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.accessioned2023-11-02T22:32:37Z
dc.date.available2023-11-02T22:32:37Z
dc.date.issued2021-12
dc.descriptionIndexación: Scopuses
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 (β = −0.23) and socioeconomic status (β = −0.13) were significant predictors of the level of stigma. Stigma was negatively correlated with self-efficacy (β = −0.36), self-esteem (β = −0.37), and relationship with health care provider (β = −0.46), and positively correlated with stress (β = 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. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.es
dc.description.urihttps://www.mdpi.com/1660-4601/18/23/12657
dc.identifier.citationInternational Journal of Environmental Research and Public HealthOpen AccessVolume 18, Issue 23December-1 2021 Article number 12657es
dc.identifier.doi10.3390/ijerph182312657
dc.identifier.issn1661-7827
dc.identifier.urihttps://repositorio.unab.cl/xmlui/handle/ria/53808
dc.language.isoenes
dc.publisherMDPIes
dc.rights.licenseAtribución 4.0 Internacional (CC BY 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/deed.es
dc.subjectSelf-managementes
dc.subjectSocial stigmaes
dc.subjectType 2 diabetes mellituses
dc.titleA cross-sectional analysis of the stigma surrounding type 2 diabetes in colombiaes
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