Intersectional Stigma as a Fundamental Cause of Health Disparities: A case study of how drug use stigma intersecting with racism and xenophobia creates health inequities for Black and Hispanic persons who use drugs over time.
Intersectional Stigma as a Fundamental Cause of Health Disparities: A case study of how drug use stigma intersecting with racism and xenophobia creates health inequities for Black and Hispanic persons who use drugs over time.
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交叉耻辱是健康差异的根本原因：关于吸毒耻辱与种族主义和仇外心理交叉如何为长期吸毒的黑人和西班牙裔人造成健康不平等的案例研究。
DOI：
10.1037/sah0000426
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发表时间：
2023
影响因子：
3
通讯作者：
Link,Bruce
中科院分区：
文献类型：
--
作者：
Walters,SuzanM;Kerr,Jelani;Cano,Manuel;Earnshaw,Valerie;Link,Bruce
最近的证据表明，在与毒品有关的死亡和健康状况方面存在种族和族裔差异。基于污名、交叉性、交叉污名和基本原因理论，本研究旨在探讨交叉污名是否是健康的基本原因。随着时间的推移，我们记录了关键事件和政策，并发现当取得进展时，出现了对黑人和西班牙裔人的健康结果产生负面影响的新机制。然后，我们专注于交叉污名针对黑人和西班牙裔人谁使用毒品。我们的文件，当一个人，或一群人，占据多重污名化的身份，污名化和替罪羊的过程是特别持久和有害的，因为人和群体可以在不同的交叉点被污名化和替罪羊。我们建议，一个交叉的耻辱框架可以更好地了解观察到的模式随着时间的推移，从而提供了一个更好的指导政策和干预措施，旨在减少差距。作为一个框架，交叉污名旨在认识到，当不同的污名来源发生冲突时，会为那些居住在交叉点的人创造一套新的环境。我们的结论是，交叉污名是健康不公平的根本原因，并提供政策建议，旨在拆除交叉污名过程和减轻交叉污名的影响，最终促进更好的健康结果的黑人和西班牙裔人谁使用毒品。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
Recent evidence points to racial and ethnic disparities in drug-related deaths and health conditions. Informed by stigma, intersectionality, intersectional stigma, and fundamental cause theories, we aimed to explore whether intersectional stigma was a fundamental cause of health. We document key events and policies over time and find that when progress is made new mechanisms emerge that negatively affect health outcomes for Black and Hispanic persons. We then focus on intersectional stigma targeting Black and Hispanic persons who use drugs. We document that when a person, or group of people, occupy multiple stigmatized identities, the processes of stigmatization and scapegoating are particularly persistent and pernicious since people and groups can be stigmatized and scapegoated on varying intersections. We propose that an intersectional stigma framework allows for a better understanding of observed patterns over time, thereby providing a better guide for policies and interventions designed to reduce disparities. As a framework, intersectional stigma aims to recognize that when different sources of stigma collide, a new set of circumstances is created for those who reside in the intersection. We conclude that intersectional stigma is a fundamental cause of health inequities and provide policy recommendations aimed at dismantling intersectional stigma processes and mitigating the effects of intersectional stigmas to ultimately promote better health outcomes for Black and Hispanic persons who use drugs.(PsycInfo Database Record (c) 2024 APA, all rights reserved)