Diabetes stigma, parent depressive symptoms and Type-1 diabetes glycemic control in India

Benjamin D. Capistrant, Greta Friedemann-Sánchez, Sharad Pendsey

Research output: Contribution to journalArticlepeer-review

Abstract

Diabetes distress and stigma have been associated with worse patient outcomes in developed countries. However, diabetes stigma has not been studied in low and middle-income countries where clinical practices differ, diabetes awareness is lower, and families face different challenges for supporting children with Type 1 Diabetes (T1D). This study assessed the relationship between parental depression and diabetes stigma with a child’s glycemic control in a clinic-based survey in Nagpur, India. The association between self-reported T1D stigma, depressive symptoms, and child’s measured glycemic control (HbA1C) was assessed with data from 165 of the parents of school-aged (aged 5+) children receiving clinical T1D care at an urban nonprofit organization that provides free clinical care to children with Type-1 Diabetes (T1D) in India. Parents with moderate/severe depressive symptoms who experience stigma associated with their child’s diabetes had children with significantly worse glycemic control than parents with no/mild depressive symptoms who experience the same amount of stigma. Higher reports of stigma were associated with an average of 0.65 points higher HbA1C (β = 0.65, 95% Confidence Interval (CI): 0.18, 1.13) for parents with moderate/severe than parents with mild/no depressive symptoms. Indian parents with depressive symptoms who face social stigma associated with their child’s diabetes have children with worse T1D outcomes.

Original languageEnglish (US)
Pages (from-to)919-935
Number of pages17
JournalSocial Work in Health Care
Volume58
Issue number10
DOIs
StatePublished - Nov 26 2019

Keywords

  • Diabetes mellitus
  • India
  • Type 1
  • depression
  • stigma

PubMed: MeSH publication types

  • Journal Article

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