Screening for Type 2 Diabetes in a High-Risk Population: Effects of a Negative Screening Test After 4 Years Follow-up (2024)

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Volume 47 Issue 1 February 2014
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Julie I. Willems, M.Sc.

1Department of Public Health, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, Netherlands

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Suzie J. Otto, Ph.D.

1Department of Public Health, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, Netherlands

a+31-10-7043446,

+31-10-7038474

, s.otto@erasmusmc.nl

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Bart Klijs, Ph.D.

1Department of Public Health, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, Netherlands

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Harry J. de Koning, M.D., PhD.

1Department of Public Health, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, Netherlands

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    Julie I. Willems, Suzie J. Otto, Bart Klijs, Harry J. de Koning, Screening for Type 2 Diabetes in a High-Risk Population: Effects of a Negative Screening Test After 4Years Follow-up, Annals of Behavioral Medicine, Volume 47, Issue 1, February 2014, Pages 102–110, https://doi.org/10.1007/s12160-013-9525-3

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Abstract

Background

A negative diabetes screening test may unin tentionally provide reassurance, resulting in reduced incentive to follow a healthy lifestyle.

Purpose

The purpose of this study is to assess negative test result effects on lifestyle and risk perception at 4years follow-up.

Methods

Risk perception and changes in smoking, physical activity, body mass index (BMI), and waist circumference were compared between 706 high-risk participants with a negative test result and 706 high-risk participants not offered screening (controls) in a randomized controlled trial of diabetes screening.

Results

Negative-screened individuals experienced a small but significant increase in BMI and waist circumference, but there was no significant difference with controls. The negative-screened group had significantly higher perception of risk of developing diabetes (p = 0.009) than controls, but no differences were observed in perceived personal control, worry, and optimistic bias.

Conclusion

Screening negative for diabetes did not lead to overt long-term changes in lifestyle, despite a high perception of risk of developing diabetes. (ISRCTN75983009.)

Diabetes, Screening, Lifestyle, Risk perception, Reassurance

© The Society of Behavioral Medicine 2013

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