Davidsen Emma, Maindal Helle Terkildsen, Rod Morten Hulvej, Olesen Kasper, Byrne Molly, Damm Peter, Nielsen Karoline Kragelund
Health Promotion Research, Copenhagen University Hospital - Steno Diabetes Center Copenhagen, Borgmester Ib Juuls Vej 83, 2730 Herlev, Denmark.
Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark.
EClinicalMedicine. 2022 Aug 11;52:101614. doi: 10.1016/j.eclinm.2022.101614. eCollection 2022 Oct.
Gestational diabetes mellitus (GDM) affects an increasing number of pregnant women globally. Although studies have identified psychosocial ramifications associated with GDM, stigma in the form of experienced discrimination and self-blame and its consequences have received limited attention. Our objective was to examine the current evidence on stigma, as experienced among women with GDM, including the potential adverse consequences hereof.
A scoping review was conducted with citations retrieved from the databases MEDLINE, CINAHL, EMBASE and, PsycINFO. Studies published before 15 June 2022, when the search was conducted, were included.
We identified 1388 citations and included 44 in the review. We found that women with GDM may experience stigma in the form of overt discrimination from healthcare personnel and relatives, and in the form of internalised stigma, such as guilt and shame. Identified consequences include avoidance of screening, not following dietary recommendations nor reporting blood glucose readings, social isolation, and poor mental wellbeing. No estimates of stigma prevalence were identified.
Existing evidence shows that women with GDM report stigma, which may affect both their mental and physical health. Further investigations into the prevalence of stigma and long-term consequences of stigma are much needed.
The funders of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report.
全球范围内,妊娠期糖尿病(GDM)影响着越来越多的孕妇。尽管研究已经确定了与GDM相关的心理社会影响,但以经历歧视和自责形式存在的污名及其后果受到的关注有限。我们的目的是研究关于GDM女性所经历的污名的现有证据,包括其潜在的不良后果。
进行了一项范围综述,检索了MEDLINE、CINAHL、EMBASE和PsycINFO数据库中的文献。纳入了在搜索进行时(2022年6月15日之前)发表的研究。
我们识别出1388条文献引用,纳入综述的有44篇。我们发现,GDM女性可能会经历来自医护人员和亲属的公开歧视形式的污名,以及内化污名形式,如内疚和羞耻感。已识别的后果包括避免筛查、不遵循饮食建议或不报告血糖读数、社会隔离和心理健康不佳。未找到污名患病率估计值。
现有证据表明,GDM女性报告了污名,这可能会影响她们的身心健康。非常需要进一步调查污名的患病率及其长期后果。
该研究的资助者在研究设计、数据收集、数据分析、数据解读或报告撰写方面没有参与。