Stigma as a Fundamental Cause of Population Health Inequalities

Mark L. Hatzenbuehler; Jo C. Phelan; Bruce G. Link

doi:10.2105/ajph.2012.301069

journal article May 01, 2013

Stigma as a Fundamental Cause of Population Health Inequalities

Mark L. Hatzenbuehler Jo C. Phelan Bruce G. Link

American Journal of Public Health Vol. 103 No. 5 pp. 813-821 · American Public Health Association

View at Publisher Save 10.2105/ajph.2012.301069

Abstract

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.

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Details

Published: May 01, 2013
Vol/Issue: 103(5)
Pages: 813-821

Authors

M

Mark L. Hatzenbuehler

Mark L. Hatzenbuehler, Jo C. Phelan, and Bruce G. Link are with the Department of Sociomedical Sciences, and Bruce G. Link is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.

J

Jo C. Phelan

Mark L. Hatzenbuehler, Jo C. Phelan, and Bruce G. Link are with the Department of Sociomedical Sciences, and Bruce G. Link is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.

B

Bruce G. Link

Mark L. Hatzenbuehler, Jo C. Phelan, and Bruce G. Link are with the Department of Sociomedical Sciences, and Bruce G. Link is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.

Cite This Article

Mark L. Hatzenbuehler, Jo C. Phelan, Bruce G. Link (2013). Stigma as a Fundamental Cause of Population Health Inequalities. American Journal of Public Health, 103(5), 813-821. https://doi.org/10.2105/ajph.2012.301069

Stigma as a Fundamental Cause of Population Health Inequalities

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