Gender Impact on Diabetes Distress Focus at Medical Communication Concerns, Life and Interpersonal Stress

Li Chi Huang, Ching Ling Lin, Yao Tsung Chang, Ruey Yu Chen, Chyi Huey Bai

Research output: Contribution to journalArticlepeer-review


Introduction: along with the rapidly aging population in many countries around the world, the global prevalence of diabetes and suffering from diabetes-related depression have risen in middle-aged and elderly adults. However, given that psychological stress is deeply influenced by culture, gender inequality in these statistics is often exhibited and increases with age. The aim of this study was to explore the gender difference in diabetes distress among middle-aged and elderly diabetic patients. Methods: 395 participants from four hospitals were recruited for a cross-sectional survey. The Taiwan Diabetes Distress Scale (TDDS) was used to measure diabetes distress. Linear regression was conducted to assess the gender difference in different types of diabetes distress. Results: there was significant gender difference in each diabetes distress domain. In particular, men who had received diabetes education in the past six months seemed to be more concerned about diabetes complications and felt pressured to communicate with doctors. In addition, women seemed to be more affected by diabetes distress because of their marital status, especially for married women. Conclusions: diabetes distress seems to have significant gender differences; however, more longitudinal research is needed on the causal relationship between gender and diabetes distress.

Original languageEnglish
Article number15678
JournalInternational journal of environmental research and public health
Issue number23
Publication statusPublished - Dec 2022


  • culture
  • diabetes distress
  • gender difference
  • scale

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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