Influence of dialysis‐related stigma on health‐related indicators in Japanese patients undergoing hemodialysis

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Abstract
Introduction: Focusing on impacts to health‐related indicators in older Japanese patients, this study analyzed both the direct influence of dialysis‐related stigma and influences of its intersectionality with other stigmatized characteristics.Methods: Data were collected through a cross‐sectional survey of 7461 outpatients in dialysis facilities. Other stigmatized characteristics include lower income, lower education, disabled activities of daily living, and diabetic end‐stage renal disease (ESRD) as a cause for starting dialysis treatment.Results: The average rate of an “agree” response on dialysis‐related stigma items was 18.2%. Dialysis‐related stigma significantly influenced all three health‐related indicators, including suspected depression, informal networks, and compliance with dietary therapy. In addition, each interaction between dialysis‐related stigma and educational attainment, gender, and diabetic ESRD significantly influence one health‐related indicator.Conclusion: These results suggest that dialysis‐related stigma has both a significant direct and synergic influence with other stigmatized characteristics on health‐related indicators.

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