Structural Stigma and the Health of Lesbian, Gay, and Bisexual Populations
Structural Stigma and the Health of Lesbian, Gay, and Bisexual Populations
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DOI：
10.1177/0963721414523775
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发表时间：
2014-04-01
影响因子：
7.2
通讯作者：
Hatzenbuehler, Mark L.
中科院分区：
文献类型：
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作者：
Hatzenbuehler, Mark L.
心理学研究在耻辱感研究方面取得了重大进展，但往往侧重于个体和人际的耻辱感过程。最近，研究人员扩大了耻辱感的结构，以考虑耻辱感的更广泛的宏观社会形式——被称为结构性耻辱感——也使个体处于不利地位。在这篇文章中，我回顾了横断面、准实验和纵向研究，这些研究表明，在女同性恋、男同性恋和双性恋人群中，结构性耻辱是精神和身体健康发病率的风险指标。由于这项工作仍处于起步阶段，下一代研究将受益于确定结构性耻辱感-健康关联的中介和调节因子，以及检查结构形式和个体形式之间的直接和协同关系。
Psychological research has made significant advancements in the study of stigma but has tended to focus on individual and interpersonal stigma processes. Recently, researchers have expanded the stigma construct to consider how broader, macrosocial forms of stigma-termed structural stigma-also disadvantage stigmatized individuals. In this article, I review cross-sectional, quasi-experimental, and longitudinal studies demonstrating that structural stigma is a risk indicator for psychiatric and physical-health morbidities among lesbian, gay, and bisexual populations. As this work is still in its infancy, the next generation of research will benefit from identifying mediators and moderators of the structural stigma-health association and from examining direct and synergistic relationships between structural and individual forms of stigma.