Pacific Islanders' perceived risk of cardiovascular disease and diabetes

What Is the Flag We Rally Around? Trust in Information Sources at the Outset of the COVID-19 Pandemic in Latvia

Trust in information sources about COVID-19 may influence the public attitude toward the disease and the imposed restrictions, thus determining the course of the COVID-19 pandemic in a given country. Acknowledging an increase in trust in the government or the so-called rally ‘round the flag’ effect around the world at the beginning of the COVID-19 pandemic, this study explores possible determinants of this effect in Latvia, looking at such variables as the perceived disease risk, gender, age, education, income, and language spoken in the family. Presuming that risk perception may be amplified by trust in various information sources, we investigate a spill-over of the rally ‘round the flag’ effect on healthcare professionals, media, and interpersonal networks. Studying data from a nationally representative sociological survey conducted in September 2020, we confirm a positive relationship between trust in all information sources, except friends, relatives, and colleagues, and perceived disease risk. Correlations are also strong regarding trust in almost all information sources and the measured socio-demographic variables, except gender. Interpersonal trust seems to be relatively stable, and in most cases the correlations are statistically insignificant. With this study we suggest that increase in trust in government institutions as well as other information sources, even in crisis situations, does not depend on any single element, but instead presents a more complex phenomenon.

Perceived Risk of Developing Diabetes in the General Population and Asian Americans: Systematic Review

Introduction: The purpose of this systematic review was to explore perceived diabetes risk with foci on prediabetic persons and Asian Americans. Persons with prediabetes and of Asian descent are at higher risk for developing diabetes, but little is known about their perceived diabetes risk. Method: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided this systematic review. Electronic searches were conducted in three databases. The authors conducted eligibility determination, data extraction, synthesis, and evaluation. Twelve articles were selected. Results: Key findings include (1) limited studies including Asian populations, (2) a low percentage of persons in the general population with moderate to high levels of perceived diabetes risk, (3) a lack of congruency between actual and perceived diabetes risk in the general population, and (4) no interventions effectively changing the level of perceived diabetes risk. Discussion: More studies regarding perceived diabetes risk are needed, especially with a focus on Asian Americans.

Diabetes prevention among American Indians: the role of self-efficacy, risk perception, numeracy and cultural identity

Background

According to the Risk Perception Attitude (RPA) framework, classifying people according to their perceptions of disease risk and their self-efficacy beliefs allows us to predict their likelihood for engaging in preventive behaviors. Health interventions can then be targeted according to RPA group. We applied the framework to type 2 diabetes prevention behaviors among American Indians and expanded it to include culture and numeracy.

Methods

Using a cross-sectional study design, we surveyed a sample of Northern Plains American Indians in a reservation community setting on self-reported perceptions of diabetes risk, objective diabetes risk, self-efficacy, engagement in healthy behaviors, knowledge of diabetes risk factors, and covariates including demographics, numeracy, and cultural identity. We used the RPA framework to classify participants into four groups based on their perceptions of risk and self-efficacy. Analyses of variance and covariance estimated inter-group differences in behaviors associated with type 2 diabetes prevention.

Results

Among 128 participants, our only finding consistent with the RPA framework was that self-efficacy and risk perception predicted knowledge about diabetes risk factors. We found limited evidence for the influence of cultural identity within the RPA framework. Overall, participants had lower numeracy skills which tended to be associated with inaccurate perceptions of higher levels of risk.

Conclusions

The theoretical framework may benefit from inclusion of further contextual factors that influence these behaviors. Attention to numeracy skills stands out in our study as an important influence on the RPA framework, highlighting the importance of attending to numeracy when targeting and tailoring risk information to participants segmented by the RPA framework.