Diabetes and Cardiovascular Disease Risk Perception and Risk Indicators : a 5-Year Follow-up

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Vornanen , M , Konttinen , H , Peltonen , M & Haukkala , A 2021 , ' Diabetes and Cardiovascular Disease Risk Perception and Risk Indicators : a 5-Year Follow-up ' , International Journal of Behavioral Medicine , vol. 28 , pp. 337–348 . https://doi.org/10.1007/s12529-020-09924-2

Title: Diabetes and Cardiovascular Disease Risk Perception and Risk Indicators : a 5-Year Follow-up
Author: Vornanen, Marleena; Konttinen, Hanna; Peltonen, Markku; Haukkala, Ari
Contributor organization: Open University
Center for Population, Health and Society
Faculty of Social Sciences
Research group of Ari Haukkala
Social Psychology
Department of Food and Nutrition
Helsinki Collegium for Advanced Studies
Helsinki Inequality Initiative (INEQ)
Date: 2021
Language: eng
Number of pages: 12
Belongs to series: International Journal of Behavioral Medicine
ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-020-09924-2
URI: http://hdl.handle.net/10138/330831
Abstract: Background Perceived disease risk may reflect actual risk indicators and/or motivation to change lifestyle. Yet, few longitudinal studies have assessed how perceived risk relates to risk indicators among different disease risk groups. We examined in a 5-year follow-up, whether perceived risks of diabetes and cardiovascular disease predicted physical activity, body mass index (BMI kg/m(2)), and blood glucose level, or the reverse. We examined further whether perceived risk, self-efficacy, and outcome beliefs together predicted changes in these risk indicators. Method Participants were high diabetes risk participants (N = 432) and low/moderate-risk participants (N = 477) from the national FINRISK 2002 study who were followed up in 2007. Both study phases included questionnaires and health examinations with individual feedback letters. Data were analyzed using gender- and age-adjusted structural equation models. Results In cross-lagged autoregressive models, perceived risks were not found to predict 5-year changes in physical activity, BMI, or 2-h glucose. In contrast, higher BMI and 2-h glucose predicted 5-year increases in perceived risks (beta-values 0.07-0.15,P-values <0.001-0.138). These associations were similar among high- and low/moderate-risk samples. In further structural equation models, higher self-efficacy predicted increased physical activity among both samples (beta-values 0.10-0.16,P-values 0.005-0.034). Higher outcome beliefs predicted lower BMI among the low/moderate-risk sample (beta-values - 0.04 to - 0.05,P-values 0.008-0.011). Conclusion Perceived risk of chronic disease rather follows risk indicators than predicts long-term lifestyle changes. To promote sustained lifestyle changes, future intervention studies need to examine the best ways to combine risk feedback with efficient behavior change techniques.
Subject: 5144 Social psychology
sydän- ja verisuonitaudit
Type 2 diabetes
Cardiovascular disease
Risk perception
Lifestyle factors
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion

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