Perception of Risk for Developing Diabetes Among Foreign-Born Spanish-Speaking US Latinos

Diabetes Educ. 2016 Aug;42(4):418-28. doi: 10.1177/0145721716646204. Epub 2016 May 4.

Abstract

Purpose: The purpose of the study was to describe perception of risk for developing diabetes among foreign-born Spanish-speaking US Latinos.

Methods: Participants (N = 146), recruited at food-pantry distribution events and free clinics, were surveyed using the Risk Perception Survey for Developing Diabetes in Spanish. Type 2 diabetes risk factors measured included body mass index, physical activity, and A1C.

Results: Sample characteristics were mean (SD) age of 39.5 (9.9) years, 58% with less than a high school graduate-level education, and 65% with a family income less than $15,000/year. Prevalence of risk factors was 81% overweight or obese, 47% less than 150 minutes/week moderate/vigorous-intensity physical activity, and 12% A1C consistent with prediabetes. Of the 135 participants with complete data, 31% perceived a high/moderate risk for developing diabetes. In univariate logistic regression analyses, 9 of 18 potential variables were significant (P < .05) predictors of perception of risk. When these 9 variables were entered into a multiple logistic regression model, 5 were significant predictors of perception of risk: history of gestational diabetes, high school graduate or above, optimistic bias, worry, and perceived personal disease risk.

Conclusions: Use of the Spanish-language translation of the Risk Perception Survey for Developing Diabetes revealed factors influencing perception of risk for developing diabetes. Results can be used to promote culturally acceptable type 2 diabetes primary prevention strategies and provide a useful comparison to other populations.

MeSH terms

  • Adult
  • Body Mass Index
  • Diabetes Mellitus, Type 2 / ethnology*
  • Diabetes, Gestational / ethnology
  • Exercise
  • Female
  • Hispanic or Latino / psychology*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Obesity / ethnology
  • Overweight / ethnology
  • Perception*
  • Prediabetic State / ethnology
  • Pregnancy
  • Prevalence
  • Risk Factors
  • United States / epidemiology