Religious stigmatization.
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Christianity↗
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Stigmatized students: age, sex, and ethnicity effects in the stigmatization of obesity.
OBJECTIVE: To assess the stigmatization of obesity relative to the stigmatization of various disabilities among young men and women. Attitudes across ethnic groups were compared. In addition, these findings were compared with data showing severe stigmatization of obesity among children. RESEARCH METHODS AND PROCEDURES: Participants included 356 university students (56% women; mean age, 20.6 years; mean BMI, 23.3 kg/m2; range, 14.4 to 45.0 kg/m2) who ranked six drawings of same-sex peers in order of how well they liked each person. The drawings showed adults with obesity, various disabilities, or no disability. These rankings were compared with those obtained through a similar procedure with 458 fifth- and sixth-grade children. RESULTS: Obesity was highly stigmatized relative to physical disabilities. African-American women liked obese peers more than did African-American men, white men, or white women [F(1,216) = 4.02, p < 0.05]. Overweight and obese participants were no less stigmatizing of obesity than normal weight participants. Adults were more accepting than children of their obese peers [t(761) = 9.16, p < 0.001]. DISCUSSION: Although the stigmatization of obesity was high among participants overall, African-American women seemed to have more positive attitudes toward obesity than did white women, white men, or African-American men. Participants' weight did not affect their stigmatization of obesity: obese and overweight adults were as highly stigmatizing of obesity as non-overweight adults. Such internalized stigmatization could help to explain the low self-esteem and poor body image among obese young adults. However, adults seemed to have more positive attitudes about obesity than children. An understanding of the factors that limit the stigma of obesity among African-American women could help efforts to reduce stigma.
Adult↗
How is stigmatization affected by the "layering" of stigmatized conditions, such as serious mental illness and HIV?
Vignettes were used to examine the effect of labeling a person with two stigmatized illnesses, HIV disease and serious mental illness (schizophrenia). The additive model predicted that stigma associated with combined HIV and serious mental illness would resemble the simple sum of those for the two conditions. The discounting model predicted that the presence of serious mental illness would lead subjects to view the target individual as less responsible for infection, resulting in less stigmatization than given for HIV alone. Data collected from 244 participants at a public northeastern university supported the additive model. Stigmatization was highest in the group labeled with both HIV and serious mental illness, while stigmatization associated with someone with only HIV was less than those associated with someone with only serious mental illness. Possible explanations are discussed.
Adolescent↗
On the stability of stigmatization: the case of ex-homosexual males.
We undertook to empirically identify variables that influence the stigmatization of ex-homosexuals by analyzing the relationship between stigmatization and seven variables held to influence negative attitudes toward members of other ex-deviant groups: the stigmatizer's age, highest achieved educational level, amount of interaction the stigmatizer has had with an ex-homosexual, degree of effectiveness attributed to treatment in changing the homosexual to a heterosexual orientation, degree of responsibility that the stigmatizer attributes to ex-homosexuals for their prior homosexual behavior, degree of dangerousness attributed to ex-homosexuals, and degree of seriousness attributed to homosexuality. Analysis of data obtained by questionnaire from 281 respondents showed that the variable most strongly related to stigmatization of ex-homosexuals was the degree of dangerousness attributed to them. There was a profound direct relationship between these variables. Further, educational level, belief in the effectiveness of treatment, and amount of interaction of ex-homosexuals were inversely related to stigmatization, while degree of seriousness attributed to homosexuality was directly related to stigmatization. Respondents' tendency to stigmatize was not found to be related to age or to their attribution of responsibility to the ex-homosexual for his previous sexual orientation.
Adolescent↗
Stigmatic optical systems.
There would appear to be little disagreement on what constitutes an astigmatic system in the case of a thin lens: the cylinder is not zero. A spherical thin lens is stigmatic or not astigmatic. The issue is less clear in the case of a thick system. For example, is an eye stigmatic merely because its refraction is stigmatic (spherical)? In this article, a system is defined to be stigmatic if and only if, through the system, every point object maps to a point image. Every other system is astigmatic. Thus, a system is astigmatic if and only if there exists a point object for which the image is not a point. This article is restricted to linear optics. The optical character of a system is completely determined by the ray transference of the system. The objective here is to find those conditions on the transference for which the system is stigmatic or astigmatic. The result is that, for a stigmatic system, all the 2 x 2 submatrices are scalar multiples of a common orthogonal matrix. For a system to be stigmatic, it is not sufficient that its power be stigmatic. An eye may be astigmatic despite having a stigmatic refraction.
Astigmatism↗
Social support modifies perceived stigmatization in the first years of mental illness: a longitudinal approach.
Perceived stigmatization of mentally ill people impairs their social relations and well-being. While perceived stigmatization theoretically and empirically has been accounted for as an independent and unalterable factor, this longitudinal study focuses on reciprocal effects between stigmatization and social ties. The duration of mental illness is included as a grouping variable to extend the longitudinal perspective. A sample of severely mentally ill persons (n=165) in two psychiatric hospitals in Zurich took part in a structured interview during their admission and 1 year later. Cross-lagged path models were designed to test the interrelations of (1) perceived stigmatization, (2) a defensive stigma coping orientation, (3) concrete stigmatizing experiences, and either (4) social network, or (5) perceived social support as dependent variables. Contrary to previous findings, neither of the three components of stigmatization tested has any influence on social network or support. Social support, though, strongly predicts perceived stigmatization 1 year later, but only in the group with a more recent onset of illness. This finding suggests that the perception of stigma is subject to modification in the course of new life circumstances and underlines the importance of activating social resources in the first years of mental illness. Duration of illness should be included as a central variable in future research, as it influences the nature of the relation between stigmatization and social ties.
Adult↗
Obesity stigmatization and coping: relation to mental health symptoms, body image, and self-esteem.
OBJECTIVE: To create inventories of stigmatizing situations faced by obese people and ways of coping with stigmatization, and to examine how stigma and coping are related to psychological distress in an obese patient population. DESIGN: Study 1: Items were generated by asking obese people to list stigmatizing situations they had encountered and their ways of coping. Study 2: Obese patients were surveyed about the frequency with which they encountered each form of stigmatization and employed each form of coping. Cross-sectional data on current psychological adjustment were obtained. SUBJECTS: Study 1: 63 obese patients (body mass index, BMI > 40 kg/m2); 38 obese non-patients, seven professionals who work with obese patients and 32 obese female authors from the print media. Study 2: 112 gastric bypass patients (BMI 33.9-80.9 kg/m2) and 34 less obese patients (BMI 27.1-57.2 kg/m2). MEASUREMENT: Study 1: Collection of stigmatizing situations and coping responses. Study 2: Frequency of stigmatizing experiences and coping responses, psychological symptoms, body image, and self esteem measures. RESULTS: Study 1 resulted in two objective questionnaires, consisting of 50 situations and 99 responses. Study 2 found that stigmatization is a common experience, and that obese subjects frequently engage in some effort to cope with stigma. More frequent exposure to stigmatization was associated with greater psychological distress, more attempts to cope, and more severe obesity. Certain coping strategies are associated with greater distress.
Adaptation, Psychological↗
Internet use and stigmatized illness.
People with stigmatized illnesses often avoid seeking health care and education. The internet may be a useful health education and outreach tool for this group. This study examined patterns of internet use for health information among those with and without stigmatized illnesses. A national survey of internet users in the USA was conducted. Respondents who self-reported a stigmatized condition-defined as anxiety, depression, herpes, or urinary incontinence-were compared to respondents who reported having at least one other chronic illness, such as cancer, heart problems, diabetes, and back pain. The analytical sample consisted of 7014 respondents. Cross-sectional associations between stigmatized illness and frequency of internet use for information about health care, use of the internet for communication about health, changes in health care utilization after internet use, and satisfaction with the internet were determined. After controlling for a number of potential confounders, those with stigmatized illnesses were significantly more likely to have used the internet for health information, to have communicated with clinicians about their condition using the internet, and to have increased utilization of health care based on information found on the internet, than those with non-stigmatized conditions. Length of time spent online, frequency of internet use, satisfaction with health information found on the internet, and discussion of internet findings with health care providers did not significantly differ between the two groups. Results from this survey suggest that the internet may be a valuable health communication and education tool for populations who are affected by stigmatized illnesses.
Adolescent↗
"They treated me like a leper". Stigmatization and the quality of life of patients with hepatitis C.
OBJECTIVE: Hepatitis C virus is the most prevalent chronic blood-borne infection in the United States, typically acquired through contaminated blood products or needle sharing. We hypothesized that patients with chronic hepatitis C infection experience stigmatization independent of mode of acquisition and that it negatively affects quality of life. DESIGN: Cross-sectional observation study. SETTING: Specialty clinic in a tertiary referral hospital. PATIENTS: Two hundred and ninety outpatients diagnosed with chronic hepatitis C infection and seen in a hepatology clinic. Thirty participants were excluded because of missing data. MEASUREMENTS AND MAIN RESULTS: Patients were asked to complete a demographic profile, a semistructured interview, the Sickness Impact Profile, and the Hospital Anxiety Depression Scale. A team of two blinded coders analyzed the interviews. A total of 147 of the 257 study patients experienced stigmatization that they attributed to the disease. Women were more likely to report perceived stigmatization than men (P <.05). Age, education, professional status, and mode of infection did not influence the likelihood of stigmatization. Stigmatization was associated with higher anxiety (P <.01) and depression (P <.01), worsened quality of life (P <.01), loss of control (P <.01), and difficulty coping (P <.01). Individuals who experienced stigmatization also mentioned problems in their health care (P <.01) and work environment (P <.01) as well as with family members (P <.01). CONCLUSION: Stigmatization is a very common emotionally burdensome experience for patients with hepatitis C, which can erode social support. As it penetrates even into the health care environment, physicians and other care providers should be aware of the existence and impact of such negative stereotyping.
Adult↗
Breaking the cycle of stigmatization: managing the stigma of incontinence in social interactions.
Incontinence is a highly stigmatizing condition. This article explores the dynamics of stigmatization in interpersonal interactions from the perspective of both individuals who are stigmatized and individuals who are not stigmatized. When people who are stigmatized and nonstigmatized interact with each other, both experience threats to self-esteem, but for different reasons. Individuals who are stigmatized may experience self-esteem decrements because they feel that their group is devalued in the eyes of others. Those who are nonstigmatized may fear that their actions will be perceived as biased, thereby threatening their self-image as an unprejudiced person. Individuals who are stigmatized and nonstigmatized act in ways that make their worst fears more than likely come true. Ways that nurses can facilitate ending this cycle with patients who are incontinent are discussed.
Adaptation, Psychological↗
Ranking of stigmatization toward lesbians and their children and the influence of perceptions of controllability of homosexuality.
Recent custody rulings in this country have indicated that lesbian mothers are viewed more negatively than other parents with stigmatizing attributes, e.g., a history of mental illness or criminality. The current study compared willingness to engage in relationships with a variety of adults with potentially stigmatizing conditions (including lesbians) as well as the children of these stigmatized individuals among a sample of college students. The hypothesis that perceived controllability of homosexuality would be related to stigmatization of lesbians and their children was also tested. Findings included the following: (1) Participants reported a greater willingness to engage in relationships with children of stigmatized parents than with individuals who personally possess a stigmatizing attribute; (2) Participants reported a greater willingness to engage in relationships with adults with physically based stigmas and their children than with adults with mental/behavioral stigmas and their children, and (3) Participants who reported a belief that homosexuality is a controllable condition were less willing to engage in relationships with lesbians than respondents who reported a belief that homosexuality is uncontrollable. Discussion includes not only an evaluation of the results and limitations of the study, but also comments concerning judicial and societal stigmatization of lesbians and their children.
Adult↗
Stigmatized sources and persuasion: prejudice as a determinant of argument scrutiny.
Two experiments examined the viability of several explanations for why majority group individuals process persuasive messages from stigmatized sources more than those from nonstigmatized sources. In each study, majority group participants who either were high or low in prejudice or were high or low in ambivalence toward a stigmatized source's group were exposed to a persuasive communication attributed to a stigmatized (Black, Experiment 1; homosexual, Experiment 2) or nonstigmatized (White, Experiment 1; heterosexual, Experiment 2) source. In both studies, source stigmatization increased message scrutiny only among those who were low in prejudice toward the stigmatized group. This finding is most consistent with the view that people scrutinize messages from stigmatized sources in order to guard against possibly unfair reactions by themselves or others.
Black or African American↗
Weight stigmatization and ideological beliefs: relation to psychological functioning in obese adults.
OBJECTIVE: This study evaluated the relation among weight-based stigmatization, ideological beliefs about weight, and psychological functioning in an obese, treatment-seeking sample. RESEARCH METHODS AND PROCEDURE: Ninety-three obese, treatment-seeking adults (24 men and 69 women) completed a battery of self-report questionnaires measuring psychological adjustment, attitudes about weight, belief in the controllability of weight, and the frequency of weight-based stigmatization. RESULTS: Weight-based stigmatization was a common experience for participants. Frequency of stigmatizing experiences was positively associated with depression, general psychiatric symptoms, and body image disturbance, and negatively associated with self-esteem. Further, participants' own negative attitudes about weight problems were associated with their psychological distress and moderated the relation between the experience of stigmatization and body image. DISCUSSION: Weight-based stigmatization is a common experience for obese individuals seeking weight loss treatment and appears to contribute to poor mental health adjustment. The negative effects of these experiences are particularly damaging for those who hold strong antifat beliefs.
Attitude↗
Validity study for the stigmatization experience in atopic dermatitis and psoriatic patients.
A central experience of patients with atopic dermatitis and psoriasis is the feeling of stigmatization. This can be estimated by the "Questionnaire on Experience with Skin Complaints" (QES), based on the "Feelings of Stigmatization Questionnaire" by Ginsburg & Link. This study was designed to evaluate the psychometric properties of the QES, especially the validity of this questionnaire, and to supply more information about the stigmatization experiences of patients with atopic dermatitis and psoriasis. Three groups of patients were analysed: 76 with atopic dermatitis, 81 and 217 with psoriasis, respectively. The comparison of subgroups with different affected regions revealed that the genital region is especially relevant for the stigmatization experience in these patients. In addition, the feeling of stigmatization (estimated by the QES) is relatively independent of the different dimensions of the "Trier Scales of Coping with Diseases", except for the depressive coping style "Rumination" measuring a high amount of inner concern with the afflicting disease. It can be concluded that the QES is a valid and reliable instrument for examining the stigmatization experience of patients with atopic dermatitis and psoriasis.
Adaptation, Psychological↗
Proper and improper stigmatic optical systems.
Stigmatic optical systems are of two classes: proper and improper stigmatic systems. The purpose of the article is to explore the nature of the two classes. The image may be rotated in the case of proper stigmatic systems and is reflected in a line in the image plane in improper stigmatic systems. Chirality is preserved through proper stigmatic systems but reversed in improper systems. The image also undergoes magnification that is the same in all meridians and, in the case of decentered systems, a transverse translation. Negative magnification implies inversion in a point. The magnification depends on the distance of the object plane from the system, whereas the rotation and reflection do not. The article shows how to identify a system as astigmatic or proper or improper stigmatic from the transference and how to construct the transference of a system that will achieve a particular magnification and rotation or reflection.
Astigmatism↗
[Stigmatizing patients at an inpatient unit of child and adolescent psychiatry].
In a pilot study covering a sample of n = 25 children formerly treated as in-patients within a child psychiatric unit and n = 40 parents of former in-patients, approx. 30% of the parents indicated that their children had been exposed to stigmatizing behaviour reactions by their social environment in consequence of their stay at the unit. The children themselves felt stigmatized in approx. 50% of cases. Correlations between stigmatization and demographic variables, characteristics of treatment or subjects' attitudes towards child and adolescent psychiatry were rarely found to be significant. Because of their fear of stigmatization, there are tendencies among parents as well as patients to conceal the children's in-patient treatment, these tendencies sometimes even concerning the inner family circle. The paper stresses the need for child and adolescent psychiatry to face the problem of patient stigmatization and suggests possible steps to be taken in order to relieve or even prevent stigmatization.
Adolescent↗
Are pregnant adolescents stigmatized by pregnancy?
PURPOSE: To identify prevalence and correlates, including substance use and exposure to violence, of feeling stigmatized by being pregnant as an adolescent. METHODS: A total of 925 low-income African-American, Mexican-American, and Caucasian pregnant adolescents aged </= 18 years were interviewed on the postpartum ward of a university hospital within 48 hours of delivery. Correlates of stigma were identified among self-reported behaviors such as substance use, exposure to violence, family support and criticism, as well as reproductive and sociodemographic characteristics. RESULTS: Two out of five adolescents (39.1%) reported feeling stigmatized by their pregnancy. As compared with their nonstigmatized peers, stigmatized adolescents were more likely to report having seriously considered abortion, being afraid to tell parents about pregnancy, feeling that parents/teachers thought pregnancy a mistake, and feeling abandoned by the fathers of their babies. Stepwise logistic regression revealed the following correlates independently associated with feeling stigmatized: white race/ethnicity, not being legally/common-law married or engaged to the baby's father, feelings of social isolation, aspirations to complete college, experiencing verbal abuse or being fearful of being hurt by other teenagers, and experiencing family criticism. In contrast, greater self-esteem and having dropped out of school before conception were protective of reporting feelings of stigma. CONCLUSIONS: Significant proportions of pregnant adolescents feel stigmatized by pregnancy and are at increased risk of social isolation and abuse. These young women may need special attention during and after pregnancy to develop concrete strategies to care for themselves and their children to complete their education and avoid becoming clinically depressed.
Adolescent↗
Accurate and inaccurate HIV transmission beliefs, stigmatizing and HIV protection motivation in northern Thailand.
We assessed the relation between accurate beliefs about HIV transmission and inaccurate beliefs about HIV transmission and emotional reactions to people with AIDS (PWA) and AIDS risk groups, stigmatizing attitudes and motivation to protect from HIV. In Chiang Rai, northern Thailand, 219 respondents filled in a structured questionnaire assessing accurate and inaccurate HIV transmission beliefs, emotional reactions towards PWA and AIDS risk groups, stigmatizing attitudes and motivation to protect from HIV according to variables from Protection Motivation Theory. Complete accurate beliefs about documented modes of HIV transmission were present in 47% of the respondents, while 26% of the respondents held one or more inaccurate beliefs about HIV transmission. Incomplete beliefs about documented modes of transmission were significantly related to stigmatizing beliefs towards people with AIDS (PWA), to lower vulnerability of HIV infection and lower self-efficacy in protection. Those who held inaccurate beliefs about HIV transmission reported more fear towards PWA and homosexuals and more irritation towards PWA and commercial sex workers. Persons who held inaccurate beliefs about HIV transmission also reported more stigmatizing attitudes, perceived AIDS as less severe, perceived a lower vulnerability and were less motivated to use condoms. Results of this study suggest that inaccurate beliefs about HIV transmission are related to fear and stigmatizing and undermine HIV prevention behaviour.
Acquired Immunodeficiency Syndrome↗