Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, Maryland, USA.
Department of Psychology, Iowa State University, Ames, Iowa, USA.
BMJ Open Diabetes Res Care. 2019 Aug 30;7(1):e000708. doi: 10.1136/bmjdrc-2019-000708. eCollection 2019.
The present study aims to describe and compare causal attributions for type 1 diabetes (T1D) and type 2 diabetes (T2D) among affected and unaffected individuals and to investigate the relationships among attributions, attitudes, and beliefs.
Adults with no diabetes (N=458), T1D (N=192), or T2D (N=207) completed an online survey. Measures assessed diabetes conceptual knowledge, causal attributions for T1D and T2D, perceived control over diabetes onset, and favorability judgements of individuals affected by each type.
Results indicate general agreement on causal attributions for T1D and T2D among all respondent groups, with some divergences by disease status. All respondents attributed both T1D and T2D to genetics, and genetic attributions were positively associated with favorability judgements of individuals with T2D, but not those with T1D.
This report sets the stage for investigations into how and why attributions for T1D and T2D differ and the implications of these differences including stigmatization of individuals with diabetes and diabetes-related self-concept. Additionally, this work can inform efforts towards clinical and public health education to prevent and optimize treatment of T1D and T2D.
本研究旨在描述和比较 1 型糖尿病(T1D)和 2 型糖尿病(T2D)在患者和非患者中的归因,并探讨归因、态度和信念之间的关系。
无糖尿病(N=458)、T1D(N=192)或 T2D(N=207)的成年人完成了在线调查。测量方法包括糖尿病概念知识、T1D 和 T2D 的归因、对糖尿病发病的感知控制,以及对每种类型患者的好感判断。
结果表明,所有受访者群体对 T1D 和 T2D 的归因基本一致,但在疾病状况方面存在一些差异。所有受访者都将 T1D 和 T2D 归因于遗传,遗传归因与对 T2D 患者的好感判断呈正相关,但与 T1D 患者无关。
本报告为研究 T1D 和 T2D 的归因差异以及这些差异的影响奠定了基础,包括对糖尿病患者的污名化以及与糖尿病相关的自我概念。此外,这项工作可以为预防和优化 T1D 和 T2D 的临床和公共卫生教育提供信息。