174: What can we expect from healthy adults family history?

Z. Klemenc-Ketis1, 2, B. Peterlin3
1 Department of family medicine, Medical School, University of Ljubljana, Ljubljana, Slovenia; 2 Department of family medicine, Medical School, University of Maribor, Maribor, Slovenia; 3 Department of Obstetrics and Gynaecology, Institute of Medical Genetics, University Medical Centre Ljubljan, Ljubljana, Slovenia
Background: Traditionally, family history taking is focused on patients with symptoms or problems which might imply that the patient is having a raised risk for the development of some chronic diseases. Rarely, healthy patients or patients with acute problems are being asked about their family history. Inadequate knowledge on family history among medically underserved population is a major obstacle limiting quality management of such patients and often leads to delayed treatment.
Aim: The aim of this study was to determine the prevalence of healthy individuals at risk for developing cardiovascular diseases, cancer, and diabetes based on their self-reported family history.
Method: This cross-sectional observational study took place in Slovenian occupational practices in primary health care centres. Study population consisted of consecutive individuals (N = 1,696) who came to occupational practices for their regular occupational preventive check-up from November 2010 to June 2012. Data on family history was collected by a self-developed questionnaire. The disease risk was calculated based on the CDC guidelines.
Results: Final sample consisted of 1,340 respondents, out of which 841 (62.8%) were males. Mean age of the sample was 40.3 ± 10.1 years. High or moderate risk for cardiovascular diseases was observed in 262 (19.6%) respondents, for cancer in 153 (11.4%) respondents, and for diabetes in 148 (11.1%) respondents.
Conclusion: A large number of healthy individuals at high or moderate risk family risk for most common non-communicable diseases points to the need of regular screening of family history also in healthy part of general population.

Disclosure: No conflict of interest declared