"When You're in a Crisis Like That, You Don't Want People to Know": Mortgage Strain, Stigma, and Mental Health
"When You're in a Crisis Like That, You Don't Want People to Know": Mortgage Strain, Stigma, and Mental Health
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DOI：
10.2105/ajph.2014.302400
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发表时间：
2015-05-01
影响因子：
12.7
通讯作者：
Baker, Amy Castro
中科院分区：
文献类型：
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作者：
Keene, Danya E.;Cowan, Sarah K.;Baker, Amy Castro
目标.我们分析了经历的污名化，隐瞒和孤立的非洲裔美国房主谁经历抵押贷款紧张。我们在2012年3月至2013年5月期间对美国东北部一个城市的28名非洲裔美国房主进行了半结构化访谈，他们正在经历抵押贷款压力。我们对所有的成绩单进行了编码，并回顾了与耻辱、分享信息、社会支持、社会孤立和房屋所有权的含义有关的代码。我们的数据显示，抵押贷款压力可能是一个隐藏的耻辱。参与者将这种耻辱内化，对他们的抵押贷款情况表示羞愧。此外，一些参与者预计，鉴于他们的抵押贷款问题，其他人会认为他们不值得。为了避免污名化，许多人隐瞒了他们的抵押贷款问题，这往往导致孤立。这种污名化，隐瞒和孤立似乎有助于参与者的抑郁，焦虑和情绪困扰。污名化可能会加剧与抵押贷款压力相关的压力，并导致心理健康状况不佳，特别是在那些克服了重大结构性障碍而获得住房的向上移动的非洲裔美国人中。减少与抵押贷款压力相关的耻辱感可能有助于减少这种压力性生活事件对健康的影响。
Objectives. We analyzed experiences of stigmatization, concealment, and isolation among African American homeowners who were experiencing mortgage strain.Methods. We conducted semistructured interviews between March 2012 and May 2013 with 28 African American homeowners in a northeastern US city who were experiencing mortgage strain. We coded all of the transcripts and reviewed data for codes relating to stigma, sharing information, social support, social isolation, and the meaning of homeownership.Results. Our data showed that mortgage strain can be a concealable stigma. Participants internalized this stigma, expressing shame about their mortgage situation. Additionally, some participants anticipated that others would view them as less worthy given their mortgage trouble. In an effort to avoid stigmatization, many concealed their mortgage trouble, which often led to isolation. This stigmatization, concealment, and isolation seemed to contribute to participants' depression, anxiety, and emotional distress.Conclusions. Stigma may exacerbate stress associated with mortgage strain and contribute to poor mental health, particularly among upwardly mobile African Americans who have overcome significant structural barriers to home ownership. Reducing stigma associated with mortgage strain may help to reduce the health consequences of this stressful life event.