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Preventive advice given by patients with type 2 diabetes to their offspring
University of Tokyo, Japan .
University of Tokyo, Japan .
University of Tokyo, Japan .
Social Insurance Funabashi Central Hospital, Japan .
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2009 (English)In: British Journal of General Practice, ISSN 0960-1643, Vol. 59, no 558, 37-42 p.Article in journal (Refereed) Published
Abstract [en]


Patients' advice-giving behaviour could be a useful preventive strategy for type 2 diabetes.


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


Cross-sectional observational study.


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


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.


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.


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.

Place, publisher, year, edition, pages
Royal College of General Practitioners , 2009. Vol. 59, no 558, 37-42 p.
Keyword [en]
diabetes mellitus; type 2; family; parent-child relations; primary prevention
National Category
Health Sciences
URN: urn:nbn:se:liu:diva-111204DOI: 10.3399/bjgp09X394842ISI: 000263480500009PubMedID: 19105914OAI: diva2:754437

Funding Agencies|Japan Society for the Promotion of Science [16209064]

Available from: 2014-10-10 Created: 2014-10-10 Last updated: 2014-10-20Bibliographically approved

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Kato, Naoko
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