Stigma and Health最新文献

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

Stigma Among Historically Marginalized Young Adults with Serious Mental Illnesses: A Mixed Methods Study. 历史上被边缘化的患有严重精神疾病的年轻人的耻辱:一项混合方法研究。

IF 2.7

Stigma and Health Pub Date : 2025-02-01 Epub Date: 2023-04-20 DOI: 10.1037/sah0000454

Aaron H Rodwin, Rei Shimizu, Moiyattu Banya, Kiara Moore, Melissa Bessaha, Rohini Pahwa, Philip T Yanos, Michelle R Munson

{"title":"Stigma Among Historically Marginalized Young Adults with Serious Mental Illnesses: A Mixed Methods Study.","authors":"Aaron H Rodwin, Rei Shimizu, Moiyattu Banya, Kiara Moore, Melissa Bessaha, Rohini Pahwa, Philip T Yanos, Michelle R Munson","doi":"10.1037/sah0000454","DOIUrl":"10.1037/sah0000454","url":null,"abstract":"Stigma of mental illness is a significant barrier to mental health service use and recovery. Yet, few studies have examined stigma among marginalized young adults with serious mental illnesses (SMI). This convergent mixed methods study builds knowledge surrounding stigma among a sample of young adults of color with SMI (n=113). The study progressed in two phases. First, a multivariable regression model was estimated to identify factors associated with anticipated stigma. Results indicated that (1) more severe depression symptoms were associated with higher levels of anticipated stigma and (2) more positive treatment beliefs were associated with lower levels of anticipated stigma. Level of education was trending toward significance, suggesting that young adults with higher levels of education experience more anticipated stigma. The second phase focused on qualitative interview data from a subset of young adults (n=57). Analysts used grounded theory coding techniques and constant comparison to evolve a set of themes that describe stigma experiences. Three themes emerged, namely perceptions of the self, societal views of people with SMI, and the impact of stigma on life. Analytic matrices were developed to merge quantitative data on education, depression symptoms, and treatment beliefs with qualitative data to examine convergence and divergence. The density and content of statements on stigma differed by education and depression, further validating quantitative results. These findings suggest that young adults with more severe depression symptoms and negative treatment beliefs may be more likely to experience stigma as they navigate adult systems of care.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"7 1","pages":"50-62"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76024157","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

Assessing associations between stigma and mental health among pre-exposure prophylaxis users in Guatemala. 评估危地马拉暴露前预防药物使用者中耻辱与心理健康之间的关系。

IF 2.7

Stigma and Health Pub Date : 2024-11-01 Epub Date: 2023-01-09 DOI: 10.1037/sah0000429

Sophia Bartels, Cesar Galindo, Gustavo Angeles, Clare Barrington

{"title":"Assessing associations between stigma and mental health among pre-exposure prophylaxis users in Guatemala.","authors":"Sophia Bartels, Cesar Galindo, Gustavo Angeles, Clare Barrington","doi":"10.1037/sah0000429","DOIUrl":"10.1037/sah0000429","url":null,"abstract":"Introduction: The mental health of gay and bisexual men (GBM) who use pre-exposure prophylaxis (PrEP) may be negatively impacted by experiences of stigma.Methods: To assess the relationship between stigma and mental health among GBM who use PrEP in Guatemala, we conducted a survey with 162 PrEP users recruited in a community-based PrEP clinic.Results: In multiple linear regression analyses, greater internalized (ß=1.94, SE=0.85, p=0.023) and enacted sexual orientation stigma (ß=0.50, SE=0.12, p<0.001) were associated with greater depressive symptoms. Greater internalized (ß=1.82, SE=0.80, p=0.023) and enacted sexual orientation stigma (ß=1.33, SE=0.11, p=0.003) were also associated with greater anxiety symptoms. Additionally, individuals with high social support and high anticipated PrEP stigma had fewer depressive symptoms than individuals with low social support and high anticipated PrEP stigma (ß=-3.25, SE=1.40, p=0.022). This relationship was marginally significant for anxiety (ß=-2.54, SE=1.31, p=0.055).Conclusion: Sexual orientation and PrEP stigma may affect PrEP users' mental health. Interventions addressing stigma are needed to support uptake and sustained PrEP use in this population.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"31 1","pages":"575-581"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90382552","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

Discrimination against Gay and Bisexual Patients in Prostate Cancer Treatment: Results from the Restore-2 Study. 前列腺癌治疗中对同性恋和双性恋患者的歧视：Restore-2研究的结果。

IF 2.7

Stigma and Health Pub Date : 2024-11-01 Epub Date: 2023-07-20 DOI: 10.1037/sah0000467

Alex J Bates, Michael W Ross, B R Simon Rosser, Christopher W Wheldon, Elizabeth J Polter, Kristine M C Talley, Ryan Haggart, Morgan M Wright, Darryl Mitteldorf, William West, Badrinath R Konety

{"title":"Discrimination against Gay and Bisexual Patients in Prostate Cancer Treatment: Results from the Restore-2 Study.","authors":"Alex J Bates, Michael W Ross, B R Simon Rosser, Christopher W Wheldon, Elizabeth J Polter, Kristine M C Talley, Ryan Haggart, Morgan M Wright, Darryl Mitteldorf, William West, Badrinath R Konety","doi":"10.1037/sah0000467","DOIUrl":"10.1037/sah0000467","url":null,"abstract":"The purpose of this study was to examine the experiences of discrimination during prostate cancer treatment and assess the association with health-related quality of life (HRQOL) in a cohort of gay and bisexual men (GBM) prostate cancer survivors. This is a cross-sectional analysis of the 24-month follow-up survey from the Restore-2 clinical trial that tested the effectiveness of an online rehabilitation program tailored for GBM prostate cancer survivors in the U.S. This analysis uses data from the 347 participants who completed all items of the Everyday Discrimination Scale (EDS) at the 24-month follow-up. A log-binomial regression model estimated the risk of experiencing discrimination across treatment received and demographic characteristics. Multivariable linear regression models estimated mean differences in HRQOL measures with discrimination as a binary variable after adjustment for relevant covariates. Nearly half (49.3%) of participants endorsed at least one experience of discrimination during prostate cancer treatment. About half (52%) of these rated the discrimination as \"rare\" (total EDS = 1-3), while 48% reported it as more common (total EDS ≥ 4). Most attributed the discrimination to their sexual orientation (35.5%) or to their provider's attributes (29.6%). Those who underwent systemic/combined treatment (vs. either surgery or radiation only) and those with less than a bachelor's or graduate-level degree (vs. bachelor's degree) were more likely to report discrimination. Experiencing any discrimination was associated with significantly worse HRQOL outcomes. Discrimination during prostate cancer treatment appears to be a common experience for GBM patients and may result in poorer treatment outcomes.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"9 4","pages":"506-517"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711595","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

Sexual and Gender Minority University Students Report Distress Due to Discriminatory Health Care Policies. 性和性别少数的大学生报告说，由于歧视性的保健政策而感到苦恼。

IF 2.7

Stigma and Health Pub Date : 2024-11-01 Epub Date: 2023-05-18 DOI: 10.1037/sah0000459

Gray Babbs, Hill Landon Wolfe, Michael R Ulrich, Julia Raifman, Sarah Ketchen Lipson

{"title":"Sexual and Gender Minority University Students Report Distress Due to Discriminatory Health Care Policies.","authors":"Gray Babbs, Hill Landon Wolfe, Michael R Ulrich, Julia Raifman, Sarah Ketchen Lipson","doi":"10.1037/sah0000459","DOIUrl":"10.1037/sah0000459","url":null,"abstract":"\"Religious conscience\" or \"healthcare denial\" policies allow healthcare providers and institutions to refuse to provide services in the name of religious freedom. Denial policies are a form of structural stigma that could impede access to healthcare for sexual and gender minority (SGM) populations, particularly SGM young adults. This study describes SGM university students' response to policies permitting healthcare providers to deny care based on their religious beliefs. Data were obtained from 8,322 SGM students at 38 colleges and universities who participated in the spring 2020 Healthy Minds Study. Descriptive statistics are reported for the level of distress due to the denial policies and likelihood to avoid identity disclosure. Over 90% of SGM students report distress knowing about denial policies (sexual minority: 6.95/10; gender minority: 8.05/10). Students also reported similarly high distress imagining that they had been denied care (sexual minority: 8.05/10; gender minority: 8.57/10). The majority of sexual (69.2%) and gender minority (82.2%) students agreed the policy would make them less likely to disclose their identity to a new provider. Experiencing, or even anticipating, discrimination in healthcare settings through denial policies has negative impacts on the health of SGM populations and has the potential to exacerbate existing mental health disparities for SGM young adults.","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"128 1","pages":"601-604"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79556372","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

Supplemental Material for How Parents Talk About Weight: Qualitative Content Analysis Using a Randomized Experiment Study Design 父母如何谈论体重的补充材料：采用随机实验研究设计的定性内容分析

IF 3

Stigma and Health Pub Date : 2024-01-11 DOI: 10.1037/sah0000508.supp

引用次数: 0

Supplemental Material for Public Stigma Toward People With Bipolar Versus Borderline: An Experimental Study of Attributions, Treatability, Race, and Gender 公众对躁郁症患者和边缘型患者的成见的补充材料：关于归因、可治疗性、种族和性别的实验研究

IF 3

Stigma and Health Pub Date : 2024-01-04 DOI: 10.1037/sah0000501.supp

引用次数: 0

Neighborhood resources, discrimination, and mental health treatment access for youth engaging in self-injury. 青少年自我伤害的邻里资源、歧视和心理健康治疗途径。

IF 3

Stigma and Health Pub Date : 2023-12-21 DOI: 10.1037/sah0000494

Kailyn Fan, Mallory L. Dobias, Isaac L. Ahuvia, K. Fox, J. Schleider

引用次数: 0

The causes and consequences of stigma among individuals involved in the criminal legal system: A systematic review. 刑事法律系统所涉个人成见的原因和后果：系统回顾。

IF 3

Stigma and Health Pub Date : 2023-12-21 DOI: 10.1037/sah0000483

Kelly E. Moore, Sarah Phillips, Rachelle Kromash, Shania L. Siebert, W. Roberts, M. Peltier, Madison D. Smith, T. Verplaetse, Phillip Marotta, Catherine Burke, Genevieve Allison, Sherry A. McKee

引用次数: 0