Accuracy of self-perceived risk for common conditions

Brawarsky, Phyllis; Eibensteiner, Katyuska; Klinger, Elissa V.; Baer, Heather J.; Getty, George; Orav, E. John; Colditz, Graham A.; Haas, Jennifer S.

doi:10.1080/2331205x.2018.1463894

Cited by 12 publications

(14 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings are in accordance with previous researches in various conditions, which reported that patients do not correctly perceive their own risk irrespective of their actual risk [48]. Among patients at high risk for developing CVD, 57% underestimated their risk, and a very similar proportion of low/moderate-risk patients (56%) overestimated the risk [48]. In a Brazilian study, asymptomatic subjects with higher CVD risk according to the Framingham risk score or the lifetime risk score were more likely to underestimate their risk than subjects at intermediate risk [51].…”

Section: Discussionsupporting

confidence: 93%

“…Patients at high or very high actual CVD risk tended to underestimate their risk. Our findings are in accordance with previous researches in various conditions, which reported that patients do not correctly perceive their own risk irrespective of their actual risk [48]. Among patients at high risk for developing CVD, 57% underestimated their risk, and a very similar proportion of low/moderate-risk patients (56%) overestimated the risk [48].…”

Section: Discussionsupporting

confidence: 91%

“…Awareness and the accurate perception of their own risk to develop CVD are important to ensure patient's adherence to pharmacological interventions and lifestyle modification recommendations [48][49][50] and, correspondingly, the achievement of better clinical outcomes. The patients in our study did not accurately perceive their risks of developing CVD.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Primary Prevention of Cardiovascular Risk in Lithuania—Results from EUROASPIRE V Survey

Urbonas¹,

Vencevičienė²,

Valius³

et al. 2020

Medicina

View full text Add to dashboard Cite

Background and Objectives: Cardiovascular disease (CVD) prevention guidelines define targets for lifestyle and risk factors for patients at high risk of developing CVD. We assessed the control of these factors, as well as CVD risk perception in patients enrolled into the primary care arm of the European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE V) survey in Lithuania. Materials and Methods: Data were collected as the part of the EUROASPIRE V survey, a multicenter, prospective, cross-sectional observational study. Adults without a documented CVD who had been prescribed antihypertensive medicines and/or lipid-lowering medicines and/or treatment for diabetes (diet and/oral antidiabetic medicines and/or insulin) were eligible for the survey. Data were collected through the review of medical records, patients' interview, physical examination and laboratory tests. Results: A total of 201 patients were enrolled. Very few patients reached targets for low-density lipoprotein cholesterol (LDL-C) (4.5%), waist circumference (17.4%) and body mass index (15.4%). Only 31% of very high CVD risk patients and 52% of high-risk patients used statins. Blood pressure target was achieved by 115 (57.2%) patients. Only 21.7% of patients at very high actual CVD risk and 27% patients at high risk correctly estimated their risk. Of patients at moderate actual CVD risk, 37.5% patients accurately self-assessed the risk. About 60%-80% of patients reported efforts to reduce the intake of sugar, salt or alcohol; more than 70% of patients were current nonsmokers. Only a third of patients reported weight reduction efforts (33.3%) or regular physical activity (27.4%). Conclusions: The control of cardiovascular risk factors in a selected group of primary prevention patients was unsatisfactory, especially in terms of LDL-C level and body weight parameters. Many patients did not accurately perceive their own risk of developing CVD.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Primary Prevention of Cardiovascular Risk in Lithuania—Results from EUROASPIRE V Survey

Urbonas¹,

Vencevičienė²,

Valius³

et al. 2020

Medicina

View full text Add to dashboard Cite

show abstract

“…An accurate awareness of personal risk is an important component in risk-prevention behaviours (Brawarsky et al, 2018). However, there is often a large 'perception gap' between perceived and objectively calculated risks (Cainzos-Achirica & Blaha, 2015).…”

Section: Perceptions Of Riskmentioning

confidence: 99%

Information seeking, personal experiences, and their association with COVID-19 risk perceptions: demographic and occupational inequalities

Brown

Coventry

Pepper

2021

Journal of Risk Research

View full text Add to dashboard Cite

BackgroundThe impacts of COVID-19 are not evenly distributed in society. Understanding the differences in the experiences and perceptions of COVID-19 related risk may help to improve the effectiveness of public health strategies in the future. MethodWe surveyed a nationally representative sample of 496 participants during the strictest period of the UK lockdown. We recorded data to assess people's experiences during the pandemic, information seeking behaviours, and perceptions of COVID-19 related risk. ResultsWe found that key workers reported greater exposure to COVID-19 and more extensive experience of the virus within their social circles. Those key workers who perceived their personal protective equipment to be more effective felt that the virus was less of a threat to their lives. Trust in COVID-19 information was highest in information from the UK Government and NHS, and lowest in information from social media. We also found that men reported lower levels of perceived threat to life from the virus than women and lower occupational class was associated with higher levels of perceived risk amongst those in employment. ConclusionsOur findings highlight that demographic differences in actual risk from COVID-19 are not always accurately reflected by differences in perceived risk. Key workers who feel that they are insufficiently protected by their PPE experience increased levels of fear, which may lead to negative health behaviours. This highlights the need for employers to ensure that key workers feel they are adequately protected from COVID-19. Our findings highlight some of the inequalities in the distribution of risk across society and discuss demographic differences in perceptions of risk. R 2 = .084** 95% CI[.02,.11] Note. A significant b-weight indicates the semi-partial correlation is also significant. b represents unstandardized regression weights. sr 2 represents the semi-partial correlation squared. LL and UL indicate the lower and upper limits of a confidence interval, respectively. * indicates p < .05. ** indicates p < .01.

show abstract

“…Despite extensive efforts to inform parents of their multiple islet autoantibody positive child's high T1D risk, 21% of mothers of these children in stage 1 of T1D underestimated their child's T1D risk 19 . Risk communication is very challenging and the literature is replete with examples of risk underestimation in T1D as well as other diseases 28‐30 . These findings suggest the need to develop better risk communication and intervention tools for targeted populations who have difficulty understanding this complex concept.…”

Section: Discussionmentioning

confidence: 99%

Adherence to oral glucose tolerance testing in children in stage 1 of type 1 diabetes: The TEDDY study

et al. 2021

View full text Add to dashboard Cite

Objective To examine adherence to the oral glucose tolerance test (OGTT) in multiple islet autoantibody children in stage 1 of developing type 1 diabetes (T1D). Methods Children are followed from birth in The Environmental Determinants of Diabetes in the Young (TEDDY) study. Completion of an OGTT is recommended every 6 months in children ≥3 years of age who are multiple islet autoantibody positive. Factors associated with adherence to the OGTT protocol were examined. Results The average subject level adherence with the OGTT protocol was 62% although there were large differences across countries; Finnish participants and older children from Sweden were more adherent than participants from the United States and Germany. Factors associated with nonadherence included having a first‐degree relative with T1D, using a local laboratory rather than a TEDDY center for the OGTT, and maternal underestimation of the child's risk for T1D. Children were more adherent to the OGTT if their mothers: were more satisfied with TEDDY participation, reported monitoring the child for T1D by checking blood glucose levels at home, and viewed participating in TEDDY as the primary way they were monitoring the child for T1D. Conclusions In a study of children in stage 1 of T1D, adherence to an OGTT protocol was suboptimal despite extensive efforts to communicate the child's high risk to parents. These findings provide important guidance for development of strategies to improve methods for detecting progression or the development of T1D in high‐risk pediatric populations.

show abstract

Accuracy of self-perceived risk for common conditions

Cited by 12 publications

References 28 publications

Primary Prevention of Cardiovascular Risk in Lithuania—Results from EUROASPIRE V Survey

Primary Prevention of Cardiovascular Risk in Lithuania—Results from EUROASPIRE V Survey

Information seeking, personal experiences, and their association with COVID-19 risk perceptions: demographic and occupational inequalities

Adherence to oral glucose tolerance testing in children in stage 1 of type 1 diabetes: The TEDDY study

Contact Info

Product

Resources

About