Intervening within and across levels: A multilevel approach to stigma and public health
Intervening within and across levels: A multilevel approach to stigma and public health
复制标题
DOI：
10.1016/j.socscimed.2013.09.023
复制
发表时间：
2014-02-01
影响因子：
5.4
通讯作者：
Busch, Justin T. A.
中科院分区：
文献类型：
--
作者：
Cook, Jonathan E.;Purdie-Vaughns, Valerie;Busch, Justin T. A.
本文采用多层次的方法来回顾有关干预措施的文献，这些措施有望减少社会耻辱及其对人口健康的影响。讨论了生态系统的三个层次。个人层面描述了针对个人的干预措施，以增强属于污名化群体的人的应对策略或改变非污名化群体的态度和行为。人际层面描述了针对二元或小团体互动的干预措施。结构层面描述了针对社会政治环境的干预措施，如法律和政策。这些干预水平是相互关联的，它们相互影响。在本文中，我们回顾了每个层次的文献。我们认为，任何级别的干预都有可能通过相互加强的互惠过程影响生态系统的其他级别。我们讨论研究重点，特别是纵向研究，在一个系统中包含多个结果。(C) 2013 Elsevier Ltd.版权所有。
This article uses a multilevel approach to review the literature on interventions with promise to reduce social stigma and its consequences for population health. Three levels of an ecological system are discussed. The intrapersonal level describes interventions directed at individuals, to either enhance coping strategies of people who belong to stigmatized groups or change attitudes and behaviors of the non-stigmatized. The interpersonal level describes interventions that target dyadic or small group interactions. The structural level describes interventions directed at the social-political environment, such as laws and policies. These intervention levels are related and they reciprocally affect one another. In this article we review the literature within each level. We suggest that interventions at any level have the potential to affect other levels of an ecological system through a process of mutually reinforcing reciprocal processes. We discuss research priorities, in particular longitudinal research that incorporates multiple outcomes across a system. (C) 2013 Elsevier Ltd. All rights reserved.