Stigma as a fundamental cause of population health inequalities.

  title={Stigma as a fundamental cause of population health inequalities.},
  author={Mark L. Hatzenbuehler and Jo C. Phelan and Bruce G. Link},
  journal={American journal of public health},
  volume={103 5},
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… 

Figures and Tables from this paper

Constructions of Stigma

This chapter focuses on the concept of stigma as related to mental distress, as stigma has been of central concern to the field of mental health. The language and discourses of mental distress are

The Economic Impact of Mental Health Stigma

Mental illness–related stigma has far-reaching economic effects on many life domains, including housing, religious activities, access to treatment and care, health-seeking behavior, and mortality.

Stigma, status, and population health.

Stigma and the perpetuation of obesity.

  • A. Brewis
  • Psychology
    Social science & medicine
  • 2014

On Stigma & Health

  • D. Goldberg
  • Medicine
    Journal of Law, Medicine & Ethics
  • 2017
This commentary will first offer a working definition of stigma, patterned closely on Bruce Link and Jo Phelan’s influential model of structural stigma, and connect the empirical evidence regarding stigma to robust normative frameworks that justify granting stigma high priority in public health policy and practice.

Cancer Stigma and its Health Consequences

A potential conceptual framework for cancer stigma intervention research was developed and common themes emerged at each stage of cancer stigma proposed in the framework: six different dimensions of stigma that explain why patients with cancer are likely to be stigmatized.

The Stigma of Mental Illness: Using Segmentation for Social Change

This research first provides a comprehensive examination of the components that comprise stigma and then uses these components to segment the general population and presents recommendations based on differences in the endorsement of stigma among these segments to inform policy and advocacy groups in developing more varied and potentially more effective social marketing campaigns.

Framing Mechanisms Linking HIV-Related Stigma, Adherence to Treatment, and Health Outcomes.

A conceptual framework is presented that posits that, in the context of intersectional and structural stigmas, individual-level dimensions of HIV-related stigma operate through interpersonal factors, mental health, psychological resources, and biological stress pathways.

A public health framework for reducing stigma: the example of weight stigma

We examine stigma and how it operates, then develop a novel framework to classify the range of positions that are conceptually possible regarding how stigma ought to be handled from a public health



Structural levels of mental illness stigma and discrimination.

This article applies the concepts of structural discrimination to broaden the authors' understanding of stigmatizing processes directed at people with mental illness to discuss the implications of structural models for advancing the understanding of mental illness stigma.

Stigma and mental disorder: Conceptions of illness, public attitudes, personal disclosure, and social policy

It is argued that attitudes and policy regarding mental disorder reflect, in microcosmic form, two crucial issues for the next century and millennium: tolerance for diversity (vs. pressure for conformity) and the intentional direction of the authors' species' evolution, given fast-breaking genetic advances.

On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse.

This finding indicates that stigma continues to complicate the lives of the stigmatized even as treatment improves their symptoms and functioning, and it follows that if health professionals want to maximize the well-being of the people they treat, they must address stigma as a separate and important factor in its own right.

Measuring mental illness stigma.

This article reviews 123 empirical articles published between January 1995 and June 2003 that have sought to assess mental illness stigma and identifies commonly used and promising measures and describes those measures in more detail so that readers can decide whether the described measures might be appropriate for their studies.

Lessons from social psychology on discrediting psychiatric stigma.

The authors argue that social psychological research on ethnic minority and other group stereotypes should be considered when implementing strategies to diminish the impact of stigma on persons with severe mental illness.