Jessie V Ford, Brian Dodge, Kirsty A Clark, Micah R Lattanner, Aarushi Shah, Mark L Hatzenbuehler
{"title":"(Re)conceptualizing structural stigma: Insights from a qualitative study of sexual minority men in a longitudinal, population-based cohort.","authors":"Jessie V Ford, Brian Dodge, Kirsty A Clark, Micah R Lattanner, Aarushi Shah, Mark L Hatzenbuehler","doi":"10.1037/sah0000571","DOIUrl":"10.1037/sah0000571","url":null,"abstract":"<p><p>A growing body of evidence has documented the adverse health consequences of structural stigma across multiple marginalized groups, including sexual minorities. In light of these advancements, scholars have urged the field to refine conceptualizations of structural stigma to guide future empirical work. We heed this charge by analyzing two sets of qualitative data among gay and bisexual men obtained from a probability-based panel: 1) responses to an open-ended survey question about structural stigma (<i>n</i>=385) and 2) in-depth interviews about their subjective experiences of structural stigma (<i>n</i>=60). Our findings revealed three key dimensions underlying structural stigma. First, participants described structural stigma using metaphors conveying that their freedom had been severely constrained; structural stigma was variously portrayed as a \"<i>cage</i>,\" a \"<i>prison</i>,\" and a \"<i>net\"</i> where \"<i>there is no exit</i>.\" Second, structural stigma communicated a lack of recognition by others, whereby participants were treated as \"<i>sub-human</i>\" and \"a <i>second-class citizen</i>.\" Third, in contexts with high levels of structural stigma, participants reported a lack of social safety, including that their sense of belonging had been threatened; for one participant, structural stigma felt \"<i>like knocking on a door and being able to see people on the other side laughing at you for trying to get in.</i>\" Based on these themes, we offer a revised definition: Structural stigma is manifest when institutional policies, practices, and cultural norms produce societal conditions that create unfreedom, engender failures of recognition, or undermine social safety. Implications for structural stigma measurement, and for research with other stigmatized groups, are discussed.</p>","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12407154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001978","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}
Janet M Turan, Kaylee B Crockett, Young-Il Kim, Melissa Ryan, Rekha Ramachandran, Lori Brand Bateman, Raegan W Durant, Gabriela R Oates
{"title":"Adaption and Validation of Scales to Measure COVID-19 Stigma Attitudes and Perceptions.","authors":"Janet M Turan, Kaylee B Crockett, Young-Il Kim, Melissa Ryan, Rekha Ramachandran, Lori Brand Bateman, Raegan W Durant, Gabriela R Oates","doi":"10.1037/sah0000555","DOIUrl":"10.1037/sah0000555","url":null,"abstract":"<p><p>Stark racial and socioeconomic disparities in COVID-19 case rates manifested across the U.S. during the COVID-19 pandemic and were also observed in rates of COVID-19 testing. Targeted testing of populations at greatest risk for COVID-19, while effective in containing the spread of COVID-19, could propagate stigma and discrimination, especially when directed toward already marginalized communities. As is known from other health areas, stigmatization can drive people to deny or hide their illness, prevent or delay timely healthcare seeking, and can discourage people from adopting healthy behaviors, such as testing or precautions. In this study we sought to adapt and validate two scales from the HIV stigma literature to measure aspects of COVID-19 stigma, including measures of 1) negative attitudes toward people who get COVID-19 and 2) perceptions of stigma faced by people who get COVID-19 in the community. After working with stigma experts and community partners to adapt the scales, we implemented the items in a community-based survey of African American residents of neighborhoods with high social vulnerability in two counties in Alabama (n=302). Analytic methods included internal reliability testing and scale item reduction, construct validity examination, and bivariable and multivariable linear regression analyses to examine associations with conceptually important and statistically significant predictors. The final COVID-19 stigma scales developed through this process have good reliability and validity and can be used in future research and programs to understand and address disparities in uptake of testing and precautions for COVID-19 and future pandemics.</p>","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12431640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066317","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}
{"title":"Supplemental Material for How Parents Talk About Weight: Qualitative Content Analysis Using a Randomized Experiment Study Design","authors":"","doi":"10.1037/sah0000508.supp","DOIUrl":"https://doi.org/10.1037/sah0000508.supp","url":null,"abstract":"","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"25 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139438659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Public Stigma Toward People With Bipolar Versus Borderline: An Experimental Study of Attributions, Treatability, Race, and Gender","authors":"","doi":"10.1037/sah0000501.supp","DOIUrl":"https://doi.org/10.1037/sah0000501.supp","url":null,"abstract":"","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"20 2","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139387376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kailyn Fan, Mallory L. Dobias, Isaac L. Ahuvia, K. Fox, J. Schleider
{"title":"Neighborhood resources, discrimination, and mental health treatment access for youth engaging in self-injury.","authors":"Kailyn Fan, Mallory L. Dobias, Isaac L. Ahuvia, K. Fox, J. Schleider","doi":"10.1037/sah0000494","DOIUrl":"https://doi.org/10.1037/sah0000494","url":null,"abstract":"","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"16 2","pages":""},"PeriodicalIF":3.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139166342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"The causes and consequences of stigma among individuals involved in the criminal legal system: A systematic review.","authors":"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","doi":"10.1037/sah0000483","DOIUrl":"https://doi.org/10.1037/sah0000483","url":null,"abstract":"","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"58 4","pages":""},"PeriodicalIF":3.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138953008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa-Ann Lagunas, Emi Ichimura, Elizabeth M. Mateer, Joel Jin
{"title":"Asian Americans’ intention to seek help: The mediating influence of\u0000 self-stigma on the theory of planned behavior.","authors":"Melissa-Ann Lagunas, Emi Ichimura, Elizabeth M. Mateer, Joel Jin","doi":"10.1037/sah0000500","DOIUrl":"https://doi.org/10.1037/sah0000500","url":null,"abstract":"","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":"31 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138973056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}