Bringing an end to diabetes stigma and discrimination: an international consensus statement on evidence and recommendations.
Journal: The lancet. Diabetes & endocrinology
Volume: 12
Issue: 1
Year of Publication: 2023
Affiliated Institutions:
School of Psychology and Institute for Health Transformation, Deakin University, Geelong, VIC, Australia; The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, VIC, Australia. Electronic address: jspeight@acbrd.org.au.
School of Psychology and Institute for Health Transformation, Deakin University, Geelong, VIC, Australia; The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, VIC, Australia.
The diaTribe Foundation, San Francisco, CA, USA.
Diabetogenic, Melbourne, VIC, Australia; JDRF International, New York, NY, USA.
Department of Prevention, Health Promotions & Community Care, Copenhagen University Hospital-Steno Diabetes Center Copenhagen, Copenhagen, Denmark.
Department of Health and Social Behavior, School of Public Health, The University of Tokyo, Tokyo, Japan.
Faculty of Nursing, Universidad Andrés Bello, Santiago, Chile.
School of Psychology, University College Dublin, Dublin, Ireland.
Behavioral Diabetes Institute, San Diego, CA, USA.
Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, USA.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.
Department of Prevention, Health Promotions & Community Care, Copenhagen University Hospital-Steno Diabetes Center Copenhagen, Copenhagen, Denmark; Institute of Public Health, Department of Health Services Research, University of Copenhagen, Copenhagen, Denmark.
Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Department of Health Studies & Applied Educational Psychology, Teachers College Columbia University, New York, NY, USA.
Health Behavior Change Research Group, School of Psychology, University of Galway, Galway, Ireland.
Department of Medical Psychology, Radboudumc, Nijmegen, Netherlands; Center of Research on Psychological Disorders and Somatic Diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, Netherlands; Diabeter, Center for Pediatric and Adolescent Diabetes Care and Research, Rotterdam, Netherlands.
Birmingham Law School, University of Birmingham, Birmingham, UK.
Diabeter, Center for Pediatric and Adolescent Diabetes Care and Research, Rotterdam, Netherlands.
College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates.
Faculty of Pharmacy, Universitas Hasanuddin, Makassar, Indonesia.
Altoona, PA, USA.
Type Musings, Vancouver, WA, USA.
Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Medical Psychology, Amsterdam Public Health, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
dQ&A, San Francisco, CA, USA.
#Dedoc° Labs, Berlin, Germany; Pep Me Up, Berlin, Germany.
Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK; National Institute for Health Research Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Copenhagen, Denmark.
Leicester Diabetes Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, UK.
Department of Endocrinology, Apollo Hospitals, Navi Mumbai, India.
Canberra, ACT, Australia.
Sweet Life Diabetes Community, Cape Town, South Africa.
Department of Pediatrics, Division of Endocrinology, Stanford School of Medicine, Palo Alto, CA, USA.
Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
Department of Human Development & Family Sciences, College of Liberal Arts & Sciences, University of Connecticut, Storrs, CT, USA.
Jakarta, Indonesia.
Department of Endocrinology, Ramaiah Medical College, Bengaluru, India.
The Diabesties Foundation, Ahmedabad, India.
Faculty of Medicine, Al-Quds University, Abu Dis, Palestine.
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Institute of Mental Health Singapore, Singapore; Saw Swee Hock School of Public Health, National University Singapore, Singapore.
Department of Prevention, Health Promotions & Community Care, Copenhagen University Hospital-Steno Diabetes Center Copenhagen, Copenhagen, Denmark; Department of Public Health, Aarhus University, Aarhus, Denmark.
Clinica La Esperanza, Albuquerque, NM, USA.
Department of Family Medicine, Dalhousie University, Halifax, NS, Canada.
The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, VIC, Australia; La Trobe Rural Health School, La Trobe University, Flora Hill, VIC, Australia; Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
Abstract summary
People with diabetes often encounter stigma (ie, negative social judgments, stereotypes, prejudice), which can adversely affect emotional, mental, and physical health; self-care, access to optimal health care; and social and professional opportunities. To accelerate an end to diabetes stigma and discrimination, an international multidisciplinary expert panel (n=51 members, from 18 countries) conducted rapid reviews and participated in a three-round Delphi survey process. We achieved consensus on 25 statements of evidence and 24 statements of recommendations. The consensus is that diabetes stigma is driven primarily by blame, perceptions of burden or sickness, invisibility, and fear or disgust. On average, four in five adults with diabetes experience diabetes stigma and one in five experience discrimination (ie, unfair and prejudicial treatment) due to diabetes, such as in health care, education, and employment. Diabetes stigma and discrimination are harmful, unacceptable, unethical, and counterproductive. Collective leadership is needed to proactively challenge, and bring an end to, diabetes stigma and discrimination. Consequently, we achieved unanimous consensus on a pledge to end diabetes stigma and discrimination.
Authors & Co-authors:
Speight Jane J
Holmes-Truscott Elizabeth E
Garza Matthew M
Scibilia Renza R
Wagner Sabina S
Kato Asuka A
Pedrero Victor V
Deschênes Sonya S
Guzman Susan J SJ
Joiner Kevin L KL
Liu Shengxin S
Willaing Ingrid I
Babbott Katie M KM
Cleal Bryan B
Dickinson Jane K JK
Halliday Jennifer A JA
Morrissey Eimear C EC
Nefs Giesje G
O'Donnell Shane S
Serlachius Anna A
Winterdijk Per P
Alzubaidi Hamzah H
Arifin Bustanul B
Cambron-Kopco Liz L
Santa Ana Corinna C
Davidsen Emma E
de Groot Mary M
de Wit Maartje M
Deroze Phyllisa P
Haack Stephanie S
Holt Richard I G RIG
Jensen Walther W
Khunti Kamlesh K
Kragelund Nielsen Karoline K
Lathia Tejal T
Lee Christopher J CJ
McNulty Bridget B
Naranjo Diana D
Pearl Rebecca L RL
Prinjha Suman S
Puhl Rebecca M RM
Sabidi Anita A
Selvan Chitra C
Sethi Jazz J
Seyam Mohammed M
Sturt Jackie J
Subramaniam Mythily M
Terkildsen Maindal Helle H
Valentine Virginia V
Vallis Michael M
Skinner Timothy C TC
Study Outcome
Source Link: Visit source