{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T12:13:18Z","timestamp":1789819998977,"version":"4.0.1"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T00:00:00Z","timestamp":1579824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We review the past 25\u00a0years of research addressing challenges people living with diabetes experience in their daily lives related to social contexts, i.e. in their family, at work and in society at large, and identify research gaps. We found that young people with diabetes, as they develop through to adulthood, are exposed to considerable risks to their physical and mental health. Family\u2010system interventions have had mixed outcomes. Research in this area would benefit from attention to ethnic\/cultural diversity, and involving fathers and other family members. In adults with diabetes, social support relates to better diabetes outcomes. While family member involvement in care is likely to affect health and psychosocial outcomes of the person with diabetes, key elements and mediators of effective family interventions need to be identified. The challenges of diabetes management at work are under\u2010researched; distress and intentional hyperglycaemia are common. When depression is comorbid with diabetes, there are increased work\u2010related risks, e.g. unemployment, sickness absence and reduced income. Research to support people with diabetes at work should involve colleagues and employers to raise awareness and create supportive environments. Stigma and discrimination have been found to be more common than previously acknowledged, affecting self\u2010care, well\u2010being and access to health services. Guidance on stigma\u2010reducing choice of language has been published recently. Resilience, defined as successful adaptation to adversity such as stigma and discrimination, requires studies relevant to the specific challenges of diabetes, whether at diagnosis or subsequently. The importance of the social context for living well with diabetes is now fully recognized, but understanding of many of the challenges, whether at home or work, is still limited, with much work needed to develop successful interventions.<\/jats:p>","DOI":"10.1111\/dme.14226","type":"journal-article","created":{"date-parts":[[2020,1,7]],"date-time":"2020-01-07T23:25:55Z","timestamp":1578439555000},"page":"473-482","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["State of the art: understanding and integration of the social context in diabetes care"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6029-5101","authenticated-orcid":false,"given":"M.","family":"de Wit","sequence":"first","affiliation":[{"name":"Amsterdam UMC Vrije Universiteit Amsterdam Medical Psychology Amsterdam Public Health Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2827-5722","authenticated-orcid":false,"given":"P. 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W.","family":"Huber","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Brighton Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Willaing","sequence":"additional","affiliation":[{"name":"Diabetes Management Research Steno Diabetes Centre Copenhagen Gentofte Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1978.tb22070.x"},{"key":"e_1_2_11_3_1","volume-title":"Measuring environment across the life span: Emerging methods and concepts","author":"Bronfenbrenner U","year":"1999"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.245"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-10.4.282"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0040355"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573399811666150421114146"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5448.2011.00778.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-011-0222-y"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/1462064"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-1028"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc18-1143"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.20.1.45"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jss009"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc17-0643"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0040359"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-018-0981-9"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.3.6.696"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/014572179802400504"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-012-0317-0"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1074840712471899"},{"key":"e_1_2_11_22_1","first-page":"561","article-title":"Can addressing family relationships improve outcomes in chronic disease? 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