{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:01:53Z","timestamp":1769644913650,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T00:00:00Z","timestamp":1762041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T00:00:00Z","timestamp":1762041600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Diabetes\u2010related stigma poses challenges for individuals with diabetes, including impaired self\u2010care. Understanding its relationship with healthcare professional support is essential to clarify strategies for reducing stigma. This study aimed to examine the association between diabetes stigma and the support provided by physicians and nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey was conducted from October 2022 to May 2023 in Osaka, Japan, among outpatients attending hospitals and clinics with diabetes specialists. Participants were aged \u226518\u2009years with type 1 or type 2 diabetes; those with gestational diabetes or unable to complete the questionnaire were excluded. Diabetes\u2010related stigma was assessed using the Kanden Institute Stigma Scale, whereas support from physicians and nurses was evaluated using the doctors' and nurses' support scale. Data were analyzed using multivariate logistic regression. Ethical approval was obtained prior to study initiation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Diabetes\u2010related stigma was inversely associated with physicians' support and nurse's support. Social and self\u2010stigma were associated with physicians and nurses' support among participants aged &lt;65\u2009years but not among those \u226565\u2009years. By contrast, discordant stigma was associated with physicians' support in the younger group and with both physicians' and nurses' support\u2014particularly in health information subscales\u2014among older participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Support from physicians and nurses may reduce diabetes\u2010related stigma. Younger adults may benefit from advocacy and personalized care, whereas older adults require enhanced emotional and informational support. Healthcare professionals should address stigma to improve self\u2010management and quality of life among people with diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jjns.70031","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T05:15:29Z","timestamp":1762146929000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stigma and healthcare professional support among adults with diabetes in Japan: A cross\u2010sectional study"],"prefix":"10.1111","volume":"23","author":[{"given":"Yuchun","family":"Yang","sequence":"first","affiliation":[{"name":"Division of Health Sciences, Graduate School of Medicine The University of Osaka  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiamin","family":"Jiang","sequence":"additional","affiliation":[{"name":"Division of Health Sciences, Graduate School of Medicine The University of Osaka  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5060-5188","authenticated-orcid":false,"given":"Kei","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Division of Health Sciences, Graduate School of Medicine The University of Osaka  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagaaki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Hirakata Kohsai Hospital, Hirakata  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Kosugi","sequence":"additional","affiliation":[{"name":"Kosugi Medical Clinic  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akemi","family":"Ono","sequence":"additional","affiliation":[{"name":"Kosugi Medical Clinic  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junji","family":"Kozawa","sequence":"additional","affiliation":[{"name":"Department of Metabolic Medicine Graduate School of Medicine, The University of Osaka  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Katakami","sequence":"additional","affiliation":[{"name":"Department of Metabolic Medicine Graduate School of Medicine, The University of Osaka  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6289-3778","authenticated-orcid":false,"given":"Atsunori","family":"Fukuhara","sequence":"additional","affiliation":[{"name":"Department of Metabolic Medicine Graduate School of Medicine, The University of Osaka  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norikazu","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Metabolism and Diabetes, Faculty of Medicine, Kindai University  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iichiro","family":"Shimomura","sequence":"additional","affiliation":[{"name":"Department of Metabolic Medicine Graduate School of Medicine, The University of Osaka  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuko","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Division of Health Sciences, Graduate School of Medicine The University of Osaka  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15109"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2023.110827"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.18865\/ed.31.1.57"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-003384"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-005625"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.5114\/hpr.2018.80004"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-087126"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvae136"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12376"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdi.13963"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14387"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2024.103112"},{"key":"e_1_2_11_14_1","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2025"},{"key":"e_1_2_11_15_1","unstructured":"Japan Diabetes Society & Japan Association for Diabetes Education and Care. 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