Thirty-one adults with type 1 diabetes participated in this qualitative study to explore reasons why they were willing (had an open attitude) or unwilling (had a closed attitude) to disclose diabetes-related information to others. Participants (61.3% female, mean age 38.48 years, mean duration of diabetes 21.94 years, 100% white) answered open-ended questions about living with type 1 diabetes. Interviews were transcribed verbatim and coded to identify major patterns that emerged in the data. Reasons for open attitudes included support from others, confidence and feeling comfortable, feeling normal despite diabetes, seeking to educate, and feeling that it was not a major concern to share information with others. Reasons for closed attitudes included fear of discrimination, misunderstanding from others, embarrassment and shame, and feeling that it was not a major concern to share information. A higher number of participants reported open attitudes after diagnosis than at initial diagnosis; a lower number of participants reported closed attitudes after diagnosis than at initial diagnosis. Professionals should consider effective forms of type 1 diabetes-related education to reduce diabetes misconceptions and discrimination against diagnosed individuals. This may help individuals feel more open and willing to adhere to and seek assistance with their diabetes-related self-care.

Stepfamilies are one of the fastest growing family structures among all racial groups in the United States. Stepfamily research among many racial groups, specifically American Indians, is virtually nonexistent. This is unfortunate, as American Indians are more likely to divorce and remarry compared with other populations. From a family systems perspective, this study examined whether retrospectively perceived closeness in three stepfamily relationships, namely child–residential biological parent, child–residential stepparent, and child–stepsibling, were negatively associated with depression scores in 226 American Indian emerging adults. A structural equation model showed that increased child–residential biological parent and child–stepsibling closeness predicted decreased depression scores, whereas child–residential stepparent closeness did not. We also found that depression scores significantly predicted retrospective perceptions of child–residential biological parent, child–residential stepparent, and child–stepsibling closeness. Findings encourage interventions that strengthen American Indian child–residential biological parent and child–stepsibling relationships, and underscore the need for further research that explores American Indian stepfamily relationships.