Cited by 2,674Health disparities and outcomesPublic Health and Social InequalitiesObesity and Health Practices

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Stigma as a Fundamental Cause of Population Health Inequalities

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Hatzenbuehler, Mark L., Phelan, Jo C., Link, Bruce G.·2013·American Journal of Public Health

DOI 10.2105/ajph.2012.301069PMC PMC3682466

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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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Authors: Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G.
Affiliations: Columbia University (US)
ORCID: Hatzenbuehler, Mark L.
Phelan, Jo C.
Link, Bruce G.
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 2013-05
Volume: 103
Issue: 5
Pages: 813-821
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.2012.301069
PMC: PMC3682466
OpenAlex: W1976985160
Cited by: 2,674
References: 120
Citations by year: 2026: 196 · 2025: 256 · 2024: 290 · 2023: 243 · 2022: 303 · 2021: 308 · 2020: 276 · 2019: 194 · 2018: 177 · 2017: 145 · 2016: 120 · 2015: 81 · 2014: 62 · 2013: 18
FWCI: 105.60
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Funders: National Institute on Drug Abuse (K01DA032558)
Topics: Social Sciences › Health › Health disparities and outcomes
Social Sciences › Health › Public Health and Social Inequalities
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
Keywords: stigma, health disparities, population health, social determinants of health, psychological pathways, interpersonal relationships, coping styles, stigmatized groups
MeSH terms: Attitude to Health, Employment, Health Services Accessibility, Humans, Interpersonal Relations, Minority Groups, Obesity, Self Concept, Sexual Behavior, Social Isolation, Sociology, Medical, Stress, Psychological, HIV Infections, Persons with Psychiatric Disorders, Health Status Disparities, Healthcare Disparities, Social Stigma

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Stigma as a Fundamental Cause of Population Health Inequalities

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