{"id":"https://openalex.org/W2809031027","doi":"https://doi.org/10.2337/db18-825-p","title":"Comprehensive Diabetes Stigma Scale\u2014Associations with Patient Characteristics and Outcomes","display_name":"Comprehensive Diabetes Stigma Scale\u2014Associations with Patient Characteristics and Outcomes","publication_year":2018,"publication_date":"2018-06-22","ids":{"openalex":"https://openalex.org/W2809031027","doi":"https://doi.org/10.2337/db18-825-p","mag":"2809031027"},"language":"en","primary_location":{"id":"doi:10.2337/db18-825-p","doi":"https://doi.org/10.2337/db18-825-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db18-825-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065389112","display_name":"Lauren Brittany Beach","orcid":"https://orcid.org/0000-0003-3302-5047","observed_orcids":["https://orcid.org/0000-0003-3302-5047"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"LAUREN B. BEACH","raw_affiliation_strings":["Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069444294","display_name":"Shyam Kankotia","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"SHYAM KANKOTIA","raw_affiliation_strings":["Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073171536","display_name":"CHRISTINE U. DINH","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"CHRISTINE U. DINH","raw_affiliation_strings":["Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000770289","display_name":"Tom A. Elasy","orcid":"https://orcid.org/0000-0002-1651-8387","observed_orcids":["https://orcid.org/0000-0002-1651-8387"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"TOM ELASY","raw_affiliation_strings":["Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049826479","display_name":"Lindsay Satterwhite Mayberry","orcid":"https://orcid.org/0000-0002-0654-4151","observed_orcids":["https://orcid.org/0000-0002-0654-4151"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"LINDSAY S. MAYBERRY","raw_affiliation_strings":["Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032550277","display_name":"Kenneth A. Wallston","orcid":"https://orcid.org/0000-0001-6310-0306","observed_orcids":["https://orcid.org/0000-0001-6310-0306"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"KENNETH WALLSTON","raw_affiliation_strings":["Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047167349","display_name":"Gregory Phillips","orcid":"https://orcid.org/0000-0001-8396-1170","observed_orcids":["https://orcid.org/0000-0001-8396-1170"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"GREGORY PHILLIPS","raw_affiliation_strings":["Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011474146","display_name":"Patrick Francis Janulis","orcid":"https://orcid.org/0000-0001-7214-2612","observed_orcids":["https://orcid.org/0000-0001-7214-2612"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"PATRICK JANULIS","raw_affiliation_strings":["Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5069083305","display_name":"Kerri L. Cavanaugh","orcid":"https://orcid.org/0000-0002-4031-1714","observed_orcids":["https://orcid.org/0000-0002-4031-1714"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"KERRI CAVANAUGH","raw_affiliation_strings":["Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chicago, IL, Providence, RI, Iowa City, IA, Nashville, TN, Pisgah Forest, NC","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.08295367,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"67","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.9848999977111816,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.9848999977111816,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12066","display_name":"Obesity and Health Practices","score":0.013000000268220901,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetes-stigma","display_name":"diabetes stigma","score":0.9300000071525574},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.7839999794960022},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.8040000200271606},{"id":"https://openalex.org/keywords/insulin-use","display_name":"insulin use","score":0.8889999985694885},{"id":"https://openalex.org/keywords/scale-development","display_name":"scale development","score":0.5450000166893005},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.6819999814033508},{"id":"https://openalex.org/keywords/age-differences","display_name":"age differences","score":0.5180000066757202},{"id":"https://openalex.org/keywords/patient-characteristics","display_name":"patient characteristics","score":0.5770000219345093},{"id":"https://openalex.org/keywords/health-outcomes","display_name":"health outcomes","score":0.4880000054836273},{"id":"https://openalex.org/keywords/diabetes-self-management","display_name":"diabetes self-management","score":0.49399998784065247},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.4309999942779541},{"id":"https://openalex.org/keywords/insurance-status","display_name":"insurance status","score":0.49399998784065247},{"id":"https://openalex.org/keywords/employment-status","display_name":"employment status","score":0.8420000076293945},{"id":"https://openalex.org/keywords/marital-status","display_name":"marital status","score":0.949999988079071}],"concepts":[{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.7738076448440552},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7219479084014893},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.6623235940933228},{"id":"https://openalex.org/C2776217022","wikidata":"https://www.wikidata.org/wiki/Q1100933","display_name":"Diabetes management","level":4,"score":0.45672091841697693},{"id":"https://openalex.org/C2781354955","wikidata":"https://www.wikidata.org/wiki/Q11920938","display_name":"Marital status","level":3,"score":0.4504280686378479},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.44835007190704346},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3200407028198242},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.22303563356399536},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.1488473117351532},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.14329427480697632},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.07948797941207886}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2337/db18-825-p","doi":"https://doi.org/10.2337/db18-825-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db18-825-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3034783339","https://openalex.org/W4323532510","https://openalex.org/W4281749091","https://openalex.org/W7155705836","https://openalex.org/W3004417799","https://openalex.org/W4385490088","https://openalex.org/W4401338954","https://openalex.org/W7124410238","https://openalex.org/W3083065439","https://openalex.org/W4381376378"],"abstract_inverted_index":{"Stigma":[0,32],"related":[1],"to":[2,8,118,283],"health":[3,13],"conditions":[4],"has":[5],"been":[6],"linked":[7],"poor":[9],"medication":[10,46,64,97,179,286],"adherence":[11,180],"and":[12,24,52,71,80,90,96,112,134,150,165,198,201,268],"outcomes.":[14],"With":[15],"input":[16],"from":[17,67,86],"patients":[18],"living":[19],"with":[20,44,59,158,177,235,246],"diabetes,":[21],"diabetes":[22,39,60,63,84,94,159,168,174,194,264,275,285],"clinicians,":[23],"stigma":[25,40,85,162,169,175,265,276],"researchers,":[26],"we":[27],"designed":[28],"the":[29,77,101,271],"Comprehensive":[30],"Diabetes":[31],"Scale":[33],"(CDSS).":[34],"We":[35,56],"hypothesized":[36],"that":[37,263,274],"higher":[38,53,211],"would":[41],"be":[42,278],"associated":[43],"worse":[45,178],"adherence,":[47],"younger":[48,208],"age,":[49,191,207],"insulin":[50,153,196,223],"use,":[51,197],"HbA1c":[54,107,148,236,247],"values.":[55],"recruited":[57],"adults":[58],"on":[61,126],"\u22651":[62],"in":[65],"person":[66],"one":[68],"academic":[69],"practice":[70],"online":[72],"via":[73],"ResearchMatch.":[74],"Participants":[75,99,123],"completed":[76],"15-item":[78],"CDSS":[79],"measures":[81],"of":[82,93,103,167,233],"perceived":[83,161],"family":[87,160],"members,":[88],"psychological":[89],"behavioral":[91],"consequences":[92,166],"stigma,":[95],"adherence.":[98,287],"self-reported":[100],"range":[102],"their":[104],"most":[105],"recent":[106],"lab":[108],"value.":[109],"Spearman":[110],"correlations":[111],"multiple":[113],"linear":[114],"regression":[115],"were":[116,125],"used":[117],"assess":[119],"associations":[120],"between":[121],"variables.":[122],"(n=311)":[124],"average":[127],"61":[128],"\u00b1":[129],"11":[130],"years;":[131],"56%":[132],"female":[133],"86%":[135],"white.":[136],"Most":[137],"(69%)":[138],"participants":[139,209,234],"endorsed":[140],"at":[141],"least":[142],"1":[143],"CDSS-15":[144,155,212,217,231],"item,":[145],"34%":[146],"reported":[147,152],">7.0%,":[149],"49%":[151],"use.":[154],"scores":[156,213,218],"correlated":[157,176],"(\u03c1=0.51,":[163],"p<0.01)":[164],"(\u03c1":[170,181,214,226],"=0.63,":[171],"p<0.01).":[172,183,205,216],"Higher":[173],"=0.40,":[182],"This":[184],"association":[185],"remained":[186],"significant":[187,258],"after":[188],"adjusting":[189],"for":[190,270],"sex,":[192],"race,":[193],"duration,":[195],"marital,":[199],"employment,":[200],"insurance":[202],"status":[203,225],"(\u03b2=0.17,":[204],"By":[206],"had":[210],"=-0.35,":[215],"did":[219],"not":[220,257],"differ":[221],"by":[222],"use":[224],"=0.03,":[227],"p=0.59).":[228],"The":[229],"mean":[230],"score":[232],"<6.4%":[237],"(23;":[238],"95%":[239,250],"CI":[240,251],"21-25)":[241],"was":[242,256],"lower":[243],"than":[244],"those":[245],">9.0%":[248],"(30;":[249],"19-41),":[252],"but":[253],"this":[254],"difference":[255],"(p=0.06).":[259],"These":[260],"findings":[261],"reinforce":[262],"is":[266],"prevalent":[267],"show":[269],"first":[272],"time":[273],"may":[277],"a":[279],"unique":[280],"factor":[281],"contributing":[282],"suboptimal":[284],"Disclosure":[288],"L.B.":[289],"Beach:":[290],"None.":[291,294,297,300,303,313,316,319],"S.":[292],"Kankotia:":[293],"C.U.":[295],"Dinh:":[296],"T.":[298],"Elasy:":[299],"L.S.":[301],"Mayberry:":[302],"K.":[304,317],"Wallston:":[305],"Advisory":[306],"Panel;":[307],"Self;":[308],"EdLogics":[309],"Inc..":[310],"G.":[311],"Phillips:":[312],"P.":[314],"Janulis:":[315],"Cavanaugh:":[318]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2018-06-29T00:00:00"}
