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Stigma, Self-Care, and Intuitive Eating in Black Americans with Type 2 Diabetes
Erin D Basinger1, Shanice Jones Cameron2, Gracie Allen2
1Department of Communication Studies, University of North Carolina at Charlotte, 9201 University City Boulevard, Charlotte, NC, 28223, USA. erin.basinger@uncc.edu.
Journal of Racial and Ethnic Health Disparities
|August 25, 2023
Summary
Stigma negatively impacts type 2 diabetes self-care in Black Americans. However, strong family relationships can protect against stigma, and intuitive eating shows promise for diabetes management.
Area of Science:
- Health disparities
- Psychology
- Nutrition science
Background:
- Type 2 diabetes disproportionately affects Black Americans.
- Stigma, including weight stigma, hinders diabetes self-care.
- Family support is a crucial resource for Black Americans facing chronic illness.
Purpose of the Study:
- To examine the relationship between type 2 diabetes stigma, weight stigma, and self-care behaviors.
- To investigate the role of intuitive eating as a non-restrictive nutrition approach.
- To determine if family relationship satisfaction moderates the impact of stigma on self-care and intuitive eating.
Main Methods:
- Online survey administered to 225 Black Americans with type 2 diabetes.
- Utilized multiple linear regression to test hypotheses.
- Employed self-report measures for stigma, self-care, intuitive eating, and family relationship satisfaction.
Main Results:
- Both type 2 diabetes stigma and weight stigma were negatively associated with eating for physical hunger, a subscale of intuitive eating.
- Family relationship satisfaction demonstrated a protective effect, buffering the negative impacts of stigma at moderate to high levels.
- Findings suggest stigma affects specific aspects of intuitive eating and self-care.
Conclusions:
- Intuitive eating may be a beneficial, non-restrictive intervention for type 2 diabetes management.
- Strengthening family relationships can mitigate the adverse effects of stigma on individuals with type 2 diabetes.
- Addressing stigma is essential for improving self-care and health outcomes in Black Americans with type 2 diabetes.
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