Perceived Heart Attack Likelihood in Adults with a High Diabetes Risk
- PMID: 34856501
- PMCID: PMC9675410
- DOI: 10.1016/j.hrtlng.2021.11.007
Perceived Heart Attack Likelihood in Adults with a High Diabetes Risk
Abstract
Background: Heart disease is the leading cause of death for women and men in the United States. Yet, little is known about the motivation for care-seeking behavior for heart attack and the perception of self-risk of a heart attack in individuals, especially those at high risk for developing type 2 diabetes.
Objectives: This study aimed to describe knowledge and awareness of heart attacks and perceived risk for future heart attacks and evaluate factors associated with a low perceived risk of a heart attack in adults with a high risk for type 2 diabetes.
Methods: In this secondary data, cross-sectional study, the screening/baseline data of 80 adults participating in the mobile phone-based diabetes prevention program trial were analyzed. Validated measures assessed knowledge, self-efficacy, and heart attack risk perception were used. Logistic regressions were performed.
Results: The mean (standard deviation) age of participants was 55.4 (9.0) years. 32.5% of the sample failed to identify any heart attack symptoms. Half of the sample did not perceive their risk of having a heart attack in their lifetime. Older age, lower body mass index, not having a family history of heart attack, and current smokers were significantly associated with a lower perceived risk of heart attack (P < .05).
Conclusions: Healthcare providers need to assess the discrepancies between the individual's risk perception and the presence of actual risk factors of a heart attack in adults with a high risk for type 2 diabetes.
Keywords: BMI = body mass index; CI = confidence interval; OR = odds ratio; SD= standard deviation; acute coronary syndrome, cardiovascular diseases, risk perception, diabetes mellitus type 2, prevention, weight loss, Abbreviations: ACS = Acute coronary syndrome.
Copyright © 2021 Elsevier Inc. All rights reserved.
Conflict of interest statement
Declaration of Competing Interest None.
Comment in
-
Comment on: Perceived heart attack likelihood in adults with a high diabetes risk.Heart Lung. 2023 Jul-Aug;60:151-152. doi: 10.1016/j.hrtlng.2023.01.015. Epub 2023 Feb 18. Heart Lung. 2023. PMID: 36801137 No abstract available.
References
-
- Centers for Disease Control and Prevention. Underlying Cause of Death, 1999-2019. 2019. https://wonder.cdc.gov/ucd-icd10.html. Accessed 18 March 2021.
-
- Centers for Disease Control and Prevention. National diabetes statistics report, 2020. Centers for Disease Control and Prevention. Atlanta GA: US Department of Health and Human Services; 2020:12–15.
-
- Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of Obesity and Severe Obesity Among Adults: United States, 2017-2018. NCHS Data Brief. 2020:(360):1–8. - PubMed
-
- Franklin K, Goldberg RJ, Spencer F, et al. Implications of diabetes in patients with acute coronary syndromes: the Global Registry of Acute Coronary Events. Archives of Internal Medicine. 2004;164(13):1457–1463. - PubMed
-
- Berger AK, Schulman KA, Gersh BJ, et al. Primary coronary angioplasty vs thrombolysis for the management of acute myocardial infarction in elderly patients. Jama. 1999;282(4):341–348. - PubMed