RT Journal Article
SR Electronic
T1 Preventive advice given by patients with type 2 diabetes to their offspring
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP 37
OP 42
DO 10.3399/bjgp09X394842
VO 59
IS 558
A1 Masakazu Nishigaki
A1 Koji Kobayashi
A1 Naoko Kato
A1 Naoto Seki
A1 Taeko Yokomura
A1 Mitsunao Yokoyama
A1 Keiko Kazuma
YR 2009
UL http://bjgp.org/content/59/558/37.abstract
AB 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.