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Self-regulatory processes underlying structural stigma and health

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  • Richman, Laura Smart
  • Lattanner, Micah R.

Abstract

In this article, we examine self-regulatory processes that are initiated by structural stigma. To date, the literature on self-regulation as a mechanism that underlies stigma and health outcomes has focused primarily on harmful health-related behaviors that are associated with perceived discrimination. Numerous studies find that when people experience discrimination, they are more likely to engage in behaviors that pose risks for health, such as overeating and substance use. However, a large body of literature also finds that low power – which is also a chronic, though often more subtle, experience for stigmatized groups – is associated with a heightened activation of inhibitory processes. This inhibition system has wide-ranging influences on cognition, behavior, and affect. We provide an overview of these two literatures, examine synergies, and propose potential implications for measurement and research design.

Suggested Citation

  • Richman, Laura Smart & Lattanner, Micah R., 2014. "Self-regulatory processes underlying structural stigma and health," Social Science & Medicine, Elsevier, vol. 103(C), pages 94-100.
  • Handle: RePEc:eee:socmed:v:103:y:2014:i:c:p:94-100
    DOI: 10.1016/j.socscimed.2013.12.029
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    References listed on IDEAS

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    1. Williams, D.R. & Neighbors, H.W. & Jackson, J.S., 2003. "Racial/ethnic discrimination and health: Findings from community studies," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 200-208.
    2. Phelan, Jo C. & Lucas, Jeffrey W. & Ridgeway, Cecilia L. & Taylor, Catherine J., 2014. "Stigma, status, and population health," Social Science & Medicine, Elsevier, vol. 103(C), pages 15-23.
    3. Jackson, J.S. & Knight, K.M. & Rafferty, J.A., 2010. "Race and unhealthy behaviors: Chronic stress, the HPA Axis, and physical and mental health disparities over the life course," American Journal of Public Health, American Public Health Association, vol. 100(5), pages 933-939.
    4. Hatzenbuehler, M.L. & McLaughlin, K.A. & Keyes, K.M. & Hasin, D.S., 2010. "The impact of institutional discrimination on psychiatric disorders in lesbian, gay, and bisexual populations: A prospective study," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 452-459.
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    Cited by:

    1. Pedersen, Susanne & Sniehotta, Falko F. & Sainsbury, Kirby & Evans, Elizabeth H. & Marques, Marta M. & Stubbs, R. James & Heitmann, Berit L. & Lähteenmäki, Liisa, 2018. "The complexity of self-regulating food intake in weight loss maintenance. A qualitative study among short- and long-term weight loss maintainers," Social Science & Medicine, Elsevier, vol. 208(C), pages 18-24.
    2. Bastos, João L. & Harnois, Catherine E. & Paradies, Yin C., 2018. "Health care barriers, racism, and intersectionality in Australia," Social Science & Medicine, Elsevier, vol. 199(C), pages 209-218.
    3. Trani, Jean-Francois & Ballard, Ellis & Peña, Juan B., 2016. "Stigma of persons with disabilities in Afghanistan: Examining the pathways from stereotyping to mental distress," Social Science & Medicine, Elsevier, vol. 153(C), pages 258-265.

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