Stigma, Self-Care, and Intuitive Eating in Black Americans with Type 2 Diabetes.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-10-01 Epub Date: 2023-08-25 DOI:10.1007/s40615-023-01772-6

Erin D Basinger, Shanice Jones Cameron, Gracie Allen

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Abstract

Type 2 diabetes is prevalent among Black Americans. Stigma associated with type 2 diabetes, both in general and specific to weight, is damaging to self-care, which is crucial for the effective management of diabetes. Family relationships may buffer the negative impact of stress, especially among Black Americans who have historically relied on informal support networks. Our goal was to investigate how type 2 diabetes stigma (H1) and weight stigma (H2) were related to self-care and intuitive eating - a non-restrictive approach to nutrition; H3 predicted that family relationship satisfaction would moderate the relationships predicted in H1 and H2. Black Americans diagnosed with type 2 diabetes (N = 225) were recruited via Qualtrics panels to complete an online survey of self-report measures. We used multiple linear regression to test our hypotheses. Both chronic illness and weight stigma were related as predicted to one subscale of intuitive eating (eating for physical hunger). Our moderation analyses revealed that family relationship satisfaction was protective against the harms of stigma at moderate to high levels. Intuitive eating is a promising non-restrictive treatment option for type 2 diabetes.

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患有 2 型糖尿病的美国黑人的耻辱感、自我保健和直觉饮食。

2 型糖尿病在美国黑人中很普遍。与 2 型糖尿病相关的耻辱感，无论是一般的还是与体重相关的，都会对自我保健造成损害，而自我保健对有效控制糖尿病至关重要。家庭关系可以缓冲压力带来的负面影响，尤其是在历来依赖非正式支持网络的美国黑人中。我们的目标是研究 2 型糖尿病耻辱感（H1）和体重耻辱感（H2）与自我保健和直觉饮食（一种非限制性的营养方法）之间的关系；H3 预测家庭关系满意度将缓和 H1 和 H2 预测的关系。我们通过 Qualtrics 小组招募了确诊为 2 型糖尿病的美国黑人（N = 225），让他们完成自我报告测量的在线调查。我们使用多元线性回归来检验我们的假设。慢性疾病和体重污名都与直觉进食的一个分量表（为身体饥饿而进食）相关。我们的调节分析表明，家庭关系满意度在中高水平上对成见的危害具有保护作用。直觉饮食是治疗 2 型糖尿病的一种很有前景的非限制性治疗方法。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.