Integrating time into stigma and health research
Open accessAbstract
Stigma changes over time: it waxes and wanes through history, is manifested within humans who develop over time and is tied to statuses (such as attributes, illnesses and identities) that have varying courses. Despite the inherent fluidity of stigma, theories, research and interventions typically treat associations between stigma and health as stagnant. Consequently, the literature provides little insight into when experiences of stigma are most harmful to health and when stigma interventions should be implemented. In this Perspective, we argue that integrating time into stigma research can accelerate progress towards understanding and intervening in associations between stigma and health inequities. We situate time in relation to key concepts in stigma research, identify three timescales that are relevant for understanding stigma (historical context, human development and status course), and outline a time-based research agenda to improve scientists' ability to understand and address stigma to improve health.
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Internalized stigma is associated with feeling shame regarding one's stigmatized condition.
“Internalized stigma, where an individual identifies with a stigmatized group (such as a chronic illness population), is associated with feeling shame regarding one's stigmatized condition (Akbari, Mohammadi, and Hosseini 2023;Earnshaw et al. 2022;Luoma et al. 2008; The Public Health Agency of Sweden 2024).”
From Illness Stigma and Shame in People With Chronic Illnesses vs. SARS‐CoV‐2 Survivors: Associations With Psychological Distress Through Psychological Flexibility and Self‐Compassion. (2024) · cites this paper as Earnshaw et al. 2022
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Health science students' perceptions of poverty and health inequality
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Mental Health and Psychosocial Support for Forcibly Displaced People: Insights From Slovenia
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Advancing the Measurement of Mental Illness Stigma
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Stigmatizing Communication and Mental Health
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- Authors
- Earnshaw, V. A., Watson, R. J., Eaton, L. A., Brousseau, N. M., Laurenceau, J.-P., & Fox, A. B.
- Affiliations
- University of Delaware (US)
- University of Connecticut (US)
- MGH Institute of Health Professions (US)
- Corresponding author
- Earnshaw, Valerie A.
- ORCID
- Venue
- Nature Reviews Psychology
- Published
- 2022-03-07
- Volume
- 1
- Issue
- 4
- Pages
- 236-247
- ISSN
- 2731-0574 (ISSN-L)
- PMC
- PMC8900470
- OpenAlex
- W4220760674
- Cited by
- 107
- References
- 143
- Citations by year
- 2026: 16 · 2025: 35 · 2024: 33 · 2023: 17 · 2022: 6
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Nature Reviews Psychology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (T32MH074387)
- National Institute on Drug Abuse (K01DA042881, K01DA047918)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- stigma, health disparities, stigma reduction interventions, human development, research agenda
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