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Diabetes Stigma and Clinical Outcomes in Adolescents and Young Adults: The SEARCH for Diabetes in Youth Study. | LitMetric

AI Article Synopsis

  • The study investigates how diabetes stigma affects health outcomes in adolescents and young adults with type 1 or type 2 diabetes, focusing on factors like HbA1c levels and complications.* -
  • Data was collected from 1,608 participants, revealing that higher stigma scores are linked to increased HbA1c levels, particularly in females and those with type 2 diabetes using insulin.* -
  • The findings highlight the negative impact of diabetes stigma on health, suggesting that addressing it is crucial for improving diabetes care in young patients.*

Article Abstract

Objective: To examine the association between diabetes stigma and HbA1c, treatment plan and acute and chronic complications in adolescents and young adults (AYAs) with type 1 or type 2 diabetes.

Research Design And Methods: The SEARCH for Diabetes in Youth study is a multicenter cohort study that collected questionnaire, laboratory, and physical examination data about AYAs with diabetes diagnosed in childhood. A five-question survey assessed frequency of perceived diabetes-related stigma, generating a total diabetes stigma score. We used multivariable linear modeling, stratified by diabetes type, to examine the association of diabetes stigma with clinical factors, adjusting for sociodemographic characteristics, clinic site, diabetes duration, health insurance, treatment plan, and HbA1c.

Results: Of 1,608 respondents, 78% had type 1 diabetes, 56% were female, and 48% were non-Hispanic White. The mean (SD) age at study visit was 21.7 (5.1) years (range, 10-24.9). The mean (SD) HbA1c was 9.2% (2.3%; 77 mmol/mol [2.0 mmol/mol]). Higher diabetes stigma scores were associated with female sex and higher HbA1c (P < 0.01) for all participants. No significant association between diabetes stigma score and technology use was observed. In participants with type 2 diabetes, higher diabetes stigma scores were associated with insulin use (P = 0.04). Independent of HbA1c, higher diabetes stigma scores were associated with some acute complications for AYAs with type 1 diabetes and some chronic complications for AYAs with type 1 or type 2 diabetes.

Conclusions: Diabetes stigma in AYAs is associated with worse diabetes outcomes and is important to address when providing comprehensive diabetes care.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10090897PMC
http://dx.doi.org/10.2337/dc22-1749DOI Listing

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