ArticleBMJ open2014
'I'm not a druggie, I'm just a diabetic': a qualitative study of stigma from the perspective of adults with type 1 diabetes.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02828995 (Evaluating the Influence of Diabetes Stigma on Medication Adherence), which is not on this map. Cited by 87 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluating the Influence of Diabetes Stigma on Medication Adherence
Who cites it
87 citing papers in PubMed, 5 syntheses or guidelines pooled it, 210 citations in OpenAlex.
- The relationship between stigma and psychological distress among people with diabetes: a meta-analysis.BMC psychology · 2023Pooled it
- Psychosocial interventions for adults with newly diagnosed chronic disease: A systematic review.Journal of health psychology · 2022Pooled it
- Pooled it
- Non-Communicable Diseases-Related Stigma: A Mixed-Methods Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Patient Perspectives on Quality of Life With Uncontrolled Type 1 Diabetes Mellitus: A Systematic Review and Qualitative Meta-synthesis.Ontario health technology assessment series · 2015Pooled it
- Perceptions of adults with type 1 diabetes mellitus about diabetes management and exercise.Human factors in healthcare · 2026Article
- Translation, cultural adaptation, and psychometric evaluation of the arabic version of the type 1 diabetes stigma assessment scale (DSAS-1-Ar) among adults in Jazan, Saudi Arabia.Journal of diabetes and metabolic disorders · 2026Article
- Barriers and enablers to physical activity in type 1 diabetes: A mixed-methods study of adults and parent-reported child perspectives in the UK.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Type 1 diabetes stigma: A UK survey of adults living with type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2026Observational
- Language matters: Guidance for person-centred diabetes communication in Ireland.Diabetic medicine : a journal of the British Diabetic Association · 2026Review
- Beyond access: Racial and socioeconomic disparities in device use among youth with type 1 diabetes.SSM. Qualitative research in health · 2026Article
- How adolescents with type 1 diabetes experience physical education in middle school: a qualitative study.Diabetologia · 2026Article
- Navigating the dual burden of type 1 diabetes and mental illness: A phenomenological study.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Stigma associated with early-onset type 2 diabetes: A secondary qualitative analysis.British journal of health psychology · 2026Article
- 'They use the little information they have to pass judgement': A framework analysis of type 1 diabetes stigma experienced by UK adults living with type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Heterogenous long-term health and social outcomes of type 1 diabetes: a full population 30-year observational cohort study.American journal of epidemiology · 2026Observational
- Article
- The impact of stigma on medication adherence among patients with multimorbidity: mediation analysis of medication literacy.Frontiers in public health · 2026Article
- Article
- Stigmatising language and its association with psychological outcomes among people living with type 1 or type 2 diabetes.Journal of health psychology · 2026Article
27 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWhile health-related stigma has been the subject of considerable research in other conditions (eg, HIV/AIDS, obesity), it has not received substantial attention in diabetes. Our aim was to explore perceptions and experiences of diabetes-related stigma from the perspective of adults with type 1 diabetes mellitus (T1DM).
designA qualitative study using semistructured interviews, which were audio recorded, transcribed and subject to thematic analysis.
settingAll interviews were conducted in non-clinical settings in metropolitan areas of Victoria, Australia.
participantsAdults aged ≥18 years with T1DM living in Victoria were eligible to take part. Participants were recruited primarily through the state consumer organisation representing people with diabetes. A total of 27 adults with T1DM took part: 15 (56%) were women; median IQR age was 42 (23) years and diabetes duration was 15 (20) years).
resultsAustralian adults with T1DM perceive and experience T1DM-specific stigma as well as stigma-by-association with type 2 diabetes. Such stigma is characterised by blame, negative social judgement, stereotyping, exclusion, rejection and discrimination. Participants identified the media, family and friends, healthcare professionals and school teachers as sources of stigma. The negative consequences of this stigma span numerous life domains, including impact on relationships and social identity, emotional well-being and behavioural management of T1DM. This stigma also led to reluctance to disclose the condition in various environments. Adults with T1DM can be both the target and the source of diabetes-related stigma.
conclusionsStigmatisation is part of the social experience of living with T1DM for Australian adults. Strategies and interventions to address and mitigate this diabetes-related stigma need to be developed and evaluated.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.