The Impact of Personalized Risk Feedback on Mexican Americans' Perceived Risk for Heart Disease and Diabetes

Little is known about the effect of personalized risk information on risk perceptions over time, particularly among ethnically diverse subpopulations. The present study examines Mexican American's (MAs) risk perceptions for heart disease and diabetes at baseline and following receipt of risk fe...

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Bibliographic Details
Published in:Health education research 2014-04, Vol.29 (2), p.222-234
Main Authors: Hovick, Shelly R, Wilkinson, Anna V, Ashida, Sato, de Heer, Hendrik D, Koehly, Laura M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Diabetes
Diabetes Mellitus - ethnology
Diabetes Mellitus - etiology
Diabetes Mellitus - psychology
Family
Feedback
Feedback (Response)
Feedback, Psychological
Female
Health Education - methods
Health Programs
Health Promotion
Heart diseases
Heart Diseases - ethnology
Heart Diseases - etiology
Heart Diseases - psychology
Heart Disorders
Humans
Individualized
Individualized Programs
Male
Mexican Americans
Mexican Americans - psychology
Mexican Americans - statistics & numerical data
Middle Aged
Original
Program Effectiveness
Regression (Statistics)
Risk
Risk Assessment - methods
Risk Factors
Risk perception
Risk reduction
Risk Reduction Behavior
Statistical Analysis
Texas
Young Adult
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Summary:Little is known about the effect of personalized risk information on risk perceptions over time, particularly among ethnically diverse subpopulations. The present study examines Mexican American's (MAs) risk perceptions for heart disease and diabetes at baseline and following receipt of risk feedback based on family health history. Participants comprising 162 households received a pedigree or personalized risk feedback, with or without behavioral risk reduction recommendations. Multiple logistic regression analyses were used to assess lifetime perceived risk (LPR) at baseline, 3 months and 10 months following the receipt of risk feedback. Having an elevated familial risk of heart disease or diabetes increased the odds of an elevated LPR for both diseases at baseline. At 3 months, compared with receipt of a pedigree only, MAs receiving elevated risk feedback for both diseases were more likely to have an elevated LPR for both diseases. At 10 months, participants receiving weak risk feedback for both diseases indicated an adjustment to a lower LPR for heart disease only. Results suggest that communicating risk for multiple diseases may be more effective than a single disease, with responses to increased risk feedback more immediate than to weak risk feedback.
ISSN:0268-1153
1465-3648
DOI:10.1093/her/cyt151