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Impact of diabetes stigma in diabetes distress and diabetes self-care: The moderating role of diabetes social support and general self-esteem in Arabic-speaking adults with type 2 diabetes
journal contribution
posted on 2023-05-05, 01:45 authored by H Alzubaidi, K Mc Namara, C Samorinha, Vincent VersaceVincent Versace, W Saidawi, Jane SpeightJane SpeightAims: There is increasing evidence that diabetes stigma has negative impacts on behavioural and psychological outcomes among people with type 2 diabetes (T2D). However, research has focused largely on Caucasian and certain Asian groups. The aim of this study was to examine associations of diabetes stigma with diabetes distress and self-care, and investigate the moderating effects of self-esteem and social support, in Arabic-speaking communities. Methods: A cross-sectional study was conducted at 21 outpatient clinics and diabetes-specialist centres in the United Arab Emirates. Besides the Arabic Type-2 Diabetes Stigma Assessment Scale, participants completed other validated questionnaires assessing distress, self-care, social support, and self-esteem. General linear models were used to estimate the mean difference in diabetes-specific distress and self-care for every 1-point increase in diabetes stigma total score. Results: Among 327 adults with T2D, the mean total score of diabetes stigma was 43.55 ± 13.95. Every 1-point increase in diabetes stigma was associated with significantly increased diabetes distress (β = 0.113, 95% CI: 0.078 to 0.147; p = 0.003) and decreased self-care behaviours: diet (β = −0.029, 95% CI: −0.048 to −0.009; p = 0.008), physical activity (β = −0.022, 95% CI: −0.038 to −0.006; p = 0.013) and foot care (β = −0.043, 95% CI: −0.059 to −0.026; p < 0.001). Self-esteem mitigated the effect of diabetes stigma on diabetes distress. Conclusions: Perceived and experienced diabetes stigma was independently associated with increased diabetes distress and decreased engagement in diabetes self-care among Arabic-speaking adults with T2D. These findings are crucial to help clinicians provide more effective assessment and counselling and guide public health interventions to decrease diabetes stigma in these communities.
History
Journal
Diabetic MedicineArticle number
e15109Pagination
e15109-Location
EnglandPublisher DOI
ISSN
0742-3071eISSN
1464-5491Language
enPublisher
WileyUsage metrics
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Keywords
diabetespsychological distressself-managementsocial stigmaBehavioral and Social ScienceDiabetesMind and BodyPreventionClinical ResearchMetabolic and endocrine3 Good Health and Well BeingPublic Health and Health Services not elsewhere classifiedClinical Sciences not elsewhere classifiedPsychology not elsewhere classified
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