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

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dc.contributor.author Vornanen, Marleena
dc.contributor.author Konttinen, Hanna
dc.contributor.author Peltonen, Markku
dc.contributor.author Haukkala, Ari
dc.date.accessioned 2021-06-10T11:57:01Z
dc.date.available 2021-06-10T11:57:01Z
dc.date.issued 2021
dc.identifier.citation 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
dc.identifier.other PURE: 157660444
dc.identifier.other PURE UUID: 9cd0a4e7-c29a-408c-8cf1-218d8c903731
dc.identifier.other WOS: 000560267700001
dc.identifier.other ORCID: /0000-0002-6001-4418/work/95318064
dc.identifier.other ORCID: /0000-0001-8567-1548/work/95318245
dc.identifier.uri http://hdl.handle.net/10138/330831
dc.description.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. en
dc.format.extent 12
dc.language.iso eng
dc.relation.ispartof International Journal of Behavioral Medicine
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject 5144 Social psychology
dc.subject terveyskäyttäytyminen
dc.subject diabetes
dc.subject sydän- ja verisuonitaudit
dc.subject Type 2 diabetes
dc.subject Cardiovascular disease
dc.subject Risk perception
dc.subject Self-efficacy
dc.subject Lifestyle factors
dc.subject Longitudinal
dc.subject ADULTS
dc.subject MODELS
dc.title Diabetes and Cardiovascular Disease Risk Perception and Risk Indicators : a 5-Year Follow-up en
dc.type Article
dc.contributor.organization Open University
dc.contributor.organization Center for Population, Health and Society
dc.contributor.organization Faculty of Social Sciences
dc.contributor.organization Research group of Ari Haukkala
dc.contributor.organization Social Psychology
dc.contributor.organization Sociology
dc.contributor.organization Department of Food and Nutrition
dc.contributor.organization Helsinki Collegium for Advanced Studies
dc.contributor.organization Helsinki Inequality Initiative (INEQ)
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1007/s12529-020-09924-2
dc.relation.issn 1532-7558
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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