Relationship between perceived social stigma and diabetes self-care activities in Iranian participants with type 1 diabetes

Mahdilouy, Parisa; Ziaeirad, Marzieh

doi:10.1007/s40200-021-00893-1

Cited by 9 publications

(13 citation statements)

References 25 publications

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“…Arda Sürücü et al., 17 found that negative perception of insulin treatment in adolescents was associated with high scores on a diabetes stigma measure ( β = −0.24, p = 0.013), attempts to conceal diabetes ( β = 0.24, p = 0.017), and preferring not to use insulin when in public places ( β = 0.19, p = 0.042). Interestingly, one study 34 found no significant association between perceived social stigma and diabetes self‐care activities ( r = −0.043, p > 0.05); however, the study did find an association between increased HbA 1c and stigma ( r = 0.169, p = 0.05).…”

Section: Resultsmentioning

confidence: 83%

“…Six studies used questionnaires to measure diabetes management behaviours. The questionnaires used included the Appraisal of Insulin Therapy Scale 17 ( n = 1), Diabetes Self‐Care Activities measure 34 ( n = 1), Self‐efficacy in Diabetes Management questionnaire 15 ( n = 1), and the Diabetes Self‐Management Questionnaire 18 ( n = 1). Two studies developed their own surveys of diabetes management; one included questions on aspects of diabetes treatment, behaviours, and attitudes concerning diabetes management, 1 while another asked specific questions about concealing diabetes from others 31 …”

Section: Resultsmentioning

confidence: 99%

“…Measures for stigma also varied between studies and included the stigma subscales within the Barriers to Diabetes Adherence Scale 15 (n = 1), the Barriers to Insulin Treatment scale 17 (n = 1), the Type 1 Diabetes Stigma Assessment Scale 16,19,21,34 (n = 4), SEARCH 4 Diabetesrelated Stigma Survey 20 (n = 1), and the Universal Measure of Bias, Negative Attitudes, and Distancing Subscales 18 (n = 1). One study 1 developed its own online survey to measure stigma.…”

Section: Stigmamentioning

confidence: 99%

“…3.5.1 | Quantitative studies All nine of the quantitative studies found a correlation between reported stigma and diabetes management, whereby stigma negatively impacts diabetes management. All four studies 16,19,21,34 that utilised the Diabetes Stigma Assessment Scale (DSAS-1) and HbA 1c found a significant positive relationship. The DSAS-1 consists of three subscales: being treated differently, blame and judgement, and identity concerns, which represent different elements of felt and enacted stigma.…”

Section: Main Findingsmentioning

confidence: 99%

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The impact of stigma on the management of type 1 diabetes: A systematic review

Embick,

Jackson,

Stewart

2024

Diabet Med

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AimsTo systematically review the literature investigating the links between stigma and the management of type 1 diabetes.MethodsA systematic literature review was conducted in accordance with PRISMA guidelines. Both quantitative and qualitative data were considered. Included papers were subject to quality assessment using the Mixed Methods Appraisal Tool (MMAT), and a narrative synthesis of results was reported.ResultsNineteen articles met the inclusion criteria and were included in the final analysis. Amongst these, one study used mixed methods, nine were qualitative, and nine were quantitative. All studies found a negative relationship between stigma and type 1 diabetes management. Qualitative studies provided a further understanding of the effects observed in the quantitative studies and found that stigma can affect self‐care activities, disclosure of diabetes, and the uptake of diabetes technology. Systemic causes of stigma and intersectional stigma were also observed.ConclusionsThis review highlights that people with type 1 diabetes are negatively affected by stigma, irrespective of their age, gender, culture, or use of diabetes technology. Quantitative studies were limited, in that all studies were cross‐sectional, and there was a lack of standardisation across outcome measures. There is a need for interventions to target stigma on both an individual and a systemic level, particularly where people experience multiple intersecting stigmas.

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Section: Resultsmentioning

confidence: 83%

Section: Resultsmentioning

confidence: 99%

Section: Stigmamentioning

confidence: 99%

Section: Main Findingsmentioning

confidence: 99%

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The impact of stigma on the management of type 1 diabetes: A systematic review

Embick,

Jackson,

Stewart

2024

Diabet Med

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“…Overall, diabetes-related stigma has an important effect on the outcomes of biopsychosocial health for diabetes patients [ 14 , 29 , 30 ]. Recently, a systematic review also reported that diabetes-related stigma is negatively related to clinical, psychological, and behavioural outcomes in patients with type 2 diabetes [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

The relationship between stigma and psychological distress among people with diabetes: a meta-analysis

Guo,

Wu,

Tang

et al. 2023

BMC Psychol

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Background & aims Diabetes may perceive or experience varying degrees of stigma and psychological distress. The association between diabetes-related stigma and psychological distress has been examined in many studies, but no research has used a quantitative synthesis method to investigate the severity of this association and the moderators of the relationship. Thus, we conducted a meta-analysis to quantitatively integrate previous findings to identify the magnitude of the association between stigma and psychological distress among people with diabetes. Review methods Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, we systematically searched four English academic databases (PubMed, Embase, Web of Science, and PsycINFO) and three Chinese databases (China National Knowledge Infrastructure [CNKI], WANFANG Data, China Science and Technology Journal Database [VIP]). The databases were searched from the inception of each database to the end of March 2023. The pooled correlation coefficient of the association between stigma and psychological distress among people with diabetes was calculated by a random effects model using Stata software (version 17.0), and several moderators that impacted this relationship were identified. Results Eligible studies (N = 19) with a total of 12,777 participants were analysed. The pooled correlation was high between diabetes-related stigma and psychological distress (r = 0.50, 95% CI: [0.43–0.57]). Moreover, the association was moderated by the diabetes stigma measurement tools and diabetes distress measurement tools used. However, the relationship was not moderated by type of diabetes, age, gender, geographical location, or type of stigma. Conclusions The results of the meta-analysis showed that stigma is strongly related to psychological distress among people with diabetes. Longitudinal or experimental research should be expanded in the future to further identify the causal pathways in the relationship between diabetes stigma and diabetes distress.

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