Evidence map›Paper›PMID 33421077›Full record

ReviewTranslational behavioral medicine2020

Understanding stigma and food inequity: a conceptual framework to inform research, intervention, and policy.

Valerie A Earnshaw, Allison Karpyn

Abstract readReview
In one paragraph

Review in Translational behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  16. Cross-Sectional Analysis of Factors Predicting Food Assistance Stigma.Behavioral sciences (Basel, Switzerland) · 2025
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  18. Rewriting the Narrative: Advancing Justice and Equity in the U.S. Food System.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Valerie A EarnshawHuman Development and Family Sciences, University of Delaware, Newark, DE, USA.
Allison KarpynHuman Development and Family Sciences, University of Delaware, Newark, DE, USA.

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Robert E Akins · 2013 to 2026
$60.5M
Does a Supermarket Improve the Diet & Food Environmentof Low-Income Residents?R01DK102324 · NIDDK · UNIVERSITY OF DELAWARE · PI GLANZ, KAREN, KARPYN, ALLISON E · 2014 to 2018
$2.5M
NIDDK NIH HHS R01 DK102324NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

There is increasing understanding that stigma associated with poverty, race, nationality, gender, obesity, and other intersecting, socially devalued characteristics is a key social determinant of health that plays a role in food inequities; yet, the processes linking stigma with food inequities are poorly defined. Building on prior conceptual and empirical stigma research in public health, this paper introduces The Stigma and Food Inequity Framework. Supporting empirical evidence for the associations proposed by the framework is reviewed. The framework proposes that stigma is manifested at the structural (e.g., neighborhood infrastructure and targeted marketing) and individual (e.g., internalized stigma and stereotypes) levels. These stigma manifestations are associated with food inequities via a series of mediating mechanisms, including access to resources, the home food environment, and psychosocial and behavioral processes, which ultimately undermine healthy food consumption, contribute to food insecurity, and impact diet quality. The framework further proposes that processes linking stigma with food inequities are situated within contexts of history, culture, and human development. Future directions to address stigma and enhance food equity include the value of addressing the broad range of underlying structural stigma manifestations when creating policy to promote food equity.

Indexed as

Public HealthSocial StigmaHumansPolicyDiscriminationFood inequityStereotypesStigma

Identifiers

PMID33421077
PMCPMC8218858

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.