Testing the associations between poverty stigma and mental health: The role of received stigma and perceived structural stigma.

IF 2.5 4区 医学 Q2 PSYCHIATRY
Greig Inglis, Edward Sosu, Fiona McHardy, Isabel Witteveen, Pamela Jenkins, Lee Knifton
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引用次数: 0

Abstract

Background: Previous research has documented how people living on low incomes in the United Kingdom (UK) and internationally experience various forms of poverty stigma. The purpose of this study was to quantitatively examine how experiences of poverty stigma are associated with mental health outcomes.

Methods: An online, cross-sectional survey was conducted with 1,000 adults living in predominantly low- and middle-income households in the UK. The survey included a questionnaire designed to measure participants' experiences of different forms of poverty stigma, as well as measures of anxiety, depression and mental well-being.

Findings: Exploratory and confirmatory factor analyses of the poverty stigma questionnaire supported a two-factor solution. One factor reflected participants' experiences of being mistreated and judged unfairly by other people because they live on low income (received stigma) and the other factor reflected participants' perceptions of how people living in poverty are treated by media outlets, public services and politicians (perceived structural stigma). Both received and perceived structural stigma were independently associated with anxiety, depression and mental well-being and these relationships persisted after controlling for socioeconomic indicators. There was also evidence that received stigma and perceived structural stigma partially mediated the relationships between financial hardship and mental health outcomes.

Discussion: Experiences of received and perceived structural poverty stigma are both associated with mental health and well-being. This suggests that addressing interpersonal and structural forms of poverty stigma may help to narrow socioeconomic inequalities in mental health.

测试贫困耻辱与心理健康之间的关联:接收到的污名和感知到的结构性污名的作用。
背景:以往的研究记录了英国和国际上低收入人群如何经历各种形式的贫困羞辱。本研究旨在定量研究贫困烙印的经历与心理健康结果之间的关系:我们对英国主要生活在中低收入家庭的 1000 名成年人进行了在线横断面调查。调查包括一份问卷,旨在测量参与者对不同形式的贫困鄙视的经历,以及焦虑、抑郁和心理健康的测量:对贫困烙印问卷的探索性和确认性因素分析支持双因素解决方案。其中一个因子反映了参与者因低收入而受到他人不公正对待和评判的经历(受到的污名化),另一个因子反映了参与者对媒体、公共服务机构和政治家如何对待生活贫困者的看法(感知到的结构性污名化)。受到的和感知到的结构性成见都与焦虑、抑郁和心理健康有独立的关系,在控制了社会经济指标后,这些关系依然存在。还有证据表明,受到的污名化和感知到的结构性污名化在一定程度上调节了经济困难与心理健康结果之间的关系:讨论:受到的和感知到的结构性贫困烙印都与心理健康和幸福感有关。这表明,解决人际和结构形式的贫困烙印可能有助于缩小心理健康方面的社会经济不平等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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