Preventive advice given by patients with type 2 diabetes to their offspring.
BACKGROUND
Patients' advice-giving behaviour could be a useful preventive strategy for type 2 diabetes.


OBJECTIVE
To investigate the conditions under which patients offer advice to their offspring and to assess the factors that facilitate advice giving.


METHODS
Cross-sectional observational study.


METHODS
A general hospital with a diabetes clinic in a metropolitan suburb in Japan.


METHODS
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.


CONCLUSIONS
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.
Nishigaki
Masakazu
M
Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, University of Tokyo, Japan. nishigaki-tky@umin.ac.jp
Kobayashi
Koji
K
Kato
Naoko
N
Seki
Naoto
N
Yokomura
Taeko
T
Yokoyama
Mitsunao
M
Kazuma
Keiko
K
D000328:Adult; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000235:genetics / Q000517:prevention & control*; D005260:Female; D020022:Genetic Predisposition to Disease; D006266:Health Education / Q000379:methods*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D012044:Regression Analysis; D012307:Risk Factors; D011795:Surveys and Questionnaires; D055815:Young Adult