The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas

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dc.contributor.authorStangl, Anne L
dc.contributor.authorEarnshaw, Valerie A
dc.contributor.authorLogie, Carmen H
dc.contributor.authorvan Brakel, Wim
dc.contributor.authorC. Simbayi, Leickness
dc.contributor.authorBarré, Iman
dc.contributor.authorDovidio, John F
dc.date.accessioned2019-02-26T09:44:27Z
dc.date.available2019-02-26T09:44:27Z
dc.date.issued2019-02-15
dc.date.updated2019-02-17T04:16:42Z
dc.description.abstractAbstract Stigma is a well-documented barrier to health seeking behavior, engagement in care and adherence to treatment across a range of health conditions globally. In order to halt the stigmatization process and mitigate the harmful consequences of health-related stigma (i.e. stigma associated with health conditions), it is critical to have an explicit theoretical framework to guide intervention development, measurement, research, and policy. Existing stigma frameworks typically focus on one health condition in isolation and often concentrate on the psychological pathways occurring among individuals. This tendency has encouraged a siloed approach to research on health-related stigmas, focusing on individuals, impeding both comparisons across stigmatized conditions and research on innovations to reduce health-related stigma and improve health outcomes. We propose the Health Stigma and Discrimination Framework, which is a global, crosscutting framework based on theory, research, and practice, and demonstrate its application to a range of health conditions, including leprosy, epilepsy, mental health, cancer, HIV, and obesity/overweight. We also discuss how stigma related to race, gender, sexual orientation, class, and occupation intersects with health-related stigmas, and examine how the framework can be used to enhance research, programming, and policy efforts. Research and interventions inspired by a common framework will enable the field to identify similarities and differences in stigma processes across diseases and will amplify our collective ability to respond effectively and at-scale to a major driver of poor health outcomes globally.
dc.identifier.apacitationStangl, A. L., Earnshaw, V. A., Logie, C. H., van Brakel, W., , Barré, I., & Dovidio, J. F. (2019). The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. <i>BMC medicine</i>, http://hdl.handle.net/11427/29812en_ZA
dc.identifier.chicagocitationStangl, Anne L, Valerie A Earnshaw, Carmen H Logie, Wim van Brakel, , Iman Barré, and John F Dovidio "The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas." <i>BMC medicine</i> (2019) http://hdl.handle.net/11427/29812en_ZA
dc.identifier.citationStangl, A. L., Earnshaw, V. A., Logie, C. H., van Brakel, W., Simbayi, L. C., Barré, I., & Dovidio, J. F. (2019). The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. BMC medicine, 17(1), 31.
dc.identifier.ris TY - Journal Article AU - Stangl, Anne L AU - Earnshaw, Valerie A AU - Logie, Carmen H AU - van Brakel, Wim AU - C. Simbayi, Leickness AU - Barré, Iman AU - Dovidio, John F AB - Abstract Stigma is a well-documented barrier to health seeking behavior, engagement in care and adherence to treatment across a range of health conditions globally. In order to halt the stigmatization process and mitigate the harmful consequences of health-related stigma (i.e. stigma associated with health conditions), it is critical to have an explicit theoretical framework to guide intervention development, measurement, research, and policy. Existing stigma frameworks typically focus on one health condition in isolation and often concentrate on the psychological pathways occurring among individuals. This tendency has encouraged a siloed approach to research on health-related stigmas, focusing on individuals, impeding both comparisons across stigmatized conditions and research on innovations to reduce health-related stigma and improve health outcomes. We propose the Health Stigma and Discrimination Framework, which is a global, crosscutting framework based on theory, research, and practice, and demonstrate its application to a range of health conditions, including leprosy, epilepsy, mental health, cancer, HIV, and obesity/overweight. We also discuss how stigma related to race, gender, sexual orientation, class, and occupation intersects with health-related stigmas, and examine how the framework can be used to enhance research, programming, and policy efforts. Research and interventions inspired by a common framework will enable the field to identify similarities and differences in stigma processes across diseases and will amplify our collective ability to respond effectively and at-scale to a major driver of poor health outcomes globally. DA - 2019-02-15 DB - OpenUCT DP - University of Cape Town J1 - BMC medicine LK - https://open.uct.ac.za PY - 2019 T1 - The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas TI - The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas UR - http://hdl.handle.net/11427/29812 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12916-019-1271-3
dc.identifier.urihttp://hdl.handle.net/11427/29812
dc.identifier.vancouvercitationStangl AL, Earnshaw VA, Logie CH, van Brakel W, , Barré I, et al. The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. BMC medicine. 2019; http://hdl.handle.net/11427/29812.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.rights.holderThe Author(s).
dc.sourceBMC medicine
dc.source.urihttps://bmcmedicine.biomedcentral.com/
dc.subject.otherStigma
dc.subject.otherdiscrimination
dc.subject.otherhealth conditions
dc.subject.otherdisease
dc.subject.othermulti-level
dc.subject.othertheoretical framework
dc.subject.otherconceptual model
dc.titleThe Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas
dc.typeJournal Article
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