Stigma as a Fundamental Cause of Population Health Inequalities
Stigma as a Fundamental Cause of Population Health Inequalities
复制标题
DOI：
10.2105/ajph.2012.301069
复制
发表时间：
2013-05-01
影响因子：
12.7
通讯作者：
Link, Bruce G.
中科院分区：
文献类型：
--
作者：
Hatzenbuehler, Mark L.;Phelan, Jo C.;Link, Bruce G.
有关特定污名化状态的研究机构通常在不同的领域发展，并侧重于一级分析的单一结果，从而模糊了污名化作为人口健康基本驱动因素的全部意义。在这里，我们提供了关于耻辱对健康影响的说明性证据，并提出了一个概念框架，描述了耻辱影响健康的心理和结构途径。由于其普遍性、对多个生活领域（例如资源、社会关系和应对行为）的破坏以及对人口健康的腐蚀性影响，在研究人口健康的社会决定因素时，应将污名与其他主要组织概念一起考虑。
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.