Stigma experienced by adolescents with type 1 diabetes: A systematic review and meta-synthesis

IF 3.4 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-06-13 DOI:10.1111/dme.70088

Rui Wang, Wencai Liu, Cuicui Yang, Xinyi Weng, Meijing Zhou, Jiayin Ruan, Dan Luo

{"title":"Stigma experienced by adolescents with type 1 diabetes: A systematic review and meta-synthesis","authors":"Rui Wang, Wencai Liu, Cuicui Yang, Xinyi Weng, Meijing Zhou, Jiayin Ruan, Dan Luo","doi":"10.1111/dme.70088","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>To identify and synthesize qualitative evidence on the stigma experiences of adolescents with type 1 diabetes.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Six databases were searched from inception to February 2024: PubMed, Cochrane Library, CINAHL, MEDLINE, Embase, and PsycINFO. This meta-synthesis followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Findings from the included qualitative studies were synthesized using Thomas and Harden's methodology.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>About 17 studies were included in the meta-synthesis. Two synthesized findings emerged, including living in stigma (individual perceived and internalized stigma, stigma in interpersonal interactions, implicit stigma in the social structure) and coping with stigma (active stigma coping and escape-avoidance).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>This review is the first meta-synthesis specifically aimed at exploring the stigma experiences among adolescents with type 1 diabetes across individual, interpersonal, and structural levels. The multisourced stigma identified in this review is instrumental in the development of culturally informed and multitiered anti-stigma interventions for this population. It is imperative to enhance adolescents' coping abilities regarding stigma, as is the creation of a stigma-free environment for them.</p>\n </section>\n </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 9","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diabetic Medicine","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/dme.70088","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

To identify and synthesize qualitative evidence on the stigma experiences of adolescents with type 1 diabetes.

Methods

Six databases were searched from inception to February 2024: PubMed, Cochrane Library, CINAHL, MEDLINE, Embase, and PsycINFO. This meta-synthesis followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Findings from the included qualitative studies were synthesized using Thomas and Harden's methodology.

Results

About 17 studies were included in the meta-synthesis. Two synthesized findings emerged, including living in stigma (individual perceived and internalized stigma, stigma in interpersonal interactions, implicit stigma in the social structure) and coping with stigma (active stigma coping and escape-avoidance).

Conclusion

This review is the first meta-synthesis specifically aimed at exploring the stigma experiences among adolescents with type 1 diabetes across individual, interpersonal, and structural levels. The multisourced stigma identified in this review is instrumental in the development of culturally informed and multitiered anti-stigma interventions for this population. It is imperative to enhance adolescents' coping abilities regarding stigma, as is the creation of a stigma-free environment for them.

查看原文本刊更多论文

青少年1型糖尿病患者的病耻感：一项系统综述和综合研究。

目的：对青少年1型糖尿病患者的病耻感经历进行定性研究。方法：检索PubMed、Cochrane Library、CINAHL、MEDLINE、Embase和PsycINFO 6个数据库。这项综合研究遵循PRISMA（系统评价和荟萃分析的首选报告项目）声明。采用托马斯和哈登的方法综合了所纳入的定性研究的结果。结果：meta-synthesis纳入了17项研究。两项综合研究结果包括：污名生活（个体感知和内化污名、人际交往中的污名、社会结构中的内隐污名）和污名应对（主动污名应对和逃避-回避）。结论：这篇综述是第一个专门从个体、人际和结构层面探讨青少年1型糖尿病患者的病耻感经历的综合研究。本综述中确定的多源病耻感有助于为这一人群制定文化知情和多层次的反病耻感干预措施。当务之急是提高青少年应对污名的能力，为他们创造一个没有污名的环境。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”