Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States: Implications for Interventions.
Stigma is integral to understanding mental health disparities among racial and ethnic minority groups in the United States. We conducted a systematic review to identify empirical studies on cultural aspects of mental illness stigma (public, structural, affiliative, self) among three racial and ethni...
| Publicado en: | American Journal of Community Psychology Vol. 68; no. 3/4; pp. 486 - 513 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Dec2021
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=154222330&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 154222330 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00910562 CMP jtl: American Journal of Community Psychology issn: 00910562 maglogo: N pubinfo: dt: Dec2021 vid: 68 iid: 3/4 pid: 480 pub: Wiley-Blackwell artinfo: ui: 154222330 10.1002/ajcp.12516 ppf: 486 ppct: 27 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P size: 226KB tig: atl: Systematic Review of Cultural Aspects of Stigma and Mental Illness among Racial and Ethnic Minority Groups in the United States: Implications for Interventions. aug: au: Misra, Supriya Jackson, Valerie W. Chong, Jeanette Choe, Karen Tay, Charisse Wong, Jazmine Yang, Lawrence H. affil: San Francisco State University, San Francisco CA,, USA University of California San Francisco, San Francisco CA,, USA University of Texas Southwestern Medical Center, Dallas TX,, USA Teachers College, Columbia University, New York NY,, USA New York University Langone Health, New York NY,, USA New York University School of Global Public Health, New York NY,, USA Columbia Mailman School of Public Health, New York NY,, USA su: United States Minorities Racial minorities Social stigma Mental illness Intervention (Federal government) Self-presentation sug: subj: Minorities Racial minorities Social stigma Mental illness Intervention (Federal government) Self-presentation United States keyword: Culture Ethnicity Race Stigma Systematic review Culture Ethnicity Race Stigma Systematic review ab: Stigma is integral to understanding mental health disparities among racial and ethnic minority groups in the United States. We conducted a systematic review to identify empirical studies on cultural aspects of mental illness stigma (public, structural, affiliative, self) among three racial and ethnic minority groups (Asian Americans, Black Americans, Latinx Americans) from 1990 to 2019, yielding 97 articles. In comparison studies (N = 25), racial and ethnic minority groups often expressed greater public and/or self‐stigma than White American groups. In within‐group studies (N = 65; Asian American, n = 21; Black American, n = 18; Latinx American; n = 26), which were primarily qualitative (73%), four major cultural themes emerged: 1) service barriers including access and quality (structural stigma); 2) family experiences including concealment for family's sake, fear of being a burden, and stigma extending to family (affiliative stigma); 3) lack of knowledge about mental illness and specific cultural beliefs (public stigma); and 4) negative emotional responses and coping (self‐stigma). These findings confirmed stigma has both similar and unique cultural aspects across groups. Despite this, few studies tested stigma reduction interventions (N = 7). These cultural insights can inform contextual change at the health systems and community levels to reduce stigma, and empowerment at the interpersonal and individual levels to resist stigma. Highlights: We identified cultural aspects of mental illness stigma among Asian, Black, and Latinx AmericansStigma tended to be higher among the racial and ethnic minority groups than White comparison groupsStigma has similar and unique cultural aspects across the three racial and ethnic minority groupsMajor themes were service barriers, family experiences, knowledge/beliefs, and emotional responsesInterventions can integrate cultural aspects to reduce service barriers and target stigma directly pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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