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
Authors' conclusion
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.
Study context
- Population
- Arabic-speaking adults with T2D at 21 outpatient clinics and diabetes-specialist centres in the United Arab Emirates
- Participants
- 327 adults
- Exposure
- Per 1-point increase in diabetes stigma total score
- Outcome
- Mean difference in diabetes-specific distress and self-care per 1-point increase in diabetes stigma total score
Methodological detailsmulticentre, General linear models
- Multicentre
- General linear models
Main finding
As reported in the abstract
- Diabetes stigma total score, mean ± SD
- 43.55 ± 13.95
- Diabetes distress, β
- 0.113 (95% CI 0.078 to 0.147; p = 0.003)
- Self-care: diet, β
- −0.029 (95% CI −0.048 to −0.009; p = 0.008)
- Self-care: physical activity, β
- −0.022 (95% CI −0.038 to −0.006; p = 0.013)
- Self-care: foot care, β
- −0.043 (95% CI −0.059 to −0.026; p < 0.001)
Observational data: associations, not effects.
Further findings
Moderation by self-esteem
- Self-esteem mitigated the effect of diabetes stigma on diabetes distress
Original publication
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. Diabet Med. Published 21 April 2023. doi:10.
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