Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study

Yang, Yuchun; Jiang, Jiamin; Takahashi, Kei; Tanaka, Nagaaki; Kosugi, Keisuke; Ono, Akemi; Kozawa, Junji; Katakami, Naoto; Fukuhara, Atsunori; Maeda, Norikazu; Shimomura, Iichiro; Shimizu, Yasuko

doi:https://doi.org/10.1111/jjns.70031

Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study

Yang, Yuchun; Jiang, Jiamin; Takahashi, Kei et al.

Japan journal of nursing science : JJNS, 2026, 23(1), e70031

アクセス数:181件（2026-02-15 18:42 集計）

固定URL: https://hdl.handle.net/11094/103463

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タイトル	Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study
著者	著者名 Yang, Yuchun
	著者名 Jiang, Jiamin
	NRID 1000010894941 1000010894941 ORCID 0000-0001-5060-5188 0000-0001-5060-5188 researchmap permalink kei-t kei-t Scopus Author ID 58189609600 58189609600 著者名 Takahashi, Kei
	著者名 Tanaka, Nagaaki
	著者名 Kosugi, Keisuke
	著者名 Ono, Akemi
	NRID 1000080513001 1000080513001 ORCID 0000-0001-9665-8947 0000-0001-9665-8947 researchmap permalink jkkk jkkk Scopus Author ID 6506399971 6506399971 著者名 Kozawa, Junji
	NRID 1000010403049 1000010403049 ORCID 0000-0001-9020-8320 0000-0001-9020-8320 researchmap permalink naoto.katakami naoto.katakami Scopus Author ID 7003392840 7003392840 著者名 Katakami, Naoto
	NRID 1000000437328 1000000437328 ORCID 0000-0002-6289-3778 0000-0002-6289-3778 researchmap permalink AtsuF AtsuF Scopus Author ID 7003835710 7003835710 著者名 Fukuhara, Atsunori
	NRID 1000030506308 1000030506308 ORCID 0000-0002-7105-0836 0000-0002-7105-0836 researchmap permalink Adiponectin Adiponectin Scopus Author ID 7401561691 7401561691 著者名 Maeda, Norikazu
	NRID 1000060346145 1000060346145 ORCID 0000-0002-0851-9603 0000-0002-0851-9603 researchmap permalink shimomura_i shimomura_i Scopus Author ID 7006715546 7006715546 著者名 Shimomura, Iichiro
	NRID 1000050252705 1000050252705 ORCID 0000-0002-7398-4587 0000-0002-7398-4587 researchmap permalink read0055555 read0055555 Scopus Author ID 36097126100 36097126100 著者名 Shimizu, Yasuko
キーワード等	cross‐sectional
	diabetes
	healthcare professional support
	stigma
内容	Yang Y., Jiang J., Takahashi K., et al. Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study. Japan journal of nursing science : JJNS 23, e70031 (2026); https://doi.org/10.1111/jjns.70031.
抄録	AIMS: Diabetes-related stigma poses challenges for individuals with diabetes, including impaired self-care. Understanding its relationship with healthcare professional support is essential to clarify strategies for reducing stigma. This study aimed to examine the association between diabetes stigma and the support provided by physicians and nurses. METHODS: A cross-sectional survey was conducted from October 2022 to May 2023 in Osaka, Japan, among outpatients attending hospitals and clinics with diabetes specialists. Participants were aged ≥18 years with type 1 or type 2 diabetes; those with gestational diabetes or unable to complete the questionnaire were excluded. Diabetes-related stigma was assessed using the Kanden Institute Stigma Scale, whereas support from physicians and nurses was evaluated using the doctors' and nurses' support scale. Data were analyzed using multivariate logistic regression. Ethical approval was obtained prior to study initiation. RESULTS: Diabetes-related stigma was inversely associated with physicians' support and nurse's support. Social and self-stigma were associated with physicians and nurses' support among participants aged <65 years but not among those ≥65 years. By contrast, discordant stigma was associated with physicians' support in the younger group and with both physicians' and nurses' support-particularly in health information subscales-among older participants. CONCLUSIONS: Support from physicians and nurses may reduce diabetes-related stigma. Younger adults may benefit from advocacy and personalized care, whereas older adults require enhanced emotional and informational support. Healthcare professionals should address stigma to improve self-management and quality of life among people with diabetes.
出版者	Wiley
収録物名	Japan journal of nursing science : JJNS
巻(号)	23(1)
ページ	e70031
刊行年月	2026-11-02
言語	英語
ハンドルURL	https://hdl.handle.net/11094/103463
eISSN	17427924
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1111/jjns.70031
アクセス権	open access
権利情報	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	Japan journal of nursing science : JJNS. 2026, 23(1), p. e70031
DC.title	Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study
DC.creator	Yang, Yuchun
	Jiang, Jiamin
	Takahashi, Kei
	Tanaka, Nagaaki
	Kosugi, Keisuke
	Ono, Akemi
	Kozawa, Junji
	Katakami, Naoto
	Fukuhara, Atsunori
	Maeda, Norikazu
	Shimomura, Iichiro
	Shimizu, Yasuko
DC.publisher	Wiley
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2026-11-02
DC.identifier	https://doi.org/10.1111/jjns.70031
DC.subject	cross‐sectional
	diabetes
	healthcare professional support
	stigma
DC.description	Yang Y., Jiang J., Takahashi K., et al. Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study. Japan journal of nursing science : JJNS 23, e70031 (2026); https://doi.org/10.1111/jjns.70031.
DCTERMS.abstract	AIMS: Diabetes-related stigma poses challenges for individuals with diabetes, including impaired self-care. Understanding its relationship with healthcare professional support is essential to clarify strategies for reducing stigma. This study aimed to examine the association between diabetes stigma and the support provided by physicians and nurses. METHODS: A cross-sectional survey was conducted from October 2022 to May 2023 in Osaka, Japan, among outpatients attending hospitals and clinics with diabetes specialists. Participants were aged ≥18 years with type 1 or type 2 diabetes; those with gestational diabetes or unable to complete the questionnaire were excluded. Diabetes-related stigma was assessed using the Kanden Institute Stigma Scale, whereas support from physicians and nurses was evaluated using the doctors' and nurses' support scale. Data were analyzed using multivariate logistic regression. Ethical approval was obtained prior to study initiation. RESULTS: Diabetes-related stigma was inversely associated with physicians' support and nurse's support. Social and self-stigma were associated with physicians and nurses' support among participants aged <65 years but not among those ≥65 years. By contrast, discordant stigma was associated with physicians' support in the younger group and with both physicians' and nurses' support-particularly in health information subscales-among older participants. CONCLUSIONS: Support from physicians and nurses may reduce diabetes-related stigma. Younger adults may benefit from advocacy and personalized care, whereas older adults require enhanced emotional and informational support. Healthcare professionals should address stigma to improve self-management and quality of life among people with diabetes.
DC.rights	This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	103463
citation_title	Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study
citation_author	Yang, Yuchun
	Jiang, Jiamin
	Takahashi, Kei
	Tanaka, Nagaaki
	Kosugi, Keisuke
	Ono, Akemi
	Kozawa, Junji
	Katakami, Naoto
	Fukuhara, Atsunori
	Maeda, Norikazu
	Shimomura, Iichiro
	Shimizu, Yasuko
citation_publisher	Wiley
citation_language	英語
citation_date	2026-11-02
citation_journal_title	Japan journal of nursing science : JJNS
citation_volume	23
citation_issue	1
citation_firstpage	e70031
citation_doi	https://doi.org/10.1111/jjns.70031
citation_public_url	https://hdl.handle.net/11094/103463

Stigma and healthcare professional support among adults with diabetes in Japan: A cross-sectional study

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