Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
Am J Public Health. 2013 May;103(5):813-21. doi: 10.2105/AJPH.2012.301069. Epub 2013 Mar 14.
Bodies of research pertaining to specific stigmatized statuses have typically developed in separate domains and have focused on single outcomes at 1 level of analysis, thereby obscuring the full significance of stigma as a fundamental driver of population health. Here we provide illustrative evidence on the health consequences of stigma and present a conceptual framework describing the psychological and structural pathways through which stigma influences health. Because of its pervasiveness, its disruption of multiple life domains (e.g., resources, social relationships, and coping behaviors), and its corrosive impact on the health of populations, stigma should be considered alongside the other major organizing concepts for research on social determinants of population health.
针对特定污名化身份的研究主体通常在不同领域发展,并集中在单一层次的单一结果上,从而掩盖了污名作为人口健康的基本驱动因素的全部意义。在这里,我们提供了关于污名化对健康的影响的说明性证据,并提出了一个概念框架,描述了污名通过心理和结构途径影响健康的方式。由于污名的普遍性、它对多个生活领域(例如资源、社会关系和应对行为)的干扰,以及它对人群健康的腐蚀性影响,污名应该与研究人口健康的社会决定因素的其他主要组织概念一起考虑。