Exploring Health Beliefs Among Hispanic Adults with Prediabetes

AbstractDiabetes and prediabetes are increasing in prevalence, corresponding to epidemic rates of obesity. Hispanic adults with prediabetes are 1.7 times more likely than non-Hispanic whites to progress to diabetes. We set out to understand health beliefs of Hispanic adults and, with that knowledge, facilitate tailored messaging to promote patient activation and lifestyle change. Using the Risk Perception Survey for Developing Diabetes along with demographic and lifestyle intervention interest questions, a 34-question survey was mailed to a registry of Hispanic adults with a diagnosis of prediabetes and an HbA1c between 5.7 and 6.4% (N  = 414). Despite more than three-quarters of respondents (n = 92; 77%) indicating they had prior knowledge of their diagnosis, overalldiabetes risk knowledge was low. A significant difference indiabetes risk knowledge was found between groups stratified by education level. High scores inpersonal control andworry were reported. Respondents overwhelmingly reported interest in exercise (n  = 92; 77%) and healthy eating interventions (n = 60; 50%) over technology-based interventions. High levels ofworry andpersonal control, combined with low to intermediate levels ofrisk knowledge, indicate an opportunity for education and activation in this community. Healthy eating and exercise programs are possible interventions that may slow the progression from prediabetes to diabetes.
Source: Journal of Community Health - Category: International Medicine & Public Health Source Type: research