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Weight Stigma and Diabetes Stigma: Implications for Weight-Related Health Behaviors in Adults With Type 2 Diabetes

Overview
Journal Clin Diabetes
Specialty Endocrinology
Date 2022 Feb 28
PMID 35221472
Authors
Affiliations
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Abstract

There has been little recognition that people with type 2 diabetes are vulnerable to weight stigma and diabetes stigma and almost no research examining the implications of these forms of stigma for their health and well-being. This study examined health behavior correlates of weight stigma and diabetes stigma in 1,227 adults with type 2 diabetes. Results showed that experiencing weight stigma in health care, experiencing differential treatment from others because of their diabetes, and engaging in self-stigma for diabetes and body weight were each significantly associated with increased frequency of binge eating and eating as a coping strategy to deal with negative feelings. Internalizing weight stigma was also significantly associated with lower levels of physical activity and worse self-rated health. These findings suggest that initiatives to improve the health and well-being of people with type 2 diabetes must consider the potentially harmful roles of weight stigma and diabetes stigma.

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References
1.
Tsenkova V, Carr D, Schoeller D, Ryff C . Perceived weight discrimination amplifies the link between central adiposity and nondiabetic glycemic control (HbA1c). Ann Behav Med. 2010; 41(2):243-51. PMC: 3082470. DOI: 10.1007/s12160-010-9238-9. View

2.
Speight J, Hendrieckx C, Pouwer F, Skinner T, Snoek F . Back to the future: 25 years of 'Guidelines for encouraging psychological well-being' among people affected by diabetes. Diabet Med. 2019; 37(8):1225-1229. DOI: 10.1111/dme.14165. View

3.
Hays R, Spritzer K, Thompson W, Cella D . U.S. General Population Estimate for "Excellent" to "Poor" Self-Rated Health Item. J Gen Intern Med. 2015; 30(10):1511-6. PMC: 4579204. DOI: 10.1007/s11606-015-3290-x. View

4.
Pearl R, Puhl R . Weight bias internalization and health: a systematic review. Obes Rev. 2018; 19(8):1141-1163. PMC: 6103811. DOI: 10.1111/obr.12701. View

5.
Iglay K, Hannachi H, Joseph Howie P, Xu J, Li X, Engel S . Prevalence and co-prevalence of comorbidities among patients with type 2 diabetes mellitus. Curr Med Res Opin. 2016; 32(7):1243-52. DOI: 10.1185/03007995.2016.1168291. View