A Cross-Sectional Analysis of the Stigma Surrounding Type 2 Diabetes in Colombia

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dc.contributor.authorPedrero, Victor
dc.contributor.authorManzi, Jorge
dc.contributor.authorAlonso, Luz Marina
dc.date.accessioned2025-01-20T22:03:25Z
dc.date.available2025-01-20T22:03:25Z
dc.date.issued2021
dc.description.abstractType 2 diabetes is a global epidemic, and many people feel stigmatized for having this disease. The stigma is a relevant barrier to diabetes management. However, evidence in this regard is scarce in Latin America. This study aimed to analyze the level of stigma surrounding type 2 diabetes in the Colombian population and its relationships with sociodemographic, clinical, psychosocial variables and behaviors related to management of the disease (self-management behaviors). This cross-sectional study included 501 Colombian adults with type 2 diabetes. We estimated the relation between stigma and selected variables through linear regression models. Additionally, we analyzed the mediator role of psychosocial variables in the relationship between stigma and self-management behaviors through structural equation models. A total of 16.4% of patients showed concerning levels of stigma. The time elapsed since diagnosis (beta = -0.23) and socioeconomic status (beta = -0.13) were significant predictors of the level of stigma. Stigma was negatively correlated with self-efficacy (beta = -0.36), self-esteem (beta = -0.37), and relationship with health care provider (beta = -0.46), and positively correlated with stress (beta = 0.23). Self-efficacy, self-esteem, and the relationships with health care providers had a mediation role in the relationship between stigma and self-management behaviors. These variables would be part of the mechanisms through which the perception of stigma harms self-management behaviors. The stigma of type 2 diabetes is frequent in the Colombian population and negatively associated with important aspects of disease management.
dc.fuente.origenWOS
dc.identifier.doi10.3390/ijerph182312657
dc.identifier.eissn1660-4601
dc.identifier.urihttps://doi.org/10.3390/ijerph182312657
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/94039
dc.identifier.wosidWOS:000735275600001
dc.issue.numero23
dc.language.isoen
dc.revistaInternational journal of environmental research and public health
dc.rightsacceso restringido
dc.subjectsocial stigma
dc.subjecttype 2 diabetes mellitus
dc.subjectself-management
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleA Cross-Sectional Analysis of the Stigma Surrounding Type 2 Diabetes in Colombia
dc.typeartículo
dc.volumen18
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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