1型和2型糖尿病成年人中糖尿病耻辱的经验:多项研究,多个国家,二次分析
Elizabeth Holmes-Truscott1,2, Eloise Litterbach1,2, Uffe Søholm1,2
1School of Psychology, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.
糖尿病污名是非常普遍和一致的跨国1型和2型糖尿病的成年人. 这些发现强调,迫切需要全球和地方干预措施来解决糖尿病污名.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 糖尿病污名化对1型糖尿病 (T1D) 和2型糖尿病 (T2D) 患者来说是一个重大的社会心理挑战.
- 了解糖尿病污名的全球流行和一致性对于开发有效干预措施至关重要.
研究的目的:
- 进行全面的,多项研究的,跨国对T1D和T2D成年人体验的糖尿病污名的检查.
- 评估不同地理和语言环境中糖尿病污名的流行率和模式.
主要方法:
- 进行了对使用糖尿病污名化评估尺度 (DSAS-1/DSAS-2) 的现有横截面研究的元分析.
- 来自六个国家的11项研究的数据,包括3114名T1D成年人和6586名T2D成年人,使用多级建模分析.
- 统计分析包括描述性统计,差异组件建模和异质性评估 (ICC,LR测试).
主要成果:
- 报告显示,糖尿病污名的患病率很高,91%的T1D成年人和77%的T2D成年人至少有一种形式的污名.
- "责怪和评判"是T1D (83%) 和T2D (70%) 最常见的认可的耻辱分级.
- 在各个研究和国家中观察到低水平的异质性,表明一致的耻辱经历.
结论:
- 糖尿病污名是影响全球T1D和T2D成年人的广泛和一致的问题.
- 这些发现强调了需要协调地方和国际努力来打击糖尿病污名的必要性.
- 解决糖尿病耻辱是改善糖尿病患者福祉和生活质量的关键.
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