Type 2 & other diabetes

Experiences of type 2 diabetes stigma in healthcare settings: a mixed-methods systematic review

Diabetes Res Clin PractPublished Mixed-methods systematic review

Authors' conclusion

These findings strengthen the understanding of T2D stigma in healthcare, including its pervasiveness and consequences, and reveal actionable drivers and facilitators, which can be used to develop targeted interventions and guidance towards stigma-free T2D care.

Study context

Population
People with T2D in healthcare settings; PubMed, CINAHL and PsycINFO searched from inception to December 202561 articles · 32 countries
Outcome
T2D stigma in healthcare: manifestations, drivers/facilitators, markers and impacts
Methodological detailsthematic analysis, hybrid deductive-inductive coding guided by the Health Stigma and Discrimination Framework
  • Thematic analysis
  • Hybrid deductive-inductive coding guided by the Health Stigma and Discrimination Framework

Pooled result

As reported in the abstract

  • People with T2D perceived, experienced, anticipated and internalised T2D stigma, perpetuated through HCPs' communication, attitudes and practices
  • Stigma driven by negative emotional reactions, stereotypes, authoritarianism and lack of knowledge; facilitated by overly simplistic care models and healthcare-related media misrepresentation
  • Negative impacts on psychosocial well-being, health-seeking behaviours, quality of care and interpersonal relationships with HCPs
  • People with T2D called for HCP and system-level reforms to foster stigma-free T2D healthcare

Original publication

Experiences of type 2 diabetes stigma in healthcare settings: a mixed-methods systematic review. Diabetes Res Clin Pract. Published 27 April 2026. doi:10.1016/j.diabres.2026.113283

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