Skip to main content
Top
Published in: BMC Public Health 1/2009

Open Access 01-12-2009 | Research article

Reducing health risk in family members of patients with type 2 diabetes: views of first degree relatives

Authors: David L Whitford, Hannah McGee, Bernadette O'Sullivan

Published in: BMC Public Health | Issue 1/2009

Login to get access

Abstract

Background

Patients with type 2 diabetes can have an important role in discussing health risk within families. This study aimed to establish the acceptability to first degree relatives towards their relative with type 2 diabetes intervening as health promoters in their own families, using the Health Belief Model as a theoretical framework for evaluation.

Methods

Cross-sectional questionnaire design. Survey questionnaire for first degree relative (sibling or child) mailed to a random sample of patients with type 2 diabetes registered with an urban hospital diabetes clinic (n = 607 eligible patients). Patients were asked to pass on questionnaires to one to two first degree relatives.

Results

Questionnaires were returned from 257 families (42% response rate) with two responses provided by 107 families (a total of 364 questionnaires). The majority (94%) of first degree relatives of patients with type 2 diabetes would like to be informed about reducing their risk. Half (48%) of respondents reported being spoken to by a relative with type 2 diabetes about their risk of diabetes. Those spoken to were more likely to see themselves at risk of diabetes, to worry about developing diabetes and to view diabetes as a serious condition.

Conclusions

A role for patients with type 2 diabetes in discussing health risk in their family appears to be acceptable to many relatives. Discussion of risk and interventions to reduce health risk with their relatives should be encouraged in patients with type 2 diabetes.
Appendix
Available only for authorised users
Literature
1.
go back to reference Weijnen CF, Rich SS, Meigs JB, Krolewski AS, Warram JH: Risk of diabetes in siblings of index cases with Type 2 diabetes: implications for genetic studies. Diabetic Medicine. 2002, 19 (1): 41-50. 10.1046/j.1464-5491.2002.00624.x.CrossRefPubMed Weijnen CF, Rich SS, Meigs JB, Krolewski AS, Warram JH: Risk of diabetes in siblings of index cases with Type 2 diabetes: implications for genetic studies. Diabetic Medicine. 2002, 19 (1): 41-50. 10.1046/j.1464-5491.2002.00624.x.CrossRefPubMed
2.
go back to reference Khan A, Lasker SS, Chowdhury TA: Are Spouses of Patients With Type 2 Diabetes at Increased Risk of Developing Diabetes?. Diabetes Care. 2003, 26 (3): 710-712. 10.2337/diacare.26.3.710.CrossRefPubMed Khan A, Lasker SS, Chowdhury TA: Are Spouses of Patients With Type 2 Diabetes at Increased Risk of Developing Diabetes?. Diabetes Care. 2003, 26 (3): 710-712. 10.2337/diacare.26.3.710.CrossRefPubMed
3.
go back to reference Pierce M, Keen H, Bradley C: Risk of diabetes in offspring of parents with non-insulin-dependent diabetes. Diabetic Medicine. 1995, 12 (1): 6-13. 10.1111/j.1464-5491.1995.tb02054.x.CrossRefPubMed Pierce M, Keen H, Bradley C: Risk of diabetes in offspring of parents with non-insulin-dependent diabetes. Diabetic Medicine. 1995, 12 (1): 6-13. 10.1111/j.1464-5491.1995.tb02054.x.CrossRefPubMed
4.
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
5.
go back to reference Hariri S, Yoon PW, Moonesinghe R, Valdez R, Khoury MJ: Evaluation of family history as a risk factor and screening tool for detecting undiagnosed diabetes in a nationally representative survey population. Genetics in Medicine. 2006, 8: 752-759. 10.1097/01.gim.0000250205.73963.f3.CrossRefPubMed Hariri S, Yoon PW, Moonesinghe R, Valdez R, Khoury MJ: Evaluation of family history as a risk factor and screening tool for detecting undiagnosed diabetes in a nationally representative survey population. Genetics in Medicine. 2006, 8: 752-759. 10.1097/01.gim.0000250205.73963.f3.CrossRefPubMed
6.
go back to reference Magnusson PKE, Rasmussen F: Familial resemblance of body mass index and familial risk of high and low body mass index. A study of young men in Sweden. International Journal of Obesity & Related Metabolic Disorders. 2002, 26 (9): 1225-10.1038/sj.ijo.0802041.CrossRef Magnusson PKE, Rasmussen F: Familial resemblance of body mass index and familial risk of high and low body mass index. A study of young men in Sweden. International Journal of Obesity & Related Metabolic Disorders. 2002, 26 (9): 1225-10.1038/sj.ijo.0802041.CrossRef
7.
go back to reference Hunt KJ, Heiss G, Sholinsky PD, Province MA: Familial history of metabolic disorders and the multiple metabolic syndrome: the NHLBI family heart study. Genetic Epidemiology. 2000, 19 (4): 395-409. 10.1002/1098-2272(200012)19:4<395::AID-GEPI10>3.0.CO;2-3.CrossRefPubMed Hunt KJ, Heiss G, Sholinsky PD, Province MA: Familial history of metabolic disorders and the multiple metabolic syndrome: the NHLBI family heart study. Genetic Epidemiology. 2000, 19 (4): 395-409. 10.1002/1098-2272(200012)19:4<395::AID-GEPI10>3.0.CO;2-3.CrossRefPubMed
8.
go back to reference Brenn T: Adult family members and their resemblance of coronary heart disease risk factors: the Cardiovascular Disease Study in Finnmark. European Journal of Epidemiology. 1997, 13 (6): 623-630. 10.1023/A:1007333919898.CrossRefPubMed Brenn T: Adult family members and their resemblance of coronary heart disease risk factors: the Cardiovascular Disease Study in Finnmark. European Journal of Epidemiology. 1997, 13 (6): 623-630. 10.1023/A:1007333919898.CrossRefPubMed
9.
go back to reference Adamson AJ, Foster E, Butler TJ, Bennet S, Walker M: Non-diabetic relatives of Type 2 diabetic families: dietary intake contributes to the increased risk of diabetes. Diabetic Medicine. 2001, 18 (12): 984-990. 10.1046/j.1464-5491.2001.00575.x.CrossRefPubMed Adamson AJ, Foster E, Butler TJ, Bennet S, Walker M: Non-diabetic relatives of Type 2 diabetic families: dietary intake contributes to the increased risk of diabetes. Diabetic Medicine. 2001, 18 (12): 984-990. 10.1046/j.1464-5491.2001.00575.x.CrossRefPubMed
10.
go back to reference Sargeant LA, Wareham NJ, Khaw KT: Family history of diabetes identifies a group at increased risk for the metabolic consequences of obesity and physical inactivity in EPIC-Norfolk: a population-based study. The European Prospective Investigation into Cancer. International Journal of Obesity & Related Metabolic Disorders. 2000, 24 (10): 1333-1339. 10.1038/sj.ijo.0801383.CrossRef Sargeant LA, Wareham NJ, Khaw KT: Family history of diabetes identifies a group at increased risk for the metabolic consequences of obesity and physical inactivity in EPIC-Norfolk: a population-based study. The European Prospective Investigation into Cancer. International Journal of Obesity & Related Metabolic Disorders. 2000, 24 (10): 1333-1339. 10.1038/sj.ijo.0801383.CrossRef
11.
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
12.
go back to reference Becker MH: The Health Belief Model and Sick Role Behavior. Health Education Monographs. 1974, 2: 409-419.CrossRef Becker MH: The Health Belief Model and Sick Role Behavior. Health Education Monographs. 1974, 2: 409-419.CrossRef
13.
go back to reference Wallston KA, Wallston BS, DeVellis R: Development of the Multidimensional Health Locus of Control (MHLC) Scales. Health Education Monographs. 1978, 6 (2): 160-170.CrossRefPubMed Wallston KA, Wallston BS, DeVellis R: Development of the Multidimensional Health Locus of Control (MHLC) Scales. Health Education Monographs. 1978, 6 (2): 160-170.CrossRefPubMed
14.
go back to reference Wilson B, Forrest K, van Teijlingen E, McKee L, Haites N, Matthews E, Simpson S: Family Communication about Genetic Risk: The Little That Is Known. Community Genetics. 2004, 7: 15-24. 10.1159/000080300.PubMed Wilson B, Forrest K, van Teijlingen E, McKee L, Haites N, Matthews E, Simpson S: Family Communication about Genetic Risk: The Little That Is Known. Community Genetics. 2004, 7: 15-24. 10.1159/000080300.PubMed
15.
go back to reference Pierce M, Harding D, Ridout D, Keen H, Bradley C: Risk and prevention of type II diabetes: offspring's views. British Journal of General Practice. 2001, 51 (464): 194-199.PubMedPubMedCentral Pierce M, Harding D, Ridout D, Keen H, Bradley C: Risk and prevention of type II diabetes: offspring's views. British Journal of General Practice. 2001, 51 (464): 194-199.PubMedPubMedCentral
16.
go back to reference Nishigaki M, Kobayashi K, Kato N, Seki N, Yokomura T, Yokoyama M, Kazuma K: Preventive advice given by patients with type 2 diabetes to their offspring. British Journal of General Practice. 2009, 59 (558): 37-42. 10.3399/bjgp09X394842.CrossRefPubMed Nishigaki M, Kobayashi K, Kato N, Seki N, Yokomura T, Yokoyama M, Kazuma K: Preventive advice given by patients with type 2 diabetes to their offspring. British Journal of General Practice. 2009, 59 (558): 37-42. 10.3399/bjgp09X394842.CrossRefPubMed
17.
go back to reference Gnanalingham M, Manns J: Patient Awareness of Genetic and Environmental Risk Factors in Noninsulin- dependent Diabetes Mellitus- Relevance to First-degree Relatives. Diabetic Medicine. 1997, 14: 660-662. 10.1002/(SICI)1096-9136(199708)14:8<660::AID-DIA419>3.0.CO;2-K.CrossRefPubMed Gnanalingham M, Manns J: Patient Awareness of Genetic and Environmental Risk Factors in Noninsulin- dependent Diabetes Mellitus- Relevance to First-degree Relatives. Diabetic Medicine. 1997, 14: 660-662. 10.1002/(SICI)1096-9136(199708)14:8<660::AID-DIA419>3.0.CO;2-K.CrossRefPubMed
18.
go back to reference Whitford D, McGee H, O'Sullivan B: Will People with Type 2 Diabetes Speak to Family Members about Health Risk?. Diabetes Care. 2009, 32: 251-253. 10.2337/dc08-1200.CrossRefPubMedPubMedCentral Whitford D, McGee H, O'Sullivan B: Will People with Type 2 Diabetes Speak to Family Members about Health Risk?. Diabetes Care. 2009, 32: 251-253. 10.2337/dc08-1200.CrossRefPubMedPubMedCentral
19.
go back to reference Lau RR, Hartman KA, Ware JE: Health as a value: methodological and theoretical considerations. Health Psychol. 1986, 5 (1): 25-43. 10.1037/0278-6133.5.1.25.CrossRefPubMed Lau RR, Hartman KA, Ware JE: Health as a value: methodological and theoretical considerations. Health Psychol. 1986, 5 (1): 25-43. 10.1037/0278-6133.5.1.25.CrossRefPubMed
20.
go back to reference Bradley C: Diabetes Onset Locus of Control (DOLoC). Handbook of Psychology and Diabetes. 1994, Switzerland: Harwood Academic, 397- Bradley C: Diabetes Onset Locus of Control (DOLoC). Handbook of Psychology and Diabetes. 1994, Switzerland: Harwood Academic, 397-
Metadata
Title
Reducing health risk in family members of patients with type 2 diabetes: views of first degree relatives
Authors
David L Whitford
Hannah McGee
Bernadette O'Sullivan
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2009
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-9-455

Other articles of this Issue 1/2009

BMC Public Health 1/2009 Go to the issue