Journal of Community Health

, Volume 43, Issue 5, pp 962–968 | Cite as

Exploring Health Beliefs Among Hispanic Adults with Prediabetes

  • Kyle Shaak
  • Melanie B. Johnson
  • Jessecae K. Marsh
  • Susan E. Hansen
  • Elaine Seaton Banerjee
  • Brian Stello
  • Beth A. Careyva
Original Paper


Diabetes and prediabetes are increasing in prevalence, corresponding to epidemic rates of obesity. Hispanic adults with prediabetes are 1.7 times more likely than non-Hispanic whites to progress to diabetes. We set out to understand health beliefs of Hispanic adults and, with that knowledge, facilitate tailored messaging to promote patient activation and lifestyle change. Using the Risk Perception Survey for Developing Diabetes along with demographic and lifestyle intervention interest questions, a 34-question survey was mailed to a registry of Hispanic adults with a diagnosis of prediabetes and an HbA1c between 5.7 and 6.4% (N = 414). Despite more than three-quarters of respondents (n = 92; 77%) indicating they had prior knowledge of their diagnosis, overall diabetes risk knowledge was low. A significant difference in diabetes risk knowledge was found between groups stratified by education level. High scores in personal control and worry were reported. Respondents overwhelmingly reported interest in exercise (n = 92; 77%) and healthy eating interventions (n = 60; 50%) over technology-based interventions. High levels of worry and personal control, combined with low to intermediate levels of risk knowledge, indicate an opportunity for education and activation in this community. Healthy eating and exercise programs are possible interventions that may slow the progression from prediabetes to diabetes.


Prediabetes Hispanic Health beliefs Risk knowledge 



The authors are grateful to Jacqueline A. Grove for editing and manuscript preparation.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Family MedicineLehigh Valley Health NetworkAllentownUSA
  2. 2.Department of PsychologyLehigh UniversityBethlehemUSA

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