Brain complications of diabetes mellitus: a cross-sectional study of awareness among individuals with diabetes and the general population in Ireland

Autor: P. C. Wiehe, C. Loftus, C. Conroy, Brian A. Lawlor, S. Griffin, M. L. Healy, Robert J. Glynn, C. Dolan
Rok vydání: 2018
Předmět:
Adult
Male
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Cross-sectional study
Endocrinology
Diabetes and Metabolism
Population
030209 endocrinology & metabolism
Type 2 diabetes
Diabetes Complications
03 medical and health sciences
0302 clinical medicine
Endocrinology
Diabetic Neuropathies
Diabetes mellitus
Internal Medicine
medicine
Humans
Dementia
Diabetic Nephropathies
030212 general & internal medicine
education
Depression (differential diagnoses)
Aged
Memory Disorders
education.field_of_study
Diabetic Retinopathy
Depression
business.industry
Middle Aged
medicine.disease
Diabetic foot
Diabetic Foot
Stroke
Cross-Sectional Studies
Diabetes Mellitus
Type 1
Logistic Models
Diabetes Mellitus
Type 2
Family medicine
Multivariate Analysis
Female
Observational study
business
Ireland
Zdroj: Diabetic Medicine. 35:871-879
ISSN: 0742-3071
DOI: 10.1111/dme.13639
Popis: Aims To identify awareness of potential brain complications of diabetes among individuals with diabetes and the public. Methods For this observational, cross-sectional survey study, we recruited consecutive adult attendees of a specialist diabetes clinic and two primary care practices. Primary care attendees represented members of the general population of Ireland. An interviewer-administered questionnaire was used to gather data on respondents' awareness of brain complications of diabetes and modifiable risk factors for dementia. Multivariable logistic regression was undertaken to identify variables independently associated with awareness. Results Respondents included a total of 502 adults: 250 in the diabetes group (37% women, mean age 63 ± 14 years, 88% with Type 2 diabetes) and 252 in the general population group (51% women, mean age 47 ± 17 years, 7% with Type 2 diabetes). The diabetes group had significantly greater awareness of diabetes complications, except for depression, compared with the general population group. In the group as a whole, respondent awareness of dementia (35%) and memory problems (47%) as potential complications of diabetes was poor compared with awareness of kidney (84%) and eye damage (84%). Respondents were 1.5 times more likely to identify that individuals can modify their risk of developing Type 2 diabetes than their risk of dementia. Conclusions This study shows that there is poor awareness of brain complications of diabetes among individuals with diabetes and the general population in Ireland. The results suggest a need for expansion of public awareness campaigns and diabetes education programmes to promote awareness of the brain complications of diabetes and of the modifiable risk factors for dementia, as part of a life-course approach to dementia prevention.
Databáze: OpenAIRE
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