Challenges and opportunities in examining and addressing intersectional stigma and health

Background ‘Intersectional stigma’ is a concept that has emerged to characterize the convergence of multiple stigmatized identities within a person or group, and to address their joint effects on health and wellbeing. While enquiry into the intersections of race, class, and gender serves as the hist...

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Veröffentlicht in:BMC medicine Jg. 17; H. 1; S. 7 - 15
Hauptverfasser: Turan, Janet M., Elafros, Melissa A., Logie, Carmen H., Banik, Swagata, Turan, Bulent, Crockett, Kaylee B., Pescosolido, Bernice, Murray, Sarah M.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London BioMed Central 15.02.2019
BioMed Central Ltd
Springer Nature B.V
BMC
Schlagworte:
Acquired immune deficiency syndrome
AIDS
Analysis
Biomedicine
Blood & organ donations
Collection on: Stigma Research and Global Health
Correspondence
Cultural identity
discrimination
double stigma
Female
Gender identity
Health care
Health care industry
HIV
Human immunodeficiency virus
Humans
Identification methods
Intersectionality
Layered stigma
Little T
Male
Medical research
Medicine
Medicine & Public Health
Mental health
multiple stigma
overlapping stigma
prejudice
Public health
Race
Racial discrimination
Researchers
Social exclusion
Social Stigma
Stigma
Stigma (Social psychology)
Vacuum
Layered stigma
double stigma
prejudice
intersectional
discrimination
measurement
multiple stigma
overlapping stigma
ISSN:1741-7015, 1741-7015
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Zusammenfassung:Background ‘Intersectional stigma’ is a concept that has emerged to characterize the convergence of multiple stigmatized identities within a person or group, and to address their joint effects on health and wellbeing. While enquiry into the intersections of race, class, and gender serves as the historical and theoretical basis for intersectional stigma, there is little consensus on how best to characterize and analyze intersectional stigma, or on how to design interventions to address this complex phenomenon. The purpose of this paper is to highlight existing intersectional stigma literature, identify gaps in our methods for studying and addressing intersectional stigma, provide examples illustrating promising analytical approaches, and elucidate priorities for future health research. Discussion Evidence from the existing scientific literature, as well as the examples presented here, suggest that people in diverse settings experience intersecting forms of stigma that influence their mental and physical health and corresponding health behaviors. As different stigmas are often correlated and interrelated, the health impact of intersectional stigma is complex, generating a broad range of vulnerabilities and risks. Qualitative, quantitative, and mixed methods approaches are required to reduce the significant knowledge gaps that remain in our understanding of intersectional stigma, shared identity, and their effects on health. Conclusions Stigmatized identities, while often analyzed in isolation, do not exist in a vacuum. Intersecting forms of stigma are a common reality, yet they remain poorly understood. The development of instruments and methods to better characterize the mechanisms and effects of intersectional stigma in relation to various health conditions around the globe is vital. Only then will healthcare providers, public health officials, and advocates be able to design health interventions that capitalize on the positive aspects of shared identity, while reducing the burden of stigma.
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ISSN:1741-7015
1741-7015
DOI:10.1186/s12916-018-1246-9