Evidence map›Paper›PMID 40527574›Full record

ArticleBMJ open2025

Association between self-stigma and diabetic complications in Japanese people with type 2 diabetes: a cross-sectional study.

Mayuko Yamamoto, Yuichi Takashi, Masashi Ishizu, Kyoko Toyokawa, Dai Nagata, Kensuke Makihata, Haruki Koganemaru, Tomoki Sakamoto, Kayoko Teshima, Yuka Urata and 7 more

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Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

17 authors.

Mayuko YamamotoDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Yuichi TakashiDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan y.takashi.si@fukuoka-u.ac.jp.ORCID http://orcid.org/0000-0002-3728-1139
Masashi IshizuDepartment of Medical Artificial Intelligence and Data Science, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Kyoko ToyokawaDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Dai NagataDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Kensuke MakihataDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Haruki KoganemaruDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Tomoki SakamotoDivision of Nursing, Fukuoka University Hospital, Fukuoka, Japan.
Kayoko TeshimaDivision of Nursing, Fukuoka University Hospital, Fukuoka, Japan.
Yuka UrataDivision of Nursing, Fukuoka University Hospital, Fukuoka, Japan.
Yoshimi MutaDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Hisashi YokomizoDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
Dan SekiguchiMINAMI Diabetes Clinical Research Center, Fukuoka, Japan.
Yasutaka MaedaMINAMI Diabetes Clinical Research Center, Fukuoka, Japan.
Masae MinamiMINAMI Diabetes Clinical Research Center, Fukuoka, Japan.
Asuka KatoDepartment of Health and Social Behavior, School of Public Health, The University of Tokyo, Tokyo, Japan.
Daiji KawanamiDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the association between self-stigma evaluated using the Japanese version of the Self-Stigma Scale (SSS-J) and diabetic complications, such as diabetic retinopathy (DR) and diabetic kidney disease (DKD).

designCross-sectional study.

settingOne university hospital and one clinic in Fukuoka, Japan.

participantsPeople (age ≥20 years) with type 2 diabetes receiving outpatient care, who were treated by diabetologists, and completed the SSS-J questionnaire (n=259). PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the level of self-stigma assessed using the SSS-J. The presence of DR and DKD was evaluated as secondary outcomes.

resultsA positive correlation was found between self-stigma and glycated haemoglobin (HbA1c) levels (

conclusionsThe presence of DR was more strongly associated with self-stigma than DKD. Although the causality between self-stigma and the presence of DR could not be elucidated due to the cross-sectional nature of the study, the present study suggests that addressing self-stigma may aid in glycaemic management and the prevention of DR, emphasising the need for healthcare providers to recognise self-stigma as a barrier to optimal diabetes care.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesDiabetic RetinopathySocial StigmaAdultAgedCross-Sectional StudiesEast Asian PeopleFemaleGlycated HemoglobinHumansJapanMaleMiddle AgedSurveys and QuestionnairesGlycated Hemoglobinhemoglobin A1c protein, humanDiabetes Mellitus, Type 2Diabetic retinopathySocial Support

Identifiers

PMID40527574
PMCPMC12182124

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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.