Evidence map›Paper›PMID 36883290›Full record

ArticleDiabetes care2023

Diabetes Stigma and Clinical Outcomes in Adolescents and Young Adults: The SEARCH for Diabetes in Youth Study.

Kelsey B Eitel, Alissa J Roberts, Ralph D'Agostino, Catherine E Barrett, Ronny A Bell, Anna Bellatorre, Angelica Cristello, Dana Dabelea, Lawrence M Dolan, Elizabeth T Jensen and 5 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Diabetes care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Article
  3. Type 1 diabetes stigma: A UK survey of adults living with type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Observational
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  18. Anti-VEGF therapy for the long-term management of diabetic macular edema: a treat-to-target strategy based on macular morphology.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 1 country.

Kelsey B EitelUniversity of Washington, Department of Pediatrics, Seattle, WA.ORCID 0000-0001-5310-1057
Alissa J RobertsUniversity of Washington, Department of Pediatrics, Seattle, WA.ORCID 0000-0002-0221-6273
Ralph D'AgostinoWake Forest University School of Medicine, Winston-Salem, NC.
Catherine E BarrettCenters for Disease Control and Prevention, Atlanta, GA.ORCID 0000-0002-2692-4194
Ronny A BellWake Forest University School of Medicine, Winston-Salem, NC.ORCID 0000-0001-8512-2565
Anna BellatorreUniversity of Colorado Denver, Aurora, CO.
Angelica CristelloUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Dana DabeleaUniversity of Colorado Denver, Aurora, CO.
Lawrence M DolanUniversity of Cincinnati College of Medicine, Cincinnati, OH.
Elizabeth T JensenWake Forest University School of Medicine, Winston-Salem, NC.ORCID 0000-0003-2704-6634
Angela D LieseUniversity of South Carolina, Columbia, SC.ORCID 0000-0002-7022-0178
Elizabeth J Mayer-DavisUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Kristi ReynoldsKaiser Permanente Southern California, Pasadena, CA.ORCID 0000-0001-7619-1649
Santica M MarcovinaMedpace Reference Laboratories, Cincinnati, OH.
Catherine PihokerUniversity of Washington, Department of Pediatrics, Seattle, WA.ORCID 0000-0001-9074-7770
University of Washington · USWake Forest University · USUniversity of Colorado Denver · USUniversity of North Carolina at Chapel Hill · USCenters for Disease Control and Prevention · USKaiser Permanente · USMedpace (United States) · USUniversity of Cincinnati Medical Center · USUniversity of South Carolina · US

Funding

Limited Competition for the Continuation of the SEARCH for Diabetes in Youth Cohort Study (UC4)SEARCH for Diabetes in Youth Cohort StudyUC4DK108173 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DAGOSTINO, RALPH B. · 2015 to 2016
$14.8M
Diabetes, Obesity and Metabolism Training ProgramT32DK007247 · NIDDK · UNIVERSITY OF WASHINGTON · PI GREGORY J MORTON, KRISTINA Marie UTZSCHNEIDER · 1986 to 2026
$10.0M
SEARCH for Diabetes in Youth Coordinating CenterU01DP000250 · DP · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BELL, RONNY A · 2005 to 2009
$4.8M
Limited Competition for the Closeout of the SEARCH for Diabetes in Youth Cohort StudyR01DK127208 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DAGOSTINO, RALPH B., JENSEN, ELIZABETH T · 2020 to 2020
$2.0M
ACL HHS U18DP006131ACL HHS U18DP006133ACL HHS U18DP006134ACL HHS U18DP006136ACL HHS U18DP006138ACL HHS U18DP006139EPA EP-C-15-002HSRD VA HIR 10-001NCCDPHP CDC HHS U01 DP000244NCCDPHP CDC HHS U01 DP000246NCCDPHP CDC HHS U01 DP000247NCCDPHP CDC HHS U01 DP000248NCCDPHP CDC HHS U01 DP000250NCCDPHP CDC HHS U01 DP000254NCCDPHP CDC HHS U18 DP002708NCCDPHP CDC HHS U18 DP002709NCCDPHP CDC HHS U18 DP002710NCCDPHP CDC HHS U18 DP002714NCCDPHP CDC HHS U18 DP006131NCCDPHP CDC HHS U18 DP006133NCCDPHP CDC HHS U18 DP006134NCCDPHP CDC HHS U18 DP006136NCCDPHP CDC HHS U18 DP006138NCCDPHP CDC HHS U18 DP006139NIDDK NIH HHS R01 DK127208NIDDK NIH HHS T32 DK007247NIDDK NIH HHS UC4 DK108173
6 · The paper itself

Abstract

objectiveTo examine the association between diabetes stigma and HbA1c, treatment plan and acute and chronic complications in adolescents and young adults (AYAs) with type 1 or type 2 diabetes. RESEARCH DESIGN AND

methodsThe SEARCH for Diabetes in Youth study is a multicenter cohort study that collected questionnaire, laboratory, and physical examination data about AYAs with diabetes diagnosed in childhood. A five-question survey assessed frequency of perceived diabetes-related stigma, generating a total diabetes stigma score. We used multivariable linear modeling, stratified by diabetes type, to examine the association of diabetes stigma with clinical factors, adjusting for sociodemographic characteristics, clinic site, diabetes duration, health insurance, treatment plan, and HbA1c.

resultsOf 1,608 respondents, 78% had type 1 diabetes, 56% were female, and 48% were non-Hispanic White. The mean (SD) age at study visit was 21.7 (5.1) years (range, 10-24.9). The mean (SD) HbA1c was 9.2% (2.3%; 77 mmol/mol [2.0 mmol/mol]). Higher diabetes stigma scores were associated with female sex and higher HbA1c (P < 0.01) for all participants. No significant association between diabetes stigma score and technology use was observed. In participants with type 2 diabetes, higher diabetes stigma scores were associated with insulin use (P = 0.04). Independent of HbA1c, higher diabetes stigma scores were associated with some acute complications for AYAs with type 1 diabetes and some chronic complications for AYAs with type 1 or type 2 diabetes.

conclusionsDiabetes stigma in AYAs is associated with worse diabetes outcomes and is important to address when providing comprehensive diabetes care.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2AdolescentAdultChildCohort StudiesFemaleGlycated HemoglobinHumansInsurance, HealthMaleYoung AdultGlycated Hemoglobin

Identifiers

PMID36883290
PMCPMC10090897
OpenAlexW4323532510

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.