ArticleBMJ open diabetes research & care2022
Diabetes-related shame among people with type 2 diabetes: an internet-based cross-sectional study.
Article in BMJ open diabetes research & care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 20 citations in OpenAlex.
- Experienced stigma in Japanese outpatients with diabetes: Age and polypharmacy matter.Medicine · 2026Article
- Stigmatising language and its association with psychological outcomes among people living with type 1 or type 2 diabetes.Journal of health psychology · 2026Article
- Living with what is lost: reframing emotional life with diabetes through an integrative perspective on loss and grief.Frontiers in clinical diabetes and healthcare · 2026Article
- Experiences of diabetes stigma among adults with type 1 and type 2 diabetes: A multi-study, multi-country, secondary analysis.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- The relationship between empowerment and stigma among the Chinese people with diabetes: the mediating role of self-management and the moderating role of psychological resilience.Frontiers in psychology · 2025Article
- Article
- Eight-year nationwide study of the bidirectional association between type 2 diabetes and depression in nearly 8 million German outpatients.BMJ open diabetes research & care · 2024Article
- Understanding the Interplay of Dietary Intake and Eating Behavior in Type 2 Diabetes.Nutrients · 2024Article
- A conceptual model of the continuous glucose monitoring integration process for older adults with diabetes developed using participatory systems science methods.Diabetes research and clinical practice · 2024Article
- Translation and localization the Persian version of diabetes distress scale among type 2 diabetes.Diabetology & metabolic syndrome · 2023Article
- Measuring public attitudes towards people living with chronic diseases in Arabic-speaking populations: adaptation and development of the Social Stigma Scale of Chronic Diseases (SSS-CD).BMC public health · 2023Article
- Social exclusion in people with diabetes: cross-sectional and longitudinal results from the German Ageing Survey (DEAS).Scientific reports · 2023Article
- Understanding the Triple Burden of HIV, Noncommunicable Diseases, and Mental Health Conditions Among Female Sex Workers With HIV in the Dominican Republic.Journal of the International Association of Providers of AIDS CareArticle
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEmerging evidence suggests that diabetes stigma and negative emotions associated with it may impair the quality of life of people with diabetes. Among these psychological distresses, shame is considered the most distressing of all human emotional experiences and may be a condition to which diabetes clinicians should pay attention. This epidemiological study focused on diabetes-related shame and aimed to determine the prevalence of diabetes-related shame, its factors, and its association with psychological indicators. RESEARCH DESIGN AND
methodsA cross-sectional online survey was conducted among people with type 2 diabetes preregistered with a research firm. The questionnaire included experience of diabetes-related shame and demographic data such as age, clinical characteristic measures such as hemoglobin A1c (HbA1c), and psychological indicators, including the WHO Five Well-Being Index (WHO-5) and Problem Areas In Diabetes-5 (PAID-5). Differences in each indicator between people with diabetes who experienced shame and those who did not were analyzed with the unpaired t-test. As supplemental analysis, binomial logistic regression analysis was used to identify factors associated with the prevalence of diabetes-related shame.
resultsOf the 510 participants, 32.9% experienced diabetes-related shame and 17.5% concealed their disease from colleagues or friends. Those who had experienced diabetes-related shame showed significantly lower WHO-5 and higher PAID-5 scores (p<0.001). However, no significant difference was found in HbA1c (p=0.36). Binomial logistic regression revealed that women, young adults, those without a college degree, those with low self-efficacy, and those with a strong sense of financial burden or external pressure were at higher risk of experiencing diabetes-related shame.
conclusionsAmong people with type 2 diabetes mellitus, diabetes-related shame was associated with diabetes-specific emotional distress and low psychological well-being. Further research and care development are needed to address diabetes-related shame and improve the quality of life of people with diabetes.
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