The impact of stigma on the management of type 1 diabetes: A systematic review
Authors' conclusion
This review highlights that people with type 1 diabetes are negatively affected by stigma, irrespective of their age, gender, culture, or use of diabetes technology. Quantitative studies were limited, in that all studies were cross-sectional, and there was a lack of standardisation across outcome measures. There is a need for interventions to target stigma on both an individual and a systemic level, particularly where people experience multiple intersecting stigmas.
Study context
- Population
- Studies investigating links between stigma and management of T1D19 articles
- Outcome
- Links between stigma and T1D management
Methodological detailsPRISMA, narrative synthesis, quantitative and qualitative data, Mixed Methods Appraisal Tool (MMAT) quality assessment, All quantitative studies were cross-sectional; lack of standardisation across outcome measures
- PRISMA
- Narrative synthesis
- Quantitative and qualitative data
- MMAT quality assessment
- All quantitative studies were cross-sectional; lack of standardisation across outcome measures
Pooled result
As reported in the abstract
Relationship between stigma and T1D management
- All studies found a negative relationship between stigma and T1D management
- Studies included: 1 mixed methods, 9 qualitative, 9 quantitative
Further pooled results
Qualitative findings
- Stigma can affect self-care activities, disclosure of diabetes and uptake of diabetes technology
- Systemic causes of stigma and intersectional stigma also observed
Original publication
The impact of stigma on the management of type 1 diabetes: A systematic review. Diabet Med. Published 15 February 2024. doi:10.
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