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Record W4412766727 · doi:10.1111/dme.70113

Illustrating stories of stigma from the perspective of people living with diabetes while experiencing homelessness: An arts‐based community participatory research project

2025· article· en· W4412766727 on OpenAlexafffund
Saania Tariq, T. David Reed, Jeremy Auger, Brian Bowdridge, Matt Larsen, Justin Lawson, Anna Whaley, Eshleen Grewal, Scott Westby, David J.T. Campbell

Bibliographic record

VenueDiabetic Medicine · 2025
Typearticle
Languageen
FieldHealth Professions
TopicHomelessness and Social Issues
Canadian institutionsDiabetes CanadaPenn West Exploration (Canada)University of Calgary
FundersSocial Sciences and Humanities Research Council of CanadaDiabetes Canada
KeywordsStigma (botany)MedicineParticipatory action researchNarrativeCommunity-based participatory researchNursingPsychiatrySociology

Abstract

fetched live from OpenAlex

AIMS: Our objective was to explore the stigma experienced by people with lived experiences of both diabetes and homelessness. METHODS: This community-based participatory research (CBPR) project was underpinned by a partnership between academic researchers and those with lived experience (co-researchers). We used two arts-based research methods, Forum Theatre and Participatory Filmmaking, and collected field notes, interviews with co-researchers, and the narrative scripts from the play and film. Interpretative analysis was used to generate broader themes. RESULTS: We identified three themes describing the experience of diabetes stigma while experiencing homelessness, including: (i) limited knowledge of diabetes in the broader community, (ii) the lack of privacy in the shelter environment, and (iii) substance use stereotypes associated with homelessness. Experiences of diabetes and homelessness stigma consisted of instances characterised by judgement, unfair treatment, and skepticism imparted by others. The experience of diabetes stigma was heightened in the context of homelessness, creating situations exacerbated by the judgement and blame passed onto those with diabetes in the shelter. CONCLUSION: Diabetes stigma has a profound mental and emotional impact on individuals experiencing homelessness, often impacting their ability to manage their condition. Future research is needed to explore these intersections in different contexts and develop comprehensive strategies that may mitigate stigma and improve the well-being of individuals with diabetes experiencing homelessness.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.207
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0050.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0020.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.245
GPT teacher head0.490
Teacher spread0.245 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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