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A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
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Intersectional Structural Stigma: A Qualitative Study With Persons Experiencing Homelessness in the Southwest United
Micaela Mercado1,2, Lara Law1,2, Kristin Ferguson-Colvin1
1School of Social Work, Arizona State University, Phoenix, AZ, USA.
Qualitative Health Research
|June 21, 2024
Summary
This study examined how intersecting stigmas affect health for homeless individuals in the US Southwest. Findings reveal strategies to reduce stigma and improve health outcomes for diverse homeless populations.
Area of Science:
- Public Health
- Sociology
- Health Disparities
Background:
- Structural stigma disproportionately affects marginalized populations, particularly those experiencing homelessness.
- Understanding intersectional stigma is crucial for developing effective health interventions.
- Previous frameworks inadequately address the multifaceted nature of stigma experienced by diverse homeless groups.
Purpose of the Study:
- To explore manifestations of intersectional structural stigma among diverse homeless populations.
- To identify stigma-reducing strategies within health contexts.
- To adapt the Health Stigma and Discrimination Framework for this population.
Main Methods:
- Grounded theory and thematic analysis of data from seven focus groups (n=76).
- Purposive sampling to recruit diverse homeless individuals (youth, young adults, adults, women with children, veterans, older males).
- Adaptation of the Health Stigma and Discrimination Framework.
Main Results:
- Interpersonal stigma experienced due to homelessness, gender, age, and mental health status.
- Organizational practices and community social beliefs facilitate stigma.
- Health outcomes are negatively influenced by stigmatization.
- Stigma-reducing strategies involve community assets, medical care, and provider practices.
Conclusions:
- Intersectional stigma significantly impacts the health of homeless individuals.
- An adapted framework highlights pathways to address stigma at multiple levels.
- Community assets and destigmatizing provider practices are key to reducing stigma.
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