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Kowall, B.* ; Rathmann, W.G.* ; Stang, A.* ; Bongaerts, B.* ; Kuss, O.* ; Herder, C.* ; Roden, M.* ; Quante, A.S. ; Holle, R. ; Huth, C. ; Peters, A. ; Meisinger, C.

Perceived risk of diabetes seriously underestimates actual diabetes risk: The KORA FF4 study.

PLoS ONE 12:e0171152 (2017)
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Objective: Early detection of diabetes and prediabetic states is beneficial for patients, but may be delayed by patientś 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 methods: 1,953 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. Results: 74% (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). Conclusions: People 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. Copyright:
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Publication type Article: Journal article
Document type Scientific Article
Keywords Impaired Glucose-tolerance; Life-style; German Population; S4/f4 Cohort; Type-2; Adults; Mellitus; Prevalence; People; Prevention
Language english
Publication Year 2017
HGF-reported in Year 2017
ISSN (print) / ISBN 1932-6203
Journal PLoS ONE
Quellenangaben Volume: 12, Issue: 1, Pages: , Article Number: e0171152 Supplement: ,
Publisher Public Library of Science (PLoS)
Publishing Place Lawrence, Kan.
Reviewing status Peer reviewed
Institute(s) Institute of Genetic Epidemiology (IGE)
Institute of Epidemiology (EPI)
Institute of Health Economics and Health Care Management (IGM)
POF-Topic(s) 30501 - Systemic Analysis of Genetic and Environmental Factors that Impact Health
30202 - Environmental Health
90000 - German Center for Diabetes Research
Research field(s) Genetics and Epidemiology
PSP Element(s) G-504100-001
G-504000-002
G-504000-006
G-505300-002
G-501900-401
G-504090-001
PubMed ID 28141837
DOI 10.1371/journal.pone.0171152
WOS ID WOS:000396129500045
Scopus ID 85011256297
Erfassungsdatum 2017-02-27
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