694-P: Differences in Diabetes-Related Stigma by Demographic Group and Intensity of Diabetes Management

Abstract

The social stigma surrounding diabetes refers to the negative attitudes, discrimination, or prejudice someone may face due to their diabetes. For many people with diabetes (PWD), stigma is a major challenge and often results in significant negative consequences, such as poor psychological well-being and worse clinical outcomes. This study aimed to identify groups who may be at greater risk of experiencing stigma. From October-December 2022, 10,338 adults living with diabetes in the United States, Canada, France, Germany, Italy, Netherlands, Sweden, and United Kingdom took an online survey assessing stigma associated with diabetes. Stigma was measured using four items about concealing or difficulty disclosing one's diabetes as well as diabetes-related embarrassment and isolation. These four items were averaged to create a composite variable on degree of stigma experienced (α = 0.87, M = 1.82, SD = 0.89). Subsequent responses were analyzed by various demographic factors and diabetes management strategies using SPSS. Stigma levels differ by intensity of diabetes management; respondents with more demanding diabetes management regimens experience greater levels of stigma. CGM users (p<0.001) and insulin users (p<0.001) experience more stigma than non-users, and PWD taking multiple daily injections experience more stigma than pump users (p=0.027). Stigma also varies across several demographic factors. French respondents report the highest stigma score, while German respondents report the lowest. Further, people with T1D experience more stigma than those with T2D (p<0.001). This research reveals differences in diabetes-related stigma by country and diabetes type and suggests that stigma becomes more prevalent with more intensive diabetes management. Additional research is needed to further explore experiences of stigma and identify methods of support, especially for at-risk groups. Disclosure A.Zeng: Employee; dQ&A. E.Lin: Employee; dQ&A. E.Cox: Employee; dQ&A. E.Xu: Employee; dQ&A. T.Bell: Employee; dQ&A. T.L.Bristow: Employee; dQ&A.