Stigma and Health最新文献

Exploring the Relationship Between Adverse Childhood Experiences and Internalized Substance Use Stigma: A Mediation Analysis Among Incarcerated Women. 探究不良童年经历与内化药物使用污名的关系：监禁妇女的中介分析。

IF 2.2

Stigma and Health Pub Date : 2025-10-02 DOI: 10.1037/sah0000663

Jaxin Annett, Marguerite Webster, Martha Tillson, J Matthew Webster, Megan F Dickson, Michele Staton

{"title":"Exploring the Relationship Between Adverse Childhood Experiences and Internalized Substance Use Stigma: A Mediation Analysis Among Incarcerated Women.","authors":"Jaxin Annett, Marguerite Webster, Martha Tillson, J Matthew Webster, Megan F Dickson, Michele Staton","doi":"10.1037/sah0000663","DOIUrl":"10.1037/sah0000663","url":null,"abstract":"While adverse childhood experiences (ACEs) and mental health (MH) may significantly influence internalized substance use stigma (ISUS), these relationships remain underexplored. This study addresses this gap by: (1) examining bivariate relationships between ACEs, MH, and ISUS, and (2) investigating the mediating role of MH-specifically anxiety, depression, and post-traumatic stress disorder (PTSD)-in this relationship. As part of the ongoing NIDA-funded Kentucky Justice Community Opioid Innovation Network (JCOIN) trial, 900 women with a history of opioid use disorder were randomly selected from nine Kentucky jails, consented, and interviewed on their substance use histories and related stigma, ACEs, and MH. Linear regression with mediation was used to analyze data. Women were an average age of 37 years and were predominantly non-Hispanic white (92.4%). ACEs and all MH variables were significantly associated with ISUS (p<.001). Mediation models indicated that anxiety and depression partially mediated the relationship between ACEs and ISUS, each explaining about a third (anxiety=38%, depression=32%) of the total effect of this relationship. Additionally, PTSD fully mediated this relationship, highlighting that PTSD is a significant explanatory factor and accounts for about 69% of the relationship. Results suggest that ACEs among women who have been incarcerated are linked to MH issues, which may contribute to ISUS. Addressing MH may help mitigate ISUS, underscoring the need for integrated, trauma-informed treatment interventions targeting ACEs, MH, and ISUS to improve recovery outcomes.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stigma Affects How Parents Respond to their Children's Mental Health, But Does Child Gender Complicate the Story? 耻辱影响父母对孩子心理健康的反应，但孩子的性别会使故事复杂化吗？

IF 2.2

Stigma and Health Pub Date : 2025-07-21 DOI: 10.1037/sah0000658

Alice P Villatoro, Melissa J DuPont-Reyes, Jo C Phelan, Bruce G Link

{"title":"Stigma Affects How Parents Respond to their Children's Mental Health, But Does Child Gender Complicate the Story?","authors":"Alice P Villatoro, Melissa J DuPont-Reyes, Jo C Phelan, Bruce G Link","doi":"10.1037/sah0000658","DOIUrl":"10.1037/sah0000658","url":null,"abstract":"Parents are influential gatekeepers to mental health services for children struggling with mental health issues, and their stigmatizing attitudes and behaviors towards mental illness may hinder help-seeking. Parents' gendered expectations throughout the help-seeking process may influence whether they pursue formal or informal support for their children. We advance stigma research by examining how stigma affects a parent's decision to seek formal and informal mental health support for their child depending on the child's gender. Using longitudinal data from a school-based anti-stigma intervention study among sixth-grade students, we analyzed the subsample of children who reported high mental health symptoms (n=217). Regression models assessed the role of parental stigmatizing attitudes and behaviors and child gender on parental formal and informal help-seeking, including the child's use of psychiatric medications. To examine gendered patterns to stigma and help-seeking, we tested interactions between parental stigmatizing attitudes and the child's self-reported gender on help-seeking behaviors. Mental health labeling and literacy were associated with proactive parental help-seeking behaviors, while discriminatory stigma dimensions like social distance decreased help-seeking. These stigma effects varied by child gender, particularly when it came to formal avenues of care: Labeling enhanced parental help-seeking for girls in formal settings, while social distance deterred medication use among girls. The results of the study suggest that effective interventions targeting mental illness and help-seeking must actively incorporate parental perspectives, address gender biases in mental health, and consider the nuanced ways in which gender may complicate stigma processes when it comes to help-seeking decisions.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mpox Stigma During the 2022 Outbreak Among Men Who Have Sex With Men in the United States. 2022年在美国男男性行为者中爆发的Mpox耻辱。

IF 2.2

Stigma and Health Pub Date : 2025-06-05 DOI: 10.1037/sah0000645

Thomas Carpino, Kaitlyn Atkins, John Mark Wiginton, Sarah M Murray, Iaah L Lucas, Kevin P Delaney, Sheree Schwartz, Travis Sanchez, Stefan Baral

{"title":"Mpox Stigma During the 2022 Outbreak Among Men Who Have Sex With Men in the United States.","authors":"Thomas Carpino, Kaitlyn Atkins, John Mark Wiginton, Sarah M Murray, Iaah L Lucas, Kevin P Delaney, Sheree Schwartz, Travis Sanchez, Stefan Baral","doi":"10.1037/sah0000645","DOIUrl":"https://doi.org/10.1037/sah0000645","url":null,"abstract":"Mpox emerged on the global scale in 2022 and predominately affected gay, bisexual, and other men who have sex with men (GBMSM). Stigma related to mpox is a potential harm for individuals experiencing multiple levels of marginalization who may already be discriminated against in family, healthcare, and other social domains. To understand perceived mpox stigma among cisgender GBMSM in the United States (US), we conducted a study within the American Men's Internet Survey (AMIS) with 824 cisgender GBMSM ≥15 years from August 5-15, 2022. Perceived mpox stigma was most prevalent among non-Hispanic Black individuals (13.9%) compared to non-Hispanic white individuals (6.0%) and particularly among men aged 25-29 (15.1%) compared to men aged 40+ (5.6%). In adjusted logistic regression models, mpox stigma was significantly associated with knowing someone who tested for mpox (aOR=4.3 95% CI=2.1, 9.0), knowing someone who was vaccinated for mpox (aOR=2.1; 95% CI= 1.2, 3.7), or having an unexplained rash in the three months prior to survey completion (aOR=3.6; 95% CI= 1.9, 7.0). These initial findings suggested people who were more connected to mpox-affected social networks and also those who had symptoms consistent with mpox were more likely to experience stigma. Taken together, these data suggest the potential harmful impact of mpox-related stigma by affecting those who would most benefit from services. Moreover, these data suggest the importance of real-time stigma measurement and mitigation for both rapidly emergent and chronic infectious diseases to improve equity, reduce fear and misinformation, and optimize the impact of public health responses.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12369461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are Knowledge and Interpersonal Contact Cures for Alzheimer's Stigma? Data From Caregivers Offer Clues. 知识和人际交往能治愈阿尔茨海默病吗？来自护理人员的数据提供了线索。

IF 2.7

Stigma and Health Pub Date : 2025-05-01 Epub Date: 2025-01-13 DOI: 10.1037/sah0000601

Shana D Stites, Rosalie Schumann, Carolyn Kuz, Kristin Harkins, Emily Largent, Abba Krieger, Pamela Sankar, Megan Zuelsdorff

{"title":"Are Knowledge and Interpersonal Contact Cures for Alzheimer's Stigma? Data From Caregivers Offer Clues.","authors":"Shana D Stites, Rosalie Schumann, Carolyn Kuz, Kristin Harkins, Emily Largent, Abba Krieger, Pamela Sankar, Megan Zuelsdorff","doi":"10.1037/sah0000601","DOIUrl":"10.1037/sah0000601","url":null,"abstract":"Research on caregivers suggests interpersonal contact with persons with Alzheimer's disease (AD) and higher disease-oriented knowledge may heighten AD stigma, though these same mechanisms are often employed in anti-stigma campaigns. If we better understand associations among caregiver experience, interpersonal contact, AD knowledge and AD stigma, we can develop improved ways of reducing stigma and avoid unintended consequences. In a factorial design experiment, 2,371 participants read a vignette describing a fictional person; the vignette varied on clinical symptom stage, AD biomarker result, and treatment availability. Multivariable analyses assessed effects of caregiver experience, interpersonal contact, and different domains of disease-oriented knowledge on modified Family Stigma in Alzheimer's Disease Scale (FS-ADS) outcomes. Interaction analyses tested how clinical features may modify those associations. AD caregiver experience was associated with higher reactions on 6 of 7 FS-ADS domains. Disease-oriented knowledge, independent of content domain, did not substantially affect those associations. However, knowledge of caregiving, treatment, and life impact associated with lower FS-ADS scores, and knowledge about disease course and risk factors associated with higher reactions on FS-ADS domains. Knowledge of treatment modified reactions to symptoms and treatment availability. Knowledge of disease course modified reactions to a biomarker result. AD caregiver experience and interpersonal contact did not modify associations between clinical characteristics and FS-ADS domains. Distinct associations among different domains of AD knowledge and stigma outcomes should be considered when developing anti-stigma campaigns. Failure to do so risks worsening rather than alleviating AD stigma.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"10 2","pages":"199-213"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining Perceived Public Stigma of Nonsuicidal Self-Injury: Development and Validation of the Stigma of Nonsuicidal Self-Injury (STONSI) Scale in Two Samples. 非自杀性自伤的公众耻辱感：两样本非自杀性自伤耻辱感量表的编制与验证

IF 2.2

Stigma and Health Pub Date : 2025-04-14 DOI: 10.1037/sah0000633

Sarah E Victor, Amanda N Bianco, Michael M McClay, Sean M Mitchell, Paul B Ingram

{"title":"Examining Perceived Public Stigma of Nonsuicidal Self-Injury: Development and Validation of the Stigma of Nonsuicidal Self-Injury (STONSI) Scale in Two Samples.","authors":"Sarah E Victor, Amanda N Bianco, Michael M McClay, Sean M Mitchell, Paul B Ingram","doi":"10.1037/sah0000633","DOIUrl":"10.1037/sah0000633","url":null,"abstract":"Nonsuicidal self-injury (NSSI) is highly stigmatized and increasingly prevalent among young adults. Perceived public NSSI stigma may hamper help-seeking, decrease social support, and impede development of effective public health interventions to address NSSI. Research has been limited, however, by the lack of validated measures of perceived public NSSI stigma, which may be less prone to social desirability biases than other self-report measures of stigma. Thus, we adapted an existing measure of suicide attempt stigma (Scocco et al., 2012) to develop a measure of perceived public NSSI stigma (Stigma of Nonsuicidal Self-Injury [STONSI] Scale). In two samples of young adult university students (one not screened and one prescreened for elevated depressive symptoms), we found support for a two-factor structure of the STONSI (one factor with reverse coded items and one factor with non-reverse coded items), which is used to create an average of all items, consistent with that identified for the suicide attempt stigma measure from which it was adapted. The STONSI exhibited strong internal consistency, as well as within-person stability over a six-week follow-up period. STONSI scores did not differ by lifetime history of NSSI; however, perceived public NSSI stigma was associated with indicators of NSSI severity. Future work is needed to test the validity and reliability of the STONSI in diverse samples with respect to age, clinical setting, and cultural context. If results are replicated, the STONSI may be a valuable tool for future research on NSSI stigma, its correlates, and the development of NSSI stigma interventions.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12478565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between HIV knowledge and stigma among HIV healthcare workers in the Dominican Republic: The role of empathy and social distance. 多米尼加共和国艾滋病毒保健工作者的艾滋病毒知识与耻辱之间的关系：共情和社会距离的作用。

IF 2.2

Stigma and Health Pub Date : 2025-04-07 DOI: 10.1037/sah0000635

Ibrahim Yigit, Robert Paulino-Ramírez, John Waters, Dustin M Long, Janet M Turan, Henna Budhwani

{"title":"Association between HIV knowledge and stigma among HIV healthcare workers in the Dominican Republic: The role of empathy and social distance.","authors":"Ibrahim Yigit, Robert Paulino-Ramírez, John Waters, Dustin M Long, Janet M Turan, Henna Budhwani","doi":"10.1037/sah0000635","DOIUrl":"10.1037/sah0000635","url":null,"abstract":"Out-of-date HIV knowledge among healthcare workers (HCW) can hinder the quality of care for people with HIV (PWH) and contribute to stigmatizing attitudes and behaviors. However, the role of HIV knowledge on stigma and mechanisms underlying HCWs' attitudes and behaviors remain understudied. This study examined empathy and social distance as mediators in the relationship between HIV knowledge and stigma toward PWH among HCWs. Cross-sectional data from 219 HCWs were collected at two clinics in the Dominican Republic. Serial mediation analyses examined the indirect effects of HIV knowledge on stigmas (i.e., worry related to contracting HIV, taking additional infection precautions, and moralizing opinions about PWH's behaviors) through empathy and social distance, adjusting for age and sexual orientation. Mean age was 42.16 years (SD=11.97). Most participants identified as female (79.9%), heterosexual 68.9%, and multi-racial (71.7%). The serial mediation models revealed significant indirect effects, suggesting that insufficient HIV knowledge was associated with less empathy toward PWH (B=1.92, β=.33, SE=.37, p<.001). Lower empathy, in turn, was associated with greater desire for social distance (B=.15, β=.18, SE=.06, p=.009). Greater social distance was subsequently linked to increased worry related to contracting HIV (B=.13, β=.21, SE=.04, p=.001), taking additional infection precautions (B=.06, β=.14, SE=.03, p=.035), and more moralizing opinions about PWH (B=.11, β=.13, SE=.05, p=.027). Interventions that improve HIV knowledge and foster empathy, thereby possibly reducing the desire for social distance from PWH among HCWs, should be explored to test their potential to mitigate HIV stigma and enhance care outcomes for PWH.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Internalized Homophobia and Cigarette Use Among Latino and Black Sexual Minority Men: Protective and Risk Factors. 拉丁裔和黑人性少数男性的内化同性恋恐惧症和吸烟：保护和危险因素。

IF 2.2

Stigma and Health Pub Date : 2025-03-10 DOI: 10.1037/sah0000625

Eduardo Hernandez Mozo, Jaclyn A Siegel, Valerie Douglas, Justino J Flores, Isaiah J Jones, David B Rivera, Aaron J Blashill

{"title":"Internalized Homophobia and Cigarette Use Among Latino and Black Sexual Minority Men: Protective and Risk Factors.","authors":"Eduardo Hernandez Mozo, Jaclyn A Siegel, Valerie Douglas, Justino J Flores, Isaiah J Jones, David B Rivera, Aaron J Blashill","doi":"10.1037/sah0000625","DOIUrl":"https://doi.org/10.1037/sah0000625","url":null,"abstract":"Latino and Black sexual minority men are at elevated risk of cigarette use compared to their heterosexual and White SMM counterparts. Internalized homophobia may affect substance use disparities. However, the research linking internalized homophobia and substance use has been inconsistent. The purpose of the present study was to clarify the association between internalized homophobia and daily cigarette use by testing the roles of internalized racism and ethnic identity acceptance as potential moderators of this link. This study collected data from 165 Black and/or Latino SMMs across the United States (M age = 23.72, SD = 3.85) as part of a larger study. Data were collected from December 2020 to February 2021 via Qualtrics Panels. Zero-inflated Poisson regression was conducted to examine the association between internalized homophobia and daily cigarette use and whether internalized racism and/or ethnic identity acceptance would moderate the association between internalized homophobia and daily cigarette use. Internalized homophobia was negatively associated with daily cigarette use; however, this association was significantly moderated by internalized racism and ethnic identity acceptance. Simple slope analyses revealed that low levels of internalized racism and high levels of ethnic identity acceptance attenuated the positive association between internalized homophobia and daily cigarette use. At low levels of ethnic identity acceptance, the positive association between internalized homophobia and daily cigarette use was strengthened. This research aids in contextualizing the association between internalized homophobia and daily cigarette use among Latino and Black SMM. Implications for smoking treatment and prevention programs are discussed.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intersectional discrimination, psychological distress, and physical health symptoms among Latine sexual minority adults. 拉丁裔性少数成年人的交叉歧视、心理困扰和身体健康症状

IF 2.2

Stigma and Health Pub Date : 2025-02-06 DOI: 10.1037/sah0000621

Roberto Rentería, Cristalís Capielo Rosario, Brian A Feinstein

{"title":"Intersectional discrimination, psychological distress, and physical health symptoms among Latine sexual minority adults.","authors":"Roberto Rentería, Cristalís Capielo Rosario, Brian A Feinstein","doi":"10.1037/sah0000621","DOIUrl":"https://doi.org/10.1037/sah0000621","url":null,"abstract":"Latine sexual minority adults report discrimination related to their minoritized identities (racism, heterosexism) and at the intersection of those identities (racism in the LGBTQ+ community, heterosexism in one's racial/ethnic community). Much research has supported the additive effects of single-identity discrimination (racism and heterosexism) on mental health problems; however, less research has examined the role of intersectional discrimination in physical health symptoms and how psychological distress may account for that association. The current study examined the associations between intersectional discrimination with physical symptom severity and tested psychological distress as a potential underlying mechanism. Using cross-sectional data from 320 Latine sexual minority adults (age range 18-70; M = 30.5, SD = 9.6), a structural equation model estimated the association between two intersectional discrimination variables (i.e., racism in the LGBTQ+ community and heterosexism in one's racial/ethnic community) with physical symptom severity and tested their indirect effects via psychological distress. Results revealed that greater heterosexism in one's racial/ethnic community was associated with higher physical symptom severity; there was a significant indirect effect via psychological distress. Racism in the LGBTQ+ community was not a significant predictor in the model. These results highlight the importance of applying an intersectional framework to measuring stigma and discrimination. Findings also provide initial support for psychological distress as a potential underlying mechanism through which discrimination contributes to poorer physical health among Latine sexual minority adults. These results can inform interventions that aim to promote psychological and physical health among this population by mitigating the detrimental effects of intersectional discrimination.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12346470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quitting smoking after a cancer diagnosis is associated with reductions in stigma and anxiety: A longitudinal mediation analysis. 癌症诊断后戒烟与耻辱感和焦虑的减少有关：纵向中介分析。

IF 2.7

Stigma and Health Pub Date : 2025-02-01 Epub Date: 2023-07-27 DOI: 10.1037/sah0000461

Timothy J Williamson, Elyse R Park, Erica T Warner, Autumn W Rasmussen, Jamie S Ostroff

{"title":"Quitting smoking after a cancer diagnosis is associated with reductions in stigma and anxiety: A longitudinal mediation analysis.","authors":"Timothy J Williamson, Elyse R Park, Erica T Warner, Autumn W Rasmussen, Jamie S Ostroff","doi":"10.1037/sah0000461","DOIUrl":"10.1037/sah0000461","url":null,"abstract":"Internalized cancer stigma is high among cancer patients who smoke, but it is unknown whether the experience of stigma changes after quitting smoking post-diagnosis. Using data from an RCT of tobacco treatment, we conducted a secondary data analysis and hypothesized that 1) cancer patients who quit smoking would report greater reductions in internalized cancer stigma, compared to patients who did not quit and that 2) greater reductions in stigma would significantly mediate the relationship between smoking abstinence and subsequent decreases in anxiety and depressive symptoms. Participants (n=303; 56.1% female) were adults recruited from two comprehensive cancer centers who had smoked in the past 30 days, spoke English or Spanish, and were being treated for a recent diagnosis of cancer. Participants completed questionnaires at baseline, 3-month follow-up, and 6-month follow-up, and biochemically verified smoking abstinence was determined by participants' salivary cotinine or carbon monoxide levels. Smoking abstinence at 3-month follow-up was significantly associated with reductions in cancer-related stigma from baseline to 3-month follow-up (b = -1.50, p < .001), controlling for sociodemographic and medical covariates. Additionally, reductions in stigma were associated with reductions in anxiety at 6-month follow-up (b = 0.28, p < .05), but not depressive symptoms. Reductions in stigma significantly mediated the relationship between smoking abstinence and decreased anxiety (indirect effect = -0.42, p < .05), but not depressive symptoms. Smoking cessation may be associated with reduction in internalized cancer stigma. Thus, in addition to benefits for medical outcomes, quitting smoking post-diagnosis may improve psychosocial well-being.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"27 1","pages":"73-82"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81285526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disparities in depression and anxiety related to sexual orientation and gender identity among older adults: The role of age discrimination. 老年人与性取向和性别认同相关的抑郁和焦虑差异：年龄歧视的作用

IF 2.7

Stigma and Health Pub Date : 2025-02-01 Epub Date: 2023-06-01 DOI: 10.1037/sah0000462

Brian A Feinstein, Benjamin W Katz, Isabel Benjamin, Taylor Macaulay, Christina Dyar, Ethan Morgan

{"title":"Disparities in depression and anxiety related to sexual orientation and gender identity among older adults: The role of age discrimination.","authors":"Brian A Feinstein, Benjamin W Katz, Isabel Benjamin, Taylor Macaulay, Christina Dyar, Ethan Morgan","doi":"10.1037/sah0000462","DOIUrl":"10.1037/sah0000462","url":null,"abstract":"Objectives: Sexual and gender minority (SGM) older adults report poorer mental health than their cisgender-heterosexual peers. Age discrimination may be a mechanism underlying these disparities. The current study examined whether SGM older adults reported more age discrimination and, in turn, higher depression and anxiety, compared to cisgender-heterosexual older adults.Methods: As part of a larger study, 744 older adults (aged ≥ 50; M = 58.4, SD = 6.23) completed an online survey in September 2021. The survey included measures of depression (Patient Health Questionnaire-8), anxiety (Generalized Anxiety Disorder-7), and age discrimination (an adapted version of the Everyday Discrimination Scale). The sample included five sexual orientation and gender identity (SOGI) groups: cisgender sexual minority men (25.3%), cisgender sexual minority women (21.6%), cisgender-heterosexual men (19.8%), cisgender-heterosexual women (18.5%), and gender minorities (14.8%). We tested the indirect effects of SOGI group on depression and anxiety through age discrimination.Results: Compared to cisgender-heterosexual men and women, all three SGM groups reported more age discrimination which, in turn, was associated with higher depression and anxiety. Further, compared to cisgender-heterosexual women, cisgender-heterosexual men reported more age discrimination which, in turn, was associated with higher depression and anxiety. All indirect effects were significant.Conclusion: Age discrimination may be a mechanism underlying the mental health disparities affecting SGM older adults and a promising intervention target.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"35 1","pages":"33-41"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11856560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88377098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0