Installation: Learning about Stigma in Health Settings
Arshya Vahabzadeh (2015). Stigma – Social and Self. Khan Academy
External and Internal Stigma
Health Related Stigma is:
2. Experienced globally
3. Found across a wide range of health conditions
4. Impacts health-seeking behavior, engagement in care, and adherence to treatment
Stigma affects us in many ways:
• We often anticipate stigma.
• We can perceive stigma, whether present or not.
• Individuals experience and can internalize stigma.
• Individuals can also perpetuate health-related stigma. While stigma outcomes are mostly negative, positive outcomes are possible; stigma has been known to foster resilience in marginalized populations and fuel the formation of patient advocacy groups and advocacy efforts that have led to major policy changes to improve access to healthcare for some stigmatized conditions."
Health Stigma Discrimination Framework
The idea behind COP-RCORP’s approach to addressing stigma comes from The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas (Stangl et.al., 2019). In this framework, health-stigma is examined as a multi-layered process that that compromises the general health and wellbeing of affected communities. Stangl and her colleagues discuss interrupting the stigma process before individuals act on bad stigma to mitigate harm and shift harmful attitudes and behaviors (2019). Below is the image of the original Health Stigma Discrimination Framework, reprinted with permission from the original authors.
Stangl, A.L., Earnshaw, V.A., Logie, C.H. et al.The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. BMC Med 17, 31 (2019). https://doi.org/10.1186/s12916-019-1271-3