Social stigma in diabetes : a framework to understand a growing problem for an increasing epidemic

Schabert, J., Browne, J. L., Mosely, K. and Speight, J. 2013, Social stigma in diabetes : a framework to understand a growing problem for an increasing epidemic, Patient : patient-centered outcomes research, vol. 6, no. 1, pp. 1-10, doi: 10.1007/s40271-012-0001-0.

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Title Social stigma in diabetes : a framework to understand a growing problem for an increasing epidemic
Author(s) Schabert, J.
Browne, J. L.ORCID iD for Browne, J. L.
Mosely, K.
Speight, J.ORCID iD for Speight, J.
Journal name Patient : patient-centered outcomes research
Volume number 6
Issue number 1
Start page 1
End page 10
Total pages 10
Publisher Adis International
Place of publication Auckland, N. Z.
Publication date 2013-03
ISSN 1178-1653
Keyword(s) diabetes
social stigma
Summary A comprehensive understanding of the social and psychological impact of diabetes mellitus is important for informing policy and practice. One potentially significant, yet under-researched, issue is the social stigma surrounding diabetes. This narrative review draws on literature about health-related stigma in diabetes and other chronic conditions in order to develop a framework for understanding diabetes-related stigma. Our review of the literature found that people who do not have diabetes assume that diabetes is not a stigmatized condition. In contrast, people with diabetes report that stigma is a significant concern to them, experienced across many life domains, e.g., in the workplace, in relationships. The experience of diabetes-related stigma has a significant negative impact on many aspects of psychological well-being and may also result in sub-optimal clinical outcomes for people with diabetes. We propose a framework that highlights the causes (attitudes of blame, feelings of fear and disgust, and the felt need to enforce social norms and avoid disease), experiences (being judged, rejected, and discriminated against), and consequences (e.g., distress, poorer psychological well-being, and sub-optimal self-care) of diabetes-related stigma and also identifies potential mitigating strategies to reduce diabetes-related stigma and/or enhance coping and resilience amongst people with diabetes. The systematic investigation of the experiences, causes, and consequences of diabetes-related stigma is an urgent research priority.
Language eng
DOI 10.1007/s40271-012-0001-0
Field of Research 179999 Psychology and Cognitive Sciences not elsewhere classified
170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 970117 Expanding Knowledge in Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Springer
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Document type: Journal Article
Collection: Faculty of Health
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