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Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

"I am pregnant and my husband has diabetes. Is there a risk for my child?" A qualitative study of questions asked by email about the role of genetic susceptibility to diabetes

Authors: Suzanne CM van Esch, Martina C Cornel, Frank J Snoek

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

Diabetes Mellitus is a global health problem. Scientific knowledge on the genetics of diabetes is expanding and is more and more utilised in clinical practice and primary prevention strategies. Health consumers have become increasingly interested in genetic information. In the Netherlands, the National Genetic Research and Information Center provides online information about the genetics of diabetes and thereby offers website visitors the opportunity to ask a question per email. The current study aims at exploring people's need of (additional) information about the role of inheritance in diabetes. Results may help to tailor existing clinical and public (online) genetic information to the needs of an increasing population at risk for diabetes.

Methods

A data base with emailed questions about diabetes and inheritance (n = 172) is used in a secondary content analysis. Questions are posted in 2005-2009 via a website providing information about more than 600 inheritable disorders, including all diabetes subtypes. Queries submitted were classified by contents as well as persons' demographic profiles.

Results

Questions were received by diabetes patients (49%), relatives (30%), and partners (21%). Questioners were relatively young (54.8% ≤ 30 years) and predominantly female (83%). Most queries related to type 1 diabetes and concerned topics related to (future) pregnancy and family planning. Questioners mainly asked for risk estimation, but also clarifying information (about genetics of diabetes in general) and advice (mostly related to family planning) was requested. Preventive advice to reduce own diabetes risk was hardly sought.

Conclusions

Genetic information on diabetes provided by professionals or public health initiatives should address patients, as well as relatives and partners. In particular women are receptive to genetic information; they worry about the diabetes related health of (future) offspring. It seems important that information on the contribution of genetics to type 1 diabetes is more readily available. Considering the high prevalence of type 2 diabetes with strong evidence for a genetic predisposition, more effort seems needed to promote awareness around familial clustering and primary prevention.
Literature
1.
go back to reference Unwin N, Whiting D, Gan D, Jacqmain O, Ghyoot G: IDF Diabetes Atlas. 2009, International Diabetes Federation, 4 Unwin N, Whiting D, Gan D, Jacqmain O, Ghyoot G: IDF Diabetes Atlas. 2009, International Diabetes Federation, 4
2.
go back to reference Pearson ER: Recent advances in the genetics of diabetes. Primary Care Diabetes. 2008, 2 (2): 67-72. 10.1016/j.pcd.2007.12.005.CrossRefPubMed Pearson ER: Recent advances in the genetics of diabetes. Primary Care Diabetes. 2008, 2 (2): 67-72. 10.1016/j.pcd.2007.12.005.CrossRefPubMed
3.
go back to reference Erlich H, Valdes AM, Noble J, Carlson JA, Varney M, Concannon P, Mychaleckyj JC, Todd JA, Bonella P, Fear AL, et al: HLA DR-DQ haplotypes and genotypes and type 1 diabetes risk: analysis of the type 1 diabetes genetics consortium families. Diabetes. 2008, 57 (4): 1084-1092. 10.2337/db07-1331.CrossRefPubMedPubMedCentral Erlich H, Valdes AM, Noble J, Carlson JA, Varney M, Concannon P, Mychaleckyj JC, Todd JA, Bonella P, Fear AL, et al: HLA DR-DQ haplotypes and genotypes and type 1 diabetes risk: analysis of the type 1 diabetes genetics consortium families. Diabetes. 2008, 57 (4): 1084-1092. 10.2337/db07-1331.CrossRefPubMedPubMedCentral
4.
go back to reference Hosszufalusi N, Vatay A, Rajczy K, Prohaszka Z, Pozsonyi E, Horvath L, Grosz A, Gero L, Madacsy L, Romics L, et al: Similar genetic features and different islet cell autoantibody pattern of latent autoimmune diabetes in adults (LADA) compared with adult-onset type 1 diabetes with rapid progression. Diabetes Care. 2003, 26 (2): 452-457. 10.2337/diacare.26.2.452.CrossRefPubMed Hosszufalusi N, Vatay A, Rajczy K, Prohaszka Z, Pozsonyi E, Horvath L, Grosz A, Gero L, Madacsy L, Romics L, et al: Similar genetic features and different islet cell autoantibody pattern of latent autoimmune diabetes in adults (LADA) compared with adult-onset type 1 diabetes with rapid progression. Diabetes Care. 2003, 26 (2): 452-457. 10.2337/diacare.26.2.452.CrossRefPubMed
5.
go back to reference Frayling TM: Genome-wide association studies provide new insights into type 2 diabetes aetiology. Nature Review Genetics. 2007, 8 (9): 657-662. 10.1038/nrg2178.CrossRef Frayling TM: Genome-wide association studies provide new insights into type 2 diabetes aetiology. Nature Review Genetics. 2007, 8 (9): 657-662. 10.1038/nrg2178.CrossRef
6.
go back to reference Robitaille J, Grant AM: The genetics of gestational diabetes mellitus: evidence for relationship with type 2 diabetes mellitus. Genetics in Medicine. 2008, 10 (4): 240-250. 10.1097/GIM.0b013e31816b8710.CrossRefPubMed Robitaille J, Grant AM: The genetics of gestational diabetes mellitus: evidence for relationship with type 2 diabetes mellitus. Genetics in Medicine. 2008, 10 (4): 240-250. 10.1097/GIM.0b013e31816b8710.CrossRefPubMed
7.
go back to reference Harrison TA, Hindorff LA, Kim H, Wines RC, Bowen DJ, McGrath BB, Edwards KL: Family history of diabetes as a potential public health tool. American Journal of Preventive Medicine. 2003, 24 (2): 152-159. 10.1016/S0749-3797(02)00588-3.CrossRefPubMed Harrison TA, Hindorff LA, Kim H, Wines RC, Bowen DJ, McGrath BB, Edwards KL: Family history of diabetes as a potential public health tool. American Journal of Preventive Medicine. 2003, 24 (2): 152-159. 10.1016/S0749-3797(02)00588-3.CrossRefPubMed
8.
go back to reference 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?. Genetics in Medicine. 2006, 8 (2): 102-108. 10.1097/01.gim.0000200949.52795.df.CrossRefPubMed 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?. Genetics in Medicine. 2006, 8 (2): 102-108. 10.1097/01.gim.0000200949.52795.df.CrossRefPubMed
9.
go back to reference Claassen L, Henneman L, Janssens AC, Wijdenes-Pijl M, Qureshi N, Walter FM, Yoon PW, Timmermans DR: Using family history information to promote healthy lifestyles and prevent diseases;a discussion of the evidence. BMC Public Health. 2010, 10 (1): 248-10.1186/1471-2458-10-248.CrossRefPubMedPubMedCentral Claassen L, Henneman L, Janssens AC, Wijdenes-Pijl M, Qureshi N, Walter FM, Yoon PW, Timmermans DR: Using family history information to promote healthy lifestyles and prevent diseases;a discussion of the evidence. BMC Public Health. 2010, 10 (1): 248-10.1186/1471-2458-10-248.CrossRefPubMedPubMedCentral
10.
go back to reference Dutta MJ, Pfister R, Kosmoski C: Consumer Evaluation of Genetic Information Online: The Role of Quality on Attitude and Behavioral Intentions. Journal of Computer-Mediated Communication. 2010, 15 (4): 592-605. 10.1111/j.1083-6101.2009.01504.x.CrossRef Dutta MJ, Pfister R, Kosmoski C: Consumer Evaluation of Genetic Information Online: The Role of Quality on Attitude and Behavioral Intentions. Journal of Computer-Mediated Communication. 2010, 15 (4): 592-605. 10.1111/j.1083-6101.2009.01504.x.CrossRef
11.
go back to reference Taylor MR, Alman A, Manchester DK: Use of the Internet by patients and their families to obtain genetics-related information. Mayo Clinic Proceedings. 2001, 76 (8): 772-776. 10.4065/76.8.772.CrossRefPubMed Taylor MR, Alman A, Manchester DK: Use of the Internet by patients and their families to obtain genetics-related information. Mayo Clinic Proceedings. 2001, 76 (8): 772-776. 10.4065/76.8.772.CrossRefPubMed
12.
go back to reference Fox S: Online Health Search 2006. Most internet users start at a search engine when looking for health information online. Very few check the source and date of the information they find. 2006, Washington, DC: Pew Internet & American Life Project Fox S: Online Health Search 2006. Most internet users start at a search engine when looking for health information online. Very few check the source and date of the information they find. 2006, Washington, DC: Pew Internet & American Life Project
13.
14.
go back to reference Bernhardt JM, Lariscy RAW, Parrott RL, Silk KJ, Felter EM: Perceived Barriers to Internet-Based Health Communication on Human Genetics. Journal of Health Communication: International Perspectives. 2002, 7 (4): 325-340.CrossRef Bernhardt JM, Lariscy RAW, Parrott RL, Silk KJ, Felter EM: Perceived Barriers to Internet-Based Health Communication on Human Genetics. Journal of Health Communication: International Perspectives. 2002, 7 (4): 325-340.CrossRef
15.
go back to reference McBride CM, Bowen D, Brody LC, Condit CM, Croyle RT, Gwinn M, Khoury MJ, Koehly LM, Korf BR, Marteau TM, et al: Future Health Applications of Genomics: Priorities for Communication, Behavioral, and Social Sciences Research. American Journal of Preventive Medicine. 2010, 38 (5): 556-565. 10.1016/j.amepre.2010.01.027.CrossRefPubMedPubMedCentral McBride CM, Bowen D, Brody LC, Condit CM, Croyle RT, Gwinn M, Khoury MJ, Koehly LM, Korf BR, Marteau TM, et al: Future Health Applications of Genomics: Priorities for Communication, Behavioral, and Social Sciences Research. American Journal of Preventive Medicine. 2010, 38 (5): 556-565. 10.1016/j.amepre.2010.01.027.CrossRefPubMedPubMedCentral
16.
go back to reference Lea DH, Kaphingst KA, Bowen D, Lipkus I, Hadley DW: Communicating Genetic and Genomic Information: Health Literacy and Numeracy Considerations. Public health genomics. 2010, Lea DH, Kaphingst KA, Bowen D, Lipkus I, Hadley DW: Communicating Genetic and Genomic Information: Health Literacy and Numeracy Considerations. Public health genomics. 2010,
17.
go back to reference Scheuner MT, Sieverding P, Shekelle PG: Delivery of genomic medicine for common chronic adult diseases: a systematic review. JAMA. 2008, 299 (11): 1320-1334. 10.1001/jama.299.11.1320.CrossRefPubMed Scheuner MT, Sieverding P, Shekelle PG: Delivery of genomic medicine for common chronic adult diseases: a systematic review. JAMA. 2008, 299 (11): 1320-1334. 10.1001/jama.299.11.1320.CrossRefPubMed
18.
go back to reference van Esch SCM, Cornel MC, Snoek FJ: Type 2 diabetes and inheritance: what information do diabetes organizations provide on the Internet?. Diabetic Medicine. 2006, 23 (11): 1233-1238. 10.1111/j.1464-5491.2006.01963.x.CrossRefPubMed van Esch SCM, Cornel MC, Snoek FJ: Type 2 diabetes and inheritance: what information do diabetes organizations provide on the Internet?. Diabetic Medicine. 2006, 23 (11): 1233-1238. 10.1111/j.1464-5491.2006.01963.x.CrossRefPubMed
19.
go back to reference Shepperd S, Farndon P, Grainge V, Oliver S, Parker M, Perera R, Bedford H, Elliman D, Kent A, Rose P: DISCERN-Genetics: quality criteria for information on genetic testing. European Journal of Human Genetics. 2006, 14 (11): 1179-1188. 10.1038/sj.ejhg.5201701.CrossRefPubMed Shepperd S, Farndon P, Grainge V, Oliver S, Parker M, Perera R, Bedford H, Elliman D, Kent A, Rose P: DISCERN-Genetics: quality criteria for information on genetic testing. European Journal of Human Genetics. 2006, 14 (11): 1179-1188. 10.1038/sj.ejhg.5201701.CrossRefPubMed
20.
go back to reference Boulos MN: British internet-derived patient information on diabetes mellitus: is it readable?. Diabetes Technololy & Therapeutics. 2005, 7 (3): 528-535.CrossRef Boulos MN: British internet-derived patient information on diabetes mellitus: is it readable?. Diabetes Technololy & Therapeutics. 2005, 7 (3): 528-535.CrossRef
21.
go back to reference Collins FS, Green ED, Guttmacher AE, Guyer MS: A vision for the future of genomics research. Nature. 2003, 422 (6934): 835-847. 10.1038/nature01626.CrossRefPubMed Collins FS, Green ED, Guttmacher AE, Guyer MS: A vision for the future of genomics research. Nature. 2003, 422 (6934): 835-847. 10.1038/nature01626.CrossRefPubMed
22.
go back to reference Khoury MJ: Genetics and genomics in practice: the continuum from genetic disease to genetic information in health and disease. Genetics in Medicine. 2003, 5 (4): 261-268. 10.1097/01.GIM.0000076977.90682.A5.CrossRefPubMed Khoury MJ: Genetics and genomics in practice: the continuum from genetic disease to genetic information in health and disease. Genetics in Medicine. 2003, 5 (4): 261-268. 10.1097/01.GIM.0000076977.90682.A5.CrossRefPubMed
23.
go back to reference Szabo V, Strang VR: Secondary analysis of qualitative data. Advances in Nursing Sciences. 1997, 20 (2): 66-74.CrossRef Szabo V, Strang VR: Secondary analysis of qualitative data. Advances in Nursing Sciences. 1997, 20 (2): 66-74.CrossRef
24.
go back to reference Herring SC: Web content analysis: Expanding the paradigm. The International Handbook of Internet Research. Edited by: Hunsinger J, Allen M, Klastrup L. 2010, Berlin: Springer Verlag, 233-249. Herring SC: Web content analysis: Expanding the paradigm. The International Handbook of Internet Research. Edited by: Hunsinger J, Allen M, Klastrup L. 2010, Berlin: Springer Verlag, 233-249.
25.
go back to reference Peters V, Wester F: KWALITAN. A practical guide for qualitative analysis and Manual for KWALITAN version 4. 1994, Nijmegen: Instituut voor Toegepaste Sociale Wetenschappen Peters V, Wester F: KWALITAN. A practical guide for qualitative analysis and Manual for KWALITAN version 4. 1994, Nijmegen: Instituut voor Toegepaste Sociale Wetenschappen
26.
go back to reference Miles MB, Huberman MA: Qualitative Data Analysis: An Expanded Sourcebook. 1994, Thousand Oaks: Sage Publications, 2 Miles MB, Huberman MA: Qualitative Data Analysis: An Expanded Sourcebook. 1994, Thousand Oaks: Sage Publications, 2
27.
go back to reference Bernhardt JM, McClain J, Parrott RL: Online Health Communication about Human Genetics: Perceptions and Preferences of Internet Users. CyberPsychology & Behavior. 2004, 7 (6): 728-733.CrossRef Bernhardt JM, McClain J, Parrott RL: Online Health Communication about Human Genetics: Perceptions and Preferences of Internet Users. CyberPsychology & Behavior. 2004, 7 (6): 728-733.CrossRef
28.
go back to reference Eriksson-Backa K: Who Uses the Web as a Health Information Source?. Health Informatics Journal. 2003, 9 (2): 93-101. 10.1177/1460458203009002004.CrossRef Eriksson-Backa K: Who Uses the Web as a Health Information Source?. Health Informatics Journal. 2003, 9 (2): 93-101. 10.1177/1460458203009002004.CrossRef
29.
go back to reference Ybarra M, Suman M: Reasons, assessments and actions taken: sex and age differences in uses of Internet health information. Health Education Research. 2008, 23 (3): 512-521. 10.1093/her/cyl062.CrossRefPubMed Ybarra M, Suman M: Reasons, assessments and actions taken: sex and age differences in uses of Internet health information. Health Education Research. 2008, 23 (3): 512-521. 10.1093/her/cyl062.CrossRefPubMed
30.
go back to reference Fox S, Rainie L: The Online Health Care Revolution: How the Web Helps Americans Take Better Care of Themselves. 2000, Washington, DC: Pew Internet & American Life Project Fox S, Rainie L: The Online Health Care Revolution: How the Web Helps Americans Take Better Care of Themselves. 2000, Washington, DC: Pew Internet & American Life Project
31.
go back to reference Koehly LM, Peters JA, Kenen R, Hoskins LM, Ersig AL, Kuhn NR, Loud JT, Greene MH: Characteristics of health information gatherers, disseminators, and blockers within families at risk of hereditary cancer: implications for family health communication interventions. American Journal of Public Health. 2009, 99 (12): 2203-2209. 10.2105/AJPH.2008.154096.CrossRefPubMedPubMedCentral Koehly LM, Peters JA, Kenen R, Hoskins LM, Ersig AL, Kuhn NR, Loud JT, Greene MH: Characteristics of health information gatherers, disseminators, and blockers within families at risk of hereditary cancer: implications for family health communication interventions. American Journal of Public Health. 2009, 99 (12): 2203-2209. 10.2105/AJPH.2008.154096.CrossRefPubMedPubMedCentral
32.
go back to reference Hunt KJ, Schuller KL: The Increasing Prevalence of Diabetes in Pregnancy. Obstetrics and Gynecology Clinics of North America. 2007, 34 (2): 173-199. 10.1016/j.ogc.2007.03.002.CrossRefPubMedPubMedCentral Hunt KJ, Schuller KL: The Increasing Prevalence of Diabetes in Pregnancy. Obstetrics and Gynecology Clinics of North America. 2007, 34 (2): 173-199. 10.1016/j.ogc.2007.03.002.CrossRefPubMedPubMedCentral
33.
go back to reference Lamont SS, Whitford DL, Crosland A: 'Slightly more serious than a cold': Do patients, nurses and GPs take type 2 diabetes seriously?. Primary Health Care Research and Development. 2002, 3: 75-84. 10.1191/1463423602pc094oa.CrossRef Lamont SS, Whitford DL, Crosland A: 'Slightly more serious than a cold': Do patients, nurses and GPs take type 2 diabetes seriously?. Primary Health Care Research and Development. 2002, 3: 75-84. 10.1191/1463423602pc094oa.CrossRef
34.
go back to reference Kemple AM, Zlot AI, Leman RF: Perceived likelihood of developing diabetes among high-risk Oregonians. Preventing Chronic Disease. 2005, 2: A07-Spec noPubMedPubMedCentral Kemple AM, Zlot AI, Leman RF: Perceived likelihood of developing diabetes among high-risk Oregonians. Preventing Chronic Disease. 2005, 2: A07-Spec noPubMedPubMedCentral
35.
go back to reference Adriaanse MC, Snoek FJ, Dekker JM, Spijkerman AMW, Nijpel G, van der Ploeg HM, Heine RJ: Perceived risk for type 2 diabetes in participants in a stepwise population-screening programme. Diabetic Medicine. 2003, 20: 210-215. 10.1046/j.1464-5491.2003.00901.x.CrossRefPubMed Adriaanse MC, Snoek FJ, Dekker JM, Spijkerman AMW, Nijpel G, van der Ploeg HM, Heine RJ: Perceived risk for type 2 diabetes in participants in a stepwise population-screening programme. Diabetic Medicine. 2003, 20: 210-215. 10.1046/j.1464-5491.2003.00901.x.CrossRefPubMed
36.
go back to reference Whitford DL, McGee H, O'Sullivan B: Will People with Type 2 Diabetes Speak to Family Members about Health Risk?. Diabetes Care. 2009, 32 (2): 251-253. 10.2337/dc08-1200.CrossRefPubMedPubMedCentral Whitford DL, McGee H, O'Sullivan B: Will People with Type 2 Diabetes Speak to Family Members about Health Risk?. Diabetes Care. 2009, 32 (2): 251-253. 10.2337/dc08-1200.CrossRefPubMedPubMedCentral
37.
go back to reference Whitford D, McGee H, O'Sullivan B: Reducing health risk in family members of patients with type 2 diabetes: views of first degree relatives. BMC Public Health. 2009, 9 (1): 455-10.1186/1471-2458-9-455.CrossRefPubMedPubMedCentral Whitford D, McGee H, O'Sullivan B: Reducing health risk in family members of patients with type 2 diabetes: views of first degree relatives. BMC Public Health. 2009, 9 (1): 455-10.1186/1471-2458-9-455.CrossRefPubMedPubMedCentral
38.
go back to reference Larsson M: A descriptive study of the use of the Internet by women seeking pregnancy-related information. Midwifery. 2009, 25 (1): 14-20. 10.1016/j.midw.2007.01.010.CrossRefPubMed Larsson M: A descriptive study of the use of the Internet by women seeking pregnancy-related information. Midwifery. 2009, 25 (1): 14-20. 10.1016/j.midw.2007.01.010.CrossRefPubMed
39.
go back to reference d'Agincourt-Canning L: Experiences of genetic risk: disclosure and the gendering of responsibility. Bioethics. 2001, 15 (3): 231-247. 10.1111/1467-8519.00234.CrossRefPubMed d'Agincourt-Canning L: Experiences of genetic risk: disclosure and the gendering of responsibility. Bioethics. 2001, 15 (3): 231-247. 10.1111/1467-8519.00234.CrossRefPubMed
40.
go back to reference Morren M, Rijken M, Baanders AN, Bensing J: Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease. Patient Education and Counseling. 2007, 65 (2): 197-204. 10.1016/j.pec.2006.07.005.CrossRefPubMed Morren M, Rijken M, Baanders AN, Bensing J: Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease. Patient Education and Counseling. 2007, 65 (2): 197-204. 10.1016/j.pec.2006.07.005.CrossRefPubMed
41.
go back to reference Hesse BW, Nelson DE, Kreps GL, Croyle RT, Arora NK, Rimer BK, Viswanath K: Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Archives of Internal Medicine. 2005, 165 (22): 2618-2624. 10.1001/archinte.165.22.2618.CrossRefPubMed Hesse BW, Nelson DE, Kreps GL, Croyle RT, Arora NK, Rimer BK, Viswanath K: Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Archives of Internal Medicine. 2005, 165 (22): 2618-2624. 10.1001/archinte.165.22.2618.CrossRefPubMed
42.
go back to reference Kinmonth AL, Wareham NJ, Hardeman W, Sutton S, Prevost AT, Fanshawe T, Williams KM, Ekelund U, Spiegelhalter D, Griffin SJ: Efficacy of a theory-based behavioural intervention to increase physical activity in an at-risk group in primary care (ProActive UK): a randomised trial. Lancet. 2008, 371 (9606): 41-48. 10.1016/S0140-6736(08)60070-7.CrossRefPubMed Kinmonth AL, Wareham NJ, Hardeman W, Sutton S, Prevost AT, Fanshawe T, Williams KM, Ekelund U, Spiegelhalter D, Griffin SJ: Efficacy of a theory-based behavioural intervention to increase physical activity in an at-risk group in primary care (ProActive UK): a randomised trial. Lancet. 2008, 371 (9606): 41-48. 10.1016/S0140-6736(08)60070-7.CrossRefPubMed
43.
go back to reference Horton ES: Exercise in the treatment of NIDDM. Applications for GDM?. Diabetes. 1991, 40 (Suppl 2): 175-178.CrossRefPubMed Horton ES: Exercise in the treatment of NIDDM. Applications for GDM?. Diabetes. 1991, 40 (Suppl 2): 175-178.CrossRefPubMed
44.
go back to reference Senior V, Marteau TM, Peters TJ: Will genetic testing for predisposition for disease result in fatalism? A qualitative study of parents responses to neonatal screening for familial hypercholesterolaemia. Social Science & Medicine. 1999, 48 (12): 1857-1860.CrossRef Senior V, Marteau TM, Peters TJ: Will genetic testing for predisposition for disease result in fatalism? A qualitative study of parents responses to neonatal screening for familial hypercholesterolaemia. Social Science & Medicine. 1999, 48 (12): 1857-1860.CrossRef
45.
go back to reference Pijl M, Henneman L, Claassen L, Detmar SB, Nijpels G, Timmermans DR: Family history of diabetes: exploring perceptions of people at risk in the Netherlands. Preventing Chronic Disease. 2009, 6 (2): A54-PubMedPubMedCentral Pijl M, Henneman L, Claassen L, Detmar SB, Nijpels G, Timmermans DR: Family history of diabetes: exploring perceptions of people at risk in the Netherlands. Preventing Chronic Disease. 2009, 6 (2): A54-PubMedPubMedCentral
Metadata
Title
"I am pregnant and my husband has diabetes. Is there a risk for my child?" A qualitative study of questions asked by email about the role of genetic susceptibility to diabetes
Authors
Suzanne CM van Esch
Martina C Cornel
Frank J Snoek
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-688

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