Browse > Article
http://dx.doi.org/10.3961/jpmph.20.496

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)
Publication Information
Journal of Preventive Medicine and Public Health / v.54, no.3, 2021 , pp. 190-198 More about this Journal
Abstract
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.
Keywords
Blood glucose; Diabetes mellitus; Intention; Medical history taking; Mass screening;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Al-Sahouri A, Merrell J, Snelgrove S. Attitudes, knowledge, and perceptions of patients regarding type-2 diabetes in Jordan. J Diabetes Mellit 2019;9:1-13.   DOI
2 Baptiste-Roberts K, Gary TL, Beckles GL, Gregg EW, Owens M, Porterfield D, et al. Family history of diabetes, awareness of risk factors, and health behaviors among African Americans. Am J Public Health 2007;97(5):907-912.   DOI
3 Polubriaginof FC, Shang N, Hripcsak G, Tatonetti NP, Vawdrey DK. Low screening rates for diabetes mellitus among family members of affected relatives. AMIA Annu Symp Proc 2018;2018:1471-1477.
4 Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract 2014;103(2): 137-149.   DOI
5 Aalavi Nia S, Ghotbi M, Mahdavi Hazaveh A, Kermanchi J, Nasli Isffahani AY. National diabetes type 2 prevention and contral program; 2012 [cited 2020 Oct 1]. Available from: https://www.gums.ac.ir/Upload/Modules/Contents/asset90/1500.pdf (Persian).
6 World Health Organization. Global status report on noncommunicable diseases 2014 [cited 2020 Oct 1]. Available from: https://apps.who.int/iris/bitstream/handle/10665/148114/9789241564854_eng.pdf?sequence=1.
7 Hariri S, Yoon PW, Qureshi N, Valdez R, Scheuner MT, Khoury MJ. Family history of type 2 diabetes: a population-based screening tool for prevention? Genet Med 2006;8(2):102-108.   DOI
8 Ang BW, Tan MY, Goh CM, Rahardja S, Lim BY, Chiew W, et al. Impact of knowledge and attitudes on lifestyle practices in preventing type 2 diabetes mellitus. Ann Acad Med Singap 2019;48(8):247-263.   DOI
9 Konduru SS, Ranjan A, Karthik SM, Shaik S, Vakkapatla LS. Assessment of diabetes related knowledge, attitude and practice among diabetics and non-diabetics using self prepared questionnaire for awareness of health promotion. Indian J Pharm Pract 2017;10(1):33-38.
10 Tayefi B, Sohrabi MR, Kasaeian A. Patients' satisfaction with the diabetes control and prevention program in Tehran, Iran: a cross sectional study. J Res Health Sci 2015;15(4):239-243.
11 Cowie CC, Harris MI, Eberhardt MS. Frequency and determinants of screening for diabetes in the U.S. Diabetes Care 1994; 17(10):1158-1163.   DOI
12 American Diabetes Association. Standards of medical care in diabetes--2013. Diabetes Care 2013;36(Suppl 1):S11-S66.   DOI
13 Ajzen I. Constructing a theory of planned behavior questionnaire. Amherst: University of Massachusetts; 2006, p. 1-7.
14 Champion VL. Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health 1999;22(4):341-348.   DOI
15 Wilson SE, Rosella LC, Lipscombe LL, Manuel DG. The effectiveness and efficiency of diabetes screening in Ontario, Canada: a population-based cohort study. BMC Public Health 2010;10:506.   DOI
16 Teo CH, Ng CJ, Booth A, White A. Barriers and facilitators to health screening in men: a systematic review. Soc Sci Med 2016;165:168-176.   DOI
17 Najafipour M, Zareizadeh M, Najafipour F. Epidemiologic study of familial type 2 diabetes in Tehran. J Adv Pharm Technol Res 2018;9(2):56-60.   DOI
18 Chang MH, Valdez R, Ned RM, Liu T, Yang Q, Yesupriya A, et al. Influence of familial risk on diabetes risk-reducing behaviors among U.S. adults without diabetes. Diabetes Care 2011;34(11):2393-2399.   DOI
19 Shah BR, Booth GL. Predictors and effectiveness of diabetes self-management education in clinical practice. Patient Educ Couns 2009;74(1):19-22.   DOI
20 Nijhof N, ter Hoeven CL, de Jong MD. Determinants of the use of a diabetes risk-screening test. J Community Health 2008; 33(5):313-317.   DOI
21 De la Cruz AK, Tan CC, Cruz MD. Diabetes-related attitudes of health care providers in rural health centers in Aklan, Philippines using the Filipino version of Diabetes Attitude Scale (DAS-3). J ASEAN Fed Endocr Soc 2019;34(2):180-188.   DOI
22 Okosun IS, Davis-Smith M, Seale JP. Awareness of diabetes risks is associated with healthy lifestyle behavior in diabetes free American adults: evidence from a nationally representative sample. Prim Care Diabetes 2012;6(2):87-94.   DOI
23 Zlot AI, Bland MP, Silvey K, Epstein B, Mielke B, Leman RF. Influence of family history of diabetes on health care provider practice and patient behavior among nondiabetic Oregonians. Prev Chronic Dis 2009;6(1):A27.
24 Hariri S, Yoon PW, Moonesinghe R, Valdez R, Khoury MJ. Evaluation of family history as a risk factor and screening tool for detecting undiagnosed diabetes in a nationally representative survey population. Genet Med 2006;8(12):752-759.   DOI
25 Morrison MK, Lowe JM, Collins CE. Perceived risk of type 2 diabetes in Australian women with a recent history of gestational diabetes mellitus. Diabet Med 2010;27(8):882-886.   DOI
26 Karvonen M, Viik-Kajander M, Moltchanova E, Libman I, LaPorte R, Tuomilehto J. Incidence of childhood type 1 diabetes worldwide. Diabetes Mondiale (DiaMond) Project Group. Diabetes Care 2000;23(10):1516-1526.   DOI
27 Edelman D, Edwards LJ, Olsen MK, Dudley TK, Harris AC, Blackwell DK, et al. Screening for diabetes in an outpatient clinic population. J Gen Intern Med 2002;17(1):23-28.   DOI
28 Badlishah-Sham SF, Ramli AS, Isa MR, Mohd-Zaki N, Whitford DL. Are Malaysian type 2 diabetes patients willing to be trained to speak to their offspring about risk of diabetes and preventive measures? BMC Fam Pract 2020;21(1):50.   DOI
29 World Health Organization. Diabetes [cited 2020 Oct 1]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/diabetes.
30 Omolafe A, Mouttapa M, McMahan S, Tanjasri SP. We are family: family history of diabetes among African Americans and its association to perceived severity, knowledge of risk factors, and physical activity levels. Calif J Health Promot 2010;8(1):88-97.   DOI
31 Annis AM, Caulder MS, Cook ML, Duquette D. Family history, diabetes, and other demographic and risk factors among participants of the National Health and Nutrition Examination Survey 1999-2002. Prev Chronic Dis 2005;2(2):A19.
32 Azizi F, Hadaegh F. The increasing rate of diabetes and pre-diabetes in Iran. Iran J Endocrinol Metab 2015;17(1):1-3 (Persian).
33 Beagley J, Guariguata L, Weil C, Motala AA. Global estimates of undiagnosed diabetes in adults. Diabetes Res Clin Pract 2014; 103(2):150-160.   DOI
34 O Connor JM, Millar SR, Buckley CM, Kearney PM, Perry IJ. The prevalence and determinants of undiagnosed and diagnosed type 2 diabetes in middle-aged Irish adults. PLoS One 2013;8(11):e80504.   DOI
35 Mykkanen L, Laakso M, Uusitupa M, Pyorala K. Prevalence of diabetes and impaired glucose tolerance in elderly subjects and their association with obesity and family history of diabetes. Diabetes Care 1990;13(11):1099-1105.   DOI
36 Tessaro I, Smith SL, Rye S. Knowledge and perceptions of diabetes in an Appalachian population. Prev Chronic Dis 2005;2(2):A13.
37 Lawrence JM, Bennett P, Young A, Robinson AM. Screening for diabetes in general practice: cross sectional population study. BMJ 2001;323(7312):548-551.   DOI
38 Harrison TA, Hindorff LA, Kim H, Wines RC, Bowen DJ, McGrath BB, et al. Family history of diabetes as a potential public health tool. Am J Prev Med 2003;24(2):152-159.   DOI
39 Suchindran S, Vana AM, Shaffer RA, Alcaraz JE, McCarthy JJ. Racial differences in the interaction between family history and risk factors associated with diabetes in the National Health and Nutritional Examination Survey, 1999-2004. Genet Med 2009;11(7):542-547.   DOI