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Cumulative consequences of stigma

Possessing multiple concealable stigmatized identities is associated with worse quality of life

Bibliographic Data

ID8102052
AuthorsMora A Reinka (0000-0001-9903-2966, Department of Psychological Sciences University of Connecticut Storrs CT USA, corresponding author), Bradley Pan‐Weisz (Department of Psychology California State University, Long Beach Long Beach CA USA), Elizabeth K Lawner (0000-0003-0487-930X, Department of Psychological Sciences University of Connecticut Storrs CT USA), Diane M Quinn (0000-0003-4492-7580, Department of Psychological Sciences University of Connecticut Storrs CT USA)
Year2020
Volume50
Issue4
Pages253-261
Publication date2020-01-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Applied Social Psychology (JOURNAL)
Journal identifiersISSN: 0021-9029 • E-ISSN: 1559-1816
PublisherWiley (PUBLISHER • GB)
DOI10.1111/jasp.12656
OpenAlexW3003208029
LanguageEN
Citations received16
References cited51

Large health disparities exist between stigmatized and nonstigmatized groups. In addition to experiencing and anticipating greater discrimination, members of stigmatized groups also tend to demonstrate greater ruminative tendencies in response, which may lead to these poor health outcomes. Even among stigmatized groups, differences in the visibility of stigma lead to different mechanisms through which stigma takes its toll. Previous work has primarily focused on the impact of belonging to a single marginalized group; however, people often belong to multiple marginalized groups, and this likely affects both their health outcomes and their anticipation of stigma. In the current study, we focused on individuals with concealable stigmatized identities (CSIs)—socially stigmatized identities that are not immediately apparent to others—and created a measure of concealable marginalization that captures multiple group memberships. We predicted that those possessing a greater number of CSIs would anticipate more stigma from others, and, in turn, ruminate more about the stigma, which would negatively impact the health. Surveying N = 288 adults with CSIs, we found that possessing a greater number of marginalized concealable identities predicted worse self‐reported physical quality of life. These relationships were partially mediated by greater anticipated stigma and brooding rumination in regard to their CSI. This work illuminates a more complete picture of how living with CSIs can take its toll on health

Anticipation (artificial intelligence · Cognition · Developmental psychology · Psychiatry · Rumination · Social group · Social identity theory · Stigma (botany · Employment and Welfare Studies · Health disparities and outcomes · Psychology · Racial and Ethnic Identity Research · Clinical Psychology · Social Psychology

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    Open Access•John E Pachankis, Mark L Hatzenbuehler et al.•Personality and Social Psychology…•2018

  • Rumination Reconsidered

    Open Access•Wendy Treynor, Richard Gonzalez et al.•Cognitive Therapy and Research•2003

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    Colleen L Barry, Emma E Mcginty et al.•Psychiatric Services•2014

  • The Stigma of Alcohol Dependence Compared with Other Mental Disorders

    Georg Schomerus, Michael Lucht et al.•Alcohol and Alcoholism•2011

  • Reciprocal relations between rumination and bulimic, substance abuse, and depressive symptoms in female adolescents.

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  • How Does Stigma “Get Under the Skin”?

    Open Access•Mark L Hatzenbuehler, Susan Nolen-Hoeksema et al.•Psychological Science•2009

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    Open Access•Diane M Quinn, Michelle K Williams et al.•PLoS ONE•2014

  • Stigma

    Erving Goffman•Stigma•2009

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    Open Access•Alexander M Schoemann, Aaron J Boulton et al.•Social Psychological and…•2017

  • Contending with group image

    Claude M Steele, J Spencer et al.•Advances in Experimental Social…•2002

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    Rodolfo Mendoza-Denton, Geraldine Downey et al.•Journal of Personality and Social…•2002

  • Intersectional health-related stigma in persons living with HIV and chronic pain

    Burel R Goodin, Michael A Owens et al.•AIDS Care•2018

  • A method for the quantitative analysis of the layering of HIV-related stigma

    Daniel D Reidpath, Kit Y Chan•AIDS Care•2005

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    Craig Rodriguez-Seijas, Charles L Burton et al.•Stigma and Health•2019

  • You're Just Saying That Because I'm a Woman

    Elizabeth C Pinel•Self and Identity•2004

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    Stephenie R Chaudoir, Diane M Quinn•Self and Identity•2015

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    Open Access•Blair T Johnson, Colleen A Redding et al.•AIDS and Behavior•2010

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    Cristina Ottaviani, Julian F Thayer et al.•Psychological Bulletin•2016

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    Robin J Lewis, Robert J Milletich et al.•Journal of Gay & Lesbian Social…•2014

  • Measuring Dimensions of Lesbian and Gay Male Experience

    Jonathan J Mohr, Jonathan Mohr et al.•Measurement and Evaluation in…•2000

  • Intersectionality in Quantitative Psychological Research

    Open Access•Nicole M Else-Quest, Janet Shibley Hyde•Psychology of Women Quarterly•2016

  • One Size May Not Fit All

    Open Access•Summer L Williams, Emma G Fredrick•Sex Roles•2015

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    Open Access•Deirdre Dlugonski, Tiesha Martin et al.•Sex Roles•2016

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    Mark L Hatzenbuehler, Jo C Phelan et al.•American Journal of Public Health•2013

  • Stigma consciousness

    Elizabeth C Pinel•Journal of Personality and Social…•1999

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    Open Access•Todd T Lewis, Tené T Lewis et al.•Current Directions in Psychological…•2018

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    Open Access•Brandon L Velez, Bonnie Moradi et al.•The Counseling Psychologist•2014

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    Open Access•Bruce G Link, Lexi Harari et al.•Social Science & Medicine•2014

  • Social Conditions As Fundamental Causes of Disease

    Bruce G Link, Jo C Phelan et al.•Journal of Health and Social…•1995

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    Open Access•A J Powell, H R Hlavka et al.•Gender & Society•2017

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    Bruce G Link, Lexi Harari et al.•Annual Review of Sociology•2001

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Unique citing works16
Citations per year3,2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 16
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