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Intersectional Stigma and Occupational Engagement Among Racialized Higher Education Students: A Qualitative Study
Nikhil Tomar1, Ryan Gibson2, Kathryne Brewer3
1Nikhil Tomar, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of New Hampshire, Durham; nikhil.tomar@unh.edu.
Summary
Intersectional stigma, related to mental illness and race/ethnicity, influences how racialized students engage in occupations. Addressing this stigma is crucial for improving mental health care and fostering inclusion in higher education.
Area of Science:
- Mental Health Disparities
- Sociology of Health
- Occupational Science
Background:
- Intersectional stigma of mental illness and race/ethnicity exacerbates health disparities among US students.
- This stigma shapes experiences of inclusion and belonging, necessitating research into its impact on occupational engagement.
Purpose of the Study:
- To investigate the relationship between intersectional stigma and occupational engagement in racialized higher education students.
- To explore how the combined stigma of mental illness and race/ethnicity affects students' participation in meaningful activities.
Main Methods:
- Qualitative descriptive study employing semi-structured interviews.
- Thematic analysis was used to analyze data from 13 racialized students with mental illness.
- Theoretical frameworks included gradient rationality for stigma and moral economics of occupations for engagement.
Main Results:
- Four emergent themes: identity negotiation, mental health journey, intersectional stigma experiences, and occupational engagement (including mental health care and community participation).
- Findings indicate that stigma and identity are fluid, influencing occupational engagement.
- Racialized students navigate complex social and personal factors impacting their participation.
Conclusions:
- Intersectional stigma and racial/ethnic identity are dynamic, guiding occupational engagement among students.
- Understanding these fluid processes is vital for developing culturally sensitive mental health interventions.
- This research informs occupational therapy and public health efforts to address mental health crises in higher education.
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