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The socioecology of sexual minority stigma: Advancing theory on stigma-based mechanisms underlying sexual orientation-based disparities in health

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  • van der Star, Arjan

Abstract

Research in public health and psychology has identified sexual minority stigma-related risk factors that contribute to sexual orientation-based health disparities across settings and societies worldwide. Existing scholarship, however, has predominantly focused on these factors as independent, stand-alone risk factors, neglecting their interconnected nature across different levels. This article theoretically explores how sexual minority stigma may function as a multilevel socioecological system, by building on prevailing theories and emphasizing the interplay between structural, interpersonal, and intrapersonal stigma-related factors. Drawing on the minority stress and socioecological theories, three central tenets are proposed, namely 1) chronosystem with immediate, accumulating, or lasting effects across spatiotemporal contexts, 2) nested multilevel system with cross-level effects, and 3) mechanistic pathways linking stigma exposure to health. By providing a nuanced and comprehensive understanding of how sexual minority stigma may operate as a multilevel socioecological system, this article reflects on the novel implications of this interpretation for future research and aims to guide future conceptualizations and studies, acknowledging the complexity of sexual minority stigma exposure across historical contexts, societies, and the individual life course in shaping physical and mental health of sexual minorities. Limitations of current research and recommendations for future research are being discussed.

Suggested Citation

  • van der Star, Arjan, 2024. "The socioecology of sexual minority stigma: Advancing theory on stigma-based mechanisms underlying sexual orientation-based disparities in health," Social Science & Medicine, Elsevier, vol. 363(C).
    • Handle: RePEc:eee:socmed:v:363:y:2024:i:c:s0277953624009389
    DOI: 10.1016/j.socscimed.2024.117484
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    1. Andersen, Judith P. & Zou, Christopher & Blosnich, John, 2015. "Multiple early victimization experiences as a pathway to explain physical health disparities among sexual minority and heterosexual individuals," Social Science & Medicine, Elsevier, vol. 133(C), pages 111-119.
    2. Krieger, Nancy, 1994. "Epidemiology and the web of causation: Has anyone seen the spider?," Social Science & Medicine, Elsevier, vol. 39(7), pages 887-903, October.
    3. Suppes, Alexandra & van der Toorn, Jojanneke & Begeny, Christopher T., 2021. "Unhealthy closets, discriminatory dwellings: The mental health benefits and costs of being open about one's sexual minority status," Social Science & Medicine, Elsevier, vol. 285(C).
    4. Pachankis, John E. & Hatzenbuehler, Mark L. & Starks, Tyrel J., 2014. "The influence of structural stigma and rejection sensitivity on young sexual minority men's daily tobacco and alcohol use," Social Science & Medicine, Elsevier, vol. 103(C), pages 67-75.
    5. Christopher S. Carpenter & Samuel T. Eppink & Gilbert Gonzales & Tara McKay, 2021. "Effects of Access to Legal Same‐Sex Marriage on Marriage and Health," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(2), pages 376-411, March.
    6. Dimitrios Nikolaou, 2023. "Effects of marriage equality legislation on sexual health of the US population," Health Economics, John Wiley & Sons, Ltd., vol. 32(1), pages 107-133, January.
    7. Qingzhao Yu & Bin Li, 2020. "Third-variable effect analysis with multilevel additive models," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-17, October.
    8. Everett, Bethany G. & Hatzenbuehler, Mark L. & Hughes, Tonda L., 2016. "The impact of civil union legislation on minority stress, depression, and hazardous drinking in a diverse sample of sexual-minority women: A quasi-natural experiment," Social Science & Medicine, Elsevier, vol. 169(C), pages 180-190.
    9. Rosario, M. & Corliss, H.L. & Everett, B.G. & Russell, S.T. & Buchting, F.O. & Birkett, M.A., 2014. "Mediation by peer violence victimization of sexual orientation disparities in cancer-related tobacco, alcohol, and sexual risk behaviors: Pooled youth risk behavior surveys," American Journal of Public Health, American Public Health Association, vol. 104(6), pages 1113-1123.
    10. Gee, G.C. & Walsemann, K.M. & Brondolo, E., 2012. "A life course perspective on how racism may be related to health inequities," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 967-974.
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