Mohammad-Reza (Social Determinants of Health Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences) ;
  • Abadi, Alireza (Social Determinants of Health Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences) ;
  • Arshi, Shahnam (Social Determinants of Health Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences)
  • 투고 : 2020.10.10
  • 심사 : 2021.03.14
  • 발행 : 2021.05.31
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초록

Objectives: Insufficient evidence exists regarding factors that affect screening adherence among people with a family history of diabetes, who comprise roughly half of all patients with diabetes. Therefore, we aimed to identify the determinants of diabetes screening adherence in adults with a family history of diabetes who had not yet been diagnosed with diabetes. Methods: This cross-sectional study was conducted at selected urban primary healthcare facilities in Tehran, Iran. The study population was clinically non-diabetic adults above 20 years of age with a family history of diabetes in at least 1 first-degree relative. All eligible people identified on randomly-selected days of the month were invited to join the study. Results: Among 408 participants, 128 (31.4%) had received a fasting blood glucose check during the last year. Using binary logistic regression, the independent predictors of screening adherence were knowledge of adverse effects of diabetes such as sexual disorders (odds ratio [OR], 3.05) and renal failure (OR, 2.73), the impact of family members' advice on receiving diabetes screening (OR, 2.03), recommendation from a healthcare provider to have a fasting blood glucose check (OR, 2.61), and intention to have a fasting blood glucose check within the next 6 months (OR, 2.85). Other variables that predicted screening adherence were age (OR, 1.05), job (being a housekeeper; OR, 3.39), and having a college degree (OR, 3.55). Conclusions: Knowledge of the adverse effects of diabetes, physicians' and healthcare providers' advice about the benefits of early disease detection, and family members' advice were independent predictors of screening adherence.

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과제정보

We would like to express our special thanks to the participants, healthcare providers at selected health centers, and the authorities of the sub-secretary for health of Shahid Beheshti University of Medical Sciences. We wish to acknowledge the support of Research Department of the School of Medicine, Shahid Beheshti University of Medical Sciences for approval of this research. This paper was extracted from a thesis written by Dr. Narges Malih.

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