Diabetes Stigma and Clinical Outcomes in Adolescents and Young Adults: The SEARCH for Diabetes in Youth Study
Authors' conclusion
Diabetes stigma in AYAs is associated with worse diabetes outcomes and is important to address when providing comprehensive diabetes care.
Study context
- Population
- And young adults (AYAs) with T1D or T2D diagnosed in childhood (SEARCH for Diabetes in Youth); 78% T1D, 56% female, 48% non-Hispanic White; mean (SD) age 21.7 (5.1) years; mean (SD) HbA1c 9.2% (2.3%)
- Participants
- 1,608 respondents
- Exposure
- Higher vs lower diabetes stigma score
- Outcome
- Association of diabetes stigma score with HbA1c, treatment plan and acute and chronic complications
Methodological detailsmulticenter, multivariable linear modeling stratified by diabetes type
- Multicenter
- Multivariable linear modeling stratified by diabetes type
Main finding
As reported in the abstract
Association of diabetes stigma score with clinical factors
- Higher stigma scores associated with female sex and higher HbA1c (all participants)
- P < 0.01
- T2D: higher stigma scores associated with insulin use
- P = 0.04
Observational data: associations, not effects.
Original publication
Diabetes Stigma and Clinical Outcomes in Adolescents and Young Adults: The SEARCH for Diabetes in Youth Study. Diabetes Care. Published 8 March 2023. doi:10. 2337/ dc22-1749
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