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(Re)conceptualizing structural stigma: Insights from a qualitative study of sexual minority men in a longitudinal, population-based cohort.

作者信息

Ford Jessie V, Dodge Brian, Clark Kirsty A, Lattanner Micah R, Shah Aarushi, Hatzenbuehler Mark L

机构信息

Columbia University.

University of Arizona.

出版信息

Stigma Health. 2024 Sep 19. doi: 10.1037/sah0000571.


DOI:10.1037/sah0000571
PMID:40910089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12407154/
Abstract

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 (=385) and 2) in-depth interviews about their subjective experiences of structural stigma (=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 "," a "," and a " where "." Second, structural stigma communicated a lack of recognition by others, whereby participants were treated as "" and "a ." 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 "" 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.

摘要

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本文引用的文献

[1]
First-hand accounts of structural stigma toward people who use opioids on Reddit.

Soc Sci Med. 2024-4

[2]
Structural stigma and LGBTQ+ health: a narrative review of quantitative studies.

Lancet Public Health. 2024-2

[3]
Incorporating macro-social contexts into emotion research: Longitudinal associations between structural stigma and emotion processes among gay and bisexual men.

Emotion. 2023-9

[4]
How do sexual and gender minority people acquire the capability for suicide? Voices from survivors of near-fatal suicide attempts.

SSM Qual Res Health. 2022-12

[5]
Rethinking minority stress: A social safety perspective on the health effects of stigma in sexually-diverse and gender-diverse populations.

Neurosci Biobehav Rev. 2022-7

[6]
"Am I really alive?": Understanding the role of homophobia, biphobia and transphobia in young LGBT+ people's suicidal distress.

Soc Sci Med. 2022-4

[7]
Structural stigma and sexual minority men's depression and suicidality: A multilevel examination of mechanisms and mobility across 48 countries.

J Abnorm Psychol. 2021-10

[8]
A Contextual Approach to the Psychological Study of Identity Concealment: Examining Direct, Interactive, and Indirect Effects of Structural Stigma on Concealment Motivation Across Proximal and Distal Geographic Levels.

Psychol Sci. 2021-10

[9]
Evaluating associations between area-level Twitter-expressed negative racial sentiment, hate crimes, and residents' racial prejudice in the United States.

SSM Popul Health. 2021-2-6

[10]
Patient-Reported Experiences of Discrimination in the US Health Care System.

JAMA Netw Open. 2020-12-1

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