Date of Conferral

2022

Degree

Ph.D.

School

Public Health

Advisor

Patrick Tschida

Abstract

Various studies attempting to evaluate the prevalence of health-related social stigma in people with type 1 diabetes mellitus (T1DM) identified themes that coincide with increased prevalence including anxiety, low self-esteem, depression, fear of judgement, anger, and feeling ashamed. This phenomenon is believed to be due to the lack of knowledge and understanding about the differences between the diagnosis, treatment, and prevention strategies for T1DM and type 2 diabetes mellitus (T2DM). The Resilient, Empowered, Active Living intervention dataset (n=115) was utilized to further examine this phenomenon by determining whether race and ethnicity influence the prevalence of the following health-related social stigma themes in people with T1DM: anxiety/fear of negative judgement, feeling blamed/rejected/bad about yourself, and feeling depressed. This was accomplished using descriptive statistics, cross-tabulations, and binary logistic regression with chi-square analysis to evaluate the data. The results showed that statistically significant associations exist between the dependent variable feeling blamed/rejected/bad about oneself and independent variable ethnicity, as well as the dependent variable feeling depressed and independent variable race. Statistically significant p-values were associated with negative B coefficients amongst minority racial and ethnic groups. This means that individuals in these groups are less likely to report having such feelings. Identifying these reporting differences can enact social change by aiding in treatment of these social stigma themes as well as improving health outcomes that are commonly affected by their increased prevalence.

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