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Structural stigma: Research evidence and implications for psychological science.
Open accessAbstract
Psychological research has provided essential insights into how stigma operates to disadvantage those who are targeted by it. At the same time, stigma research has been criticized for being too focused on the perceptions of stigmatized individuals and on microlevel interactions, rather than attending to structural forms of stigma. This article describes the relatively new field of research on structural stigma, which is defined as societal-level conditions, cultural norms, and institutional policies that constrain the opportunities, resources, and well-being of the stigmatized. I review emerging evidence that structural stigma related to mental illness and sexual orientation (a) exerts direct and synergistic effects on stigma processes that have long been the focus of psychological inquiry (e.g., concealment, rejection sensitivity), (b) serves as a contextual moderator of the efficacy of psychological interventions, and (c) contributes to numerous adverse health outcomes for members of stigmatized groups-ranging from dysregulated physiological stress responses to premature mortality-indicating that structural stigma represents an underrecognized mechanism producing health inequalities. Each of these pieces of evidence suggests that structural stigma is relevant to psychology and therefore deserves the attention of psychological scientists interested in understanding and ultimately reducing the negative effects of stigma. (PsycINFO Database Record
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“This need for task-sharing interventions to be more responsive to and resistant against macro-level factors is echoed by emerging research that has highlighted the role that structural forces play in not only impeding implementation in their own right but also perpetuating and reinforcing other barriers (e.g., stigma, deprioritization of mental health care) [97–99].”
From Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks (2022) · cites this paper as [99]
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1 retracted
RETRACTED: Structural stigma and all-cause mortality in sexual minority populations
Hatzenbuehler, M. L., Bellatorre, A. C., Lee, Y., Finch, B. K., Muennig, P. A., & Fiscella, K. A. (2013) · Social Science & Medicine · doi:10.1016/j.socscimed.2013.06.005 · Cited by 340
Self-citationRetractedMeyer, I. H. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.5.674 · Cited by 14,736
Link, B. G., & Phelan, J. C. (2001) · Annual Review of Sociology · doi:10.1146/annurev.soc.27.1.363 · Cited by 8,848
Racial Residential Segregation: A Fundamental Cause of Racial Disparities in Health
Williams, D. R., & Collins, C. (2001) · Public Health Reports · doi:10.1093/phr/116.5.404 · Cited by 3,153
The Social Psychology of Stigma
Major, B., & O'Brien, L. T. (2005) · Annual Review of Psychology · doi:10.1146/annurev.psych.56.091103.070137 · Cited by 3,114
(1998) · Medical Entomology and Zoology · Cited by 1,773
Challenging the public stigma of mental illness: a meta-analysis of outcome studies
Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012) · Psychiatric Services · doi:10.1176/appi.ps.201100529 · Cited by 1,680
Link, B. G. (1987) · American Sociological Review · doi:10.2307/2095395 · Cited by 1,588
Measuring Mental Illness Stigma
Link, B. G., Yang, L. H., Phelan, J. C., & Collins, P. Y. (2004) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007098 · Cited by 1,474
The psychological implications of concealing a stigma: A cognitive-affective-behavioral model
Pachankis, J. E. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.2.328 · Cited by 1,305
Racism and Mental Health: The African American experience
R. Williams, D., & Williams-Morris, R. (2000) · Ethnicity & Health · doi:10.1080/713667453 · Cited by 1,040
Quinn, D. M., & Chaudoir, S. R. (2009) · Journal of Personality and Social Psychology · doi:10.1037/a0015815 · Cited by 934
Hatzenbuehler, M. L., McLaughlin, K. A., Keyes, K. M., & Hasin, D. S. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.168815 · Cited by 932
Self-citationConfronting Sexual Stigma and Prejudice: Theory and Practice
Herek, G. M. (2007) · Journal of Social Issues · doi:10.1111/j.1540-4560.2007.00544.x · Cited by 849
Structural Levels of Mental Illness Stigma and Discrimination
Corrigan, P. W., Markowitz, F. E., & Watson, A. C. (2004) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007096 · Cited by 756
The Strange Career of Jim Crow.
Richards, E. S., & Woodward, C. V. (1955) · American Sociological Review · doi:10.2307/2092589 · Cited by 744
Mendoza‐Denton, R., Downey, G., Purdie, V. J., Davis, A., & Pietrzak, J. (2002) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.83.4.896 · Cited by 723
Mendoza‐Denton, R., Downey, G., Purdie, V. J., Davis, A., & Pietrzak, J. (2002) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.83.4.896 · Cited by 669
Introduction to the special issue on structural stigma and health
Hatzenbuehler, M. L., & Link, B. G. (2013) · Social Science & Medicine · doi:10.1016/j.socscimed.2013.12.017 · Cited by 648
Self-citationState-Level Policies and Psychiatric Morbidity In Lesbian, Gay, and Bisexual Populations
Hatzenbuehler, M. L., Keyes, K. M., & Hasin, D. S. (2009) · American Journal of Public Health · doi:10.2105/ajph.2008.153510 · Cited by 575
Self-citationNeighborhoods and health: where are we and were do we go from here?
Roux, A. V. D. (2007) · Revue d Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2006.12.003 · Cited by 473
Evans-Lacko, S. E., Brohan, E., Mojtabai, R., & Thornicroft, G. (2011) · Psychological Medicine · doi:10.1017/s0033291711002558 · Cited by 433
Rhodes, S. D., Mann‐Jackson, L., Simán, F. M., Song, E., Alonzo, J., Downs, M., Lawlor, E. R., Martínez, O., Sun, C. J., O’Brien, M. C., et al. (2014) · American Journal of Public Health · doi:10.2105/ajph.2014.302218 · Cited by 374
Gunnar, M. R., Frenn, K., Wewerka, S. S., & Van Ryzin, M. J. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.08.013 · Cited by 363
Pachankis, J. E., Hatzenbuehler, M. L., Hickson, F. C. I., Weatherburn, P., Berg, R. C., Marcus, U., & Schmidt, A. J. (2015) · AIDS · doi:10.1097/qad.0000000000000724 · Cited by 319
Self-citationHatzenbuehler, M. L., O’Cleirigh, C. M., Grasso, C., Mayer, K. H., Safren, S. A., & Bradford, J. (2011) · American Journal of Public Health · doi:10.2105/ajph.2011.300382 · Cited by 308
Self-citationPachankis, J. E., Hatzenbuehler, M. L., & Starks, T. J. (2014) · Social Science & Medicine · doi:10.1016/j.socscimed.2013.10.005 · Cited by 268
Self-citationHatzenbuehler, M. L., & McLaughlin, K. A. (2013) · Annals of Behavioral Medicine · doi:10.1007/s12160-013-9556-9 · Cited by 232
Self-citationResearch on multiculturalism in Canada
Berry, J. W. (2013) · International Journal of Intercultural Relations · doi:10.1016/j.ijintrel.2013.09.005 · Cited by 210
Promoting the “Social” in the Examination of Social Stigmas
Hebl, M. R., & Dovidio, J. F. (2005) · Personality and Social Psychology Review · doi:10.1207/s15327957pspr0902_4 · Cited by 208
Association between an Internet-Based Measure of Area Racism and Black Mortality
Chae, D. H., Clouston, S., Hatzenbuehler, M. L., Kramer, M. R., Cooper, H. L. F., Wilson, S., Stephens-Davidowitz, S. I., Gold, R. S., & Link, B. G. (2015) · PLoS ONE · doi:10.1371/journal.pone.0122963 · Cited by 204
Self-citationDuncan, D. T., & Hatzenbuehler, M. L. (2013) · American Journal of Public Health · doi:10.2105/ajph.2013.301424 · Cited by 195
Self-citationKrieger, N., Chen, J. T., Coull, B., Waterman, P. D., & Beckfield, J. (2013) · American Journal of Public Health · doi:10.2105/ajph.2013.301350 · Cited by 178
Substance use during pregnancy: time for policy to catch up with research
Lester, B. M., Andreozzi, L. M., & Appiah, L. (2004) · Harm Reduction Journal · doi:10.1186/1477-7517-1-5 · Cited by 173
Structural Stigma in State Legislation
Corrigan, P. W., Watson, A. C., Heyrman, M. L., Warpinski, A. C., Gracia, G., Slopen, N. B., & Hall, L. L. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.5.557 · Cited by 169
Corrigan, P. W., Sokol, K. A., & Rüsch, N. (2011) · Community Mental Health Journal · doi:10.1007/s10597-011-9445-2 · Cited by 132
Reid, A. E., Dovidio, J. F., Ballester, E., & Johnson, B. T. (2014) · Social Science & Medicine · doi:10.1016/j.socscimed.2013.06.028 · Cited by 128 · cited 1×
“However, emerging research suggests a potential caveat for psychological interventions: structural stigma itself may play a role in undermining the efficacy of individual-level psychological interventions (Reid et al., 2014).”
Gay marriage: for better or for worse?: what we've learned from the evidence
(2007) · Choice Reviews Online · doi:10.5860/choice.44-2981 · Cited by 71
Self-regulatory processes underlying structural stigma and health
Richman, L. S., & Lattanner, M. R. (2014) · Social Science & Medicine · doi:10.1016/j.socscimed.2013.12.029 · Cited by 70
Miller, C. T., Grover, K. W., Bunn, J. Y., & Solomon, S. E. (2011) · Psychological Science · doi:10.1177/0956797611404898 · Cited by 40
Research works printed but not linked: 1
- Hatzenbuehler ML Major B Dovidio JF Link BG Structural stigma and health. The Handbook of Stigma, Discrimination and Health Oxford University Press Oxford in press
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Sexual orientation concealment and mental health: A conceptual and meta-analytic review.
Pachankis, J. E., Mahon, C. P., Jackson, S. D., Fetzner, B. K., & Bränström, R. (2020) · Psychological Bulletin · doi:10.1037/bul0000271 · Cited by 433
Muncan, B., Walters, S. M., Ezell, J. M., & Ompad, D. C. (2020) · Harm Reduction Journal · doi:10.1186/s12954-020-00399-8 · Cited by 406
Interventions to reduce discrimination and stigma: the state of the art
Gronholm, P. C., Henderson, C., Deb, T., & Thornicroft, G. (2017) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-017-1341-9 · Cited by 401
Philbin, M. M., Flake, M., Hatzenbuehler, M. L., & Hirsch, J. S. (2017) · Social Science & Medicine · doi:10.1016/j.socscimed.2017.04.007 · Cited by 369
Self-citation
Metadata
- Authors
- Hatzenbuehler, M. L.
- Affiliations
- Columbia University (US)
- Corresponding author
- Hatzenbuehler, Mark L.
- Venue
- American Psychologist
- Published
- 2016-11
- Volume
- 71
- Issue
- 8
- Pages
- 742-751
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- PMC
- PMC5172391
- OpenAlex
- W2561252048
- Cited by
- 839
- References
- 39
- Citations by year
- 2026: 116 · 2025: 168 · 2024: 105 · 2023: 99 · 2022: 124 · 2021: 105 · 2020: 55 · 2019: 33 · 2018: 21 · 2017: 9 · 2016: 1
- FWCI
- 33.19
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- American Psychologist (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (K01DA032558)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- structural stigma, mental health stigma, sexual orientation stigma, concealment, rejection sensitivity, psychological intervention, health disparities, physiological stress response, premature mortality, institutional policy, cultural norms
- MeSH terms
- Mental Disorders, Female, Humans, Male, Psychology, Sexual Behavior, Stereotyping, Stress, Psychological, Social Stigma
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