Bringing an end to diabetes stigma and discrimination: an international consensus statement on evidence and recommendations.
Speight Jane, Holmes-Truscott Elizabeth, Garza Matthew, Scibilia Renza, Wagner Sabina, Kato Asuka, Pedrero Victor, Deschênes Sonya, Guzman Susan J, Joiner Kevin L, Liu Shengxin, Willaing Ingrid, Babbott Katie M, Cleal Bryan, Dickinson Jane K, Halliday Jennifer A, Morrissey Eimear C, Nefs Giesje, O'Donnell Shane, Serlachius Anna, Winterdijk Per, Alzubaidi Hamzah, Arifin Bustanul, Cambron-Kopco Liz, Santa Ana Corinna, Davidsen Emma, de Groot Mary, de Wit Maartje, Deroze Phyllisa, Haack Stephanie, Holt Richard I G, Jensen Walther, Khunti Kamlesh, Kragelund Nielsen Karoline, Lathia Tejal, Lee Christopher J, McNulty Bridget, Naranjo Diana, Pearl Rebecca L, Prinjha Suman, Puhl Rebecca M, Sabidi Anita, Selvan Chitra, Sethi Jazz, Seyam Mohammed, Sturt Jackie, Subramaniam Mythily, Terkildsen Maindal Helle, Valentine Virginia, Vallis Michael, Skinner Timothy C
The lancet. Diabetes & endocrinology · 2024 · PMID 38128969 · 인용 138
People with diabetes often encounter stigma (ie, negative social judgments, stereotypes, prejudice), which can adversely affect emotional, mental, and physical health; self-care, access to optimal health care; and social and professional opportunities. To accelerate an end to diabetes stigma and discrimination, an international multidisciplinary expert panel (n=51 members, from 18 countries) conducted rapid reviews and participated in a three-round Delphi survey process. We achieved consensus on 25 statements of evidence and 24 statements of recommendations.
The consensus is that diabetes stigma is driven primarily by blame, perceptions of burden or sickness, invisibility, and fear or disgust. On average, four in five adults with diabetes experience diabetes stigma and one in five experience discrimination (ie, unfair and prejudicial treatment) due to diabetes, such as in health care, education, and employment. Diabetes stigma and discrimination are harmful, unacceptable, unethical, and counterproductive.
Collective leadership is needed to proactively challenge, and bring an end to, diabetes stigma and discrimination. Consequently, we achieved unanimous consensus on a pledge to end diabetes stigma and discrimination.