1 型糖尿病患者耻辱感的预测因素:BETTER 登记的横断面分析

IF 4.3 Q1 ENDOCRINOLOGY & METABOLISM Diabetes & Metabolic Syndrome-Clinical Research & Reviews Pub Date : 2024-08-01 DOI:10.1016/j.dsx.2024.103112
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引用次数: 0

摘要

目的 本研究调查了不同年龄和性别人群的成见预测因素,以解决在了解不同人群以减少相关的次优临床和社会心理结果方面存在的关键差距。方法 对来自加拿大 1 型糖尿病患者登记处 BETTER 的自我报告数据进行横断面分析。参与者(n = 709)完成了 19 个项目的糖尿病耻辱感评估量表(DSAS-1),该量表分为区别对待、指责和评判以及身份关切子量表。计算了与糖尿病困扰(DDS-17-得分/102)、抑郁(PHQ-9-得分/27)、社会支持(ESSI-得分/34)、低血糖恐惧(HFS-II-得分/132)和高血糖回避行为(HAS-得分/88)之间的关联。结果与其他年龄组和男性相比,14-24 岁青少年(46-0 ± 15-6,p < 0-001)和女性(41-2 ± 15-7,p = 0-009)感受到的耻辱感最高。指责和评判是造成成见感的主要原因。与中年人和老年人相比,青年人明显感受到更多的责备和评判(p < 0-001)以及对身份的担忧(p = 0-001)。与男性相比,女性明显感受到更多的指责和评判(p = 0-001)。不同年龄和性别的人都不认为自己受到了区别对待。抑郁、糖尿病压力、低血糖恐惧、高血糖回避行为和社会支持较少的参与者的耻辱感得分更高。挑战陈规定型观念和减少与成见相关的压力因素对于取得更好的结果至关重要。
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Predictors of stigma perception by people with type 1 diabetes: A cross-sectional analysis of the BETTER registry

Aims

This study investigates stigma predictors across ages and genders, addressing a critical gap in understanding diverse populations to reduce related suboptimal clinical and psychosocial outcomes.

Methods

Cross-sectional analysis of self-reported data from BETTER, a Canadian registry of people with type 1 diabetes. Participants (n = 709) completed the 19-item-Diabetes-Stigma Assessment-Scale (DSAS-1) categorized into treated differently, blame and judgment, and identity concerns sub-scales. Associations with diabetes distress (DDS-17-score/102), depression (PHQ-9-score/27), social-support (ESSI-score/34), fear of hypoglycemia (HFS-II-score/132), and hyperglycemia-avoidance-behaviours (HAS-score/88) were computed.

Results

Perceived stigma was highest in youth aged 14–24 years (46·0 ± 15·6, p < 0·001) and women (41·2 ± 15·7, p = 0·009), compared to other age groups and men. Blame and Judgment contributed to most of stigma perception. Youth perceived significantly more blame and judgment (p < 0·001) and identity concerns (p = 0·001) compared to middle-aged adults and seniors. Women perceive significantly more blame and judgment compared to men (p < 0·001). The perception of being treated differently was not reported to be an issue across ages and genders. Participants with higher scores of depression, diabetes-distress, fear of hypoglycemia, hyperglycemia-avoidance behaviours, and lesser social-support, reported increased stigma.

Conclusions

Stigma varies by age and gender, underscoring the need for targeted interventions to reduce it. Challenging stereotypes and reducing stigma-related stressors are essential for better outcomes.

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来源期刊
CiteScore
22.90
自引率
2.00%
发文量
248
审稿时长
51 days
期刊介绍: Diabetes and Metabolic Syndrome: Clinical Research and Reviews is the official journal of DiabetesIndia. It aims to provide a global platform for healthcare professionals, diabetes educators, and other stakeholders to submit their research on diabetes care. Types of Publications: Diabetes and Metabolic Syndrome: Clinical Research and Reviews publishes peer-reviewed original articles, reviews, short communications, case reports, letters to the Editor, and expert comments. Reviews and mini-reviews are particularly welcomed for areas within endocrinology undergoing rapid changes.
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