Type 2 diabetes stigma and its association with clinical, psychological, and behavioral outcomes: A systematic review and meta-analysis
Authors' conclusion
T2D stigma was associated with negative health outcomes. Further studies are required to disentangle the underlying causal mechanisms to inform the development of appropriate stigma-reduction interventions.
Study context
- Population
- Peer-reviewed observational studies of T2D stigma and psychological, behavioural and/or clinical outcomes; databases searched through November 202229 studies
- Outcome
- Association (pooled correlation coefficients) between T2D stigma and psychological, behavioural and clinical outcomes
Methodological detailsrandom effect meta-analyses, JBI critical appraisal checklist, Articles published between 2014 and 2022; 9642 citations screened
- Random effect meta-analyses
- JBI critical appraisal checklist
- Articles published between 2014 and 2022; 9642 citations screened
Pooled result
As reported in the abstract
Correlation of T2D stigma with outcomes
HbA1c: weak positive correlation (95% CI 0.08 to 025, I2 = 70%, 7 studies)
r = 0.16
Depressive symptoms: moderate positive correlation (95% CI 0.44 to 0.54, I2 = 26.9%, 5 studies)
r = 0.49
Diabetes distress: moderate positive correlation (95% CI 0.35 to 0.72, I2 = 96.9%, 7 studies)
r = 0.54
Diabetes self-management engagement: weak negative correlation (95% CI −0.25 to −0.08, I2 = 79.8%, 7 studies)
r = −0.17
Original publication
Type 2 diabetes stigma and its association with clinical, psychological, and behavioral outcomes: A systematic review and meta-analysis. Diabetes Res Clin Pract. Published 10 June 2023. doi:10.
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