Evidence map›Paper›PMID 34115390›Full record

ArticleJournal of community psychology2022

The stigma system: How sociopolitical domination, scapegoating, and stigma shape public health.

Samuel R Friedman, Leslie D Williams, Honoria Guarino, Pedro Mateu-Gelabert, Noa Krawczyk, Leah Hamilton, Suzan M Walters, Jerel M Ezell, Maria Khan, Jorgelina Di Iorio and 2 more

Abstract read
In one paragraph

Article in Journal of community psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–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

34 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Treatment Experiences of Individuals With Co-Occurring Mental Health and Substance Use Disorders and Perspectives of Mental Health Workers in Ashanti Region, Ghana.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Keeping PeopleInternational journal of social determinants of health and health services · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Historical and theoretical roots of the big events framework.The International journal on drug policy · 2024
    Article
  19. Article
  20. Review
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

12 authors.

Samuel R FriedmanDepartment of Population Health, New York University Grossman School of Medicine, New York, New York, USA.ORCID 0000-0003-2083-1226
Leslie D WilliamsDivision of Community Health Sciences, University of Illinois at Chicago School of Public Health, Chicago, Illinois, USA.
Honoria GuarinoInstitute for Implementation Science in Population Health, CUNY Graduate School of Public Health & Health Policy, New York, New York, USA.
Pedro Mateu-GelabertInstitute for Implementation Science in Population Health, CUNY Graduate School of Public Health & Health Policy, New York, New York, USA.
Noa KrawczykDepartment of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Leah HamiltonDepartment of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Suzan M WaltersNYU Rory Meyers College of Nursing, Interdisciplinary Research Training Institute on Hispanic Drug Abuse, University of Southern California, Los Angeles, California, USA.
Jerel M EzellDepartment of Sociology, University of Chicago, Chicago, Illinois, USA.
Maria KhanDepartment of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Jorgelina Di IorioFaculty of Psychology and Intercambios Civil Association, CONICET/Buenos Aires University, Buenos Aires, Argentina.
Lawrence H YangDepartment of Social and Behavioral Sciences, School of Global Public Health, New York University, New York, New York, USA.
Valerie A EarnshawDepartment of Human Development and Family Sciences, University of Delaware, Newark, Delaware, USA.

Funding

Project-003UG1DA013035 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Aimee N Campbell, Jennifer McNeely · 2015 to 2026
$130.3M
CU PARTNERS: NY/LONG ISLAND REGIONAL NODEU10DA013035 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI NUNES, EDWARD V., ROTROSEN, JOHN P · 2001 to 2015
$47.6M
Transdisciplinary Theoretical Svnthesis and Development CoreP30DA011041 · NIDA · NEW YORK UNIVERSITY · PI Holly Hagan, Courtney McKnight · 1998 to 2026
$38.9M
BEHAVIORAL SCI TRAINING IN DRUG ABUSE RESEARCHT32DA007233 · NIDA · PUBLIC HEALTH SOLUTIONS · PI GOLDSAMT, LLOYD A · 1985 to 2023
$20.2M
New York University, City University of New York Health Promotion & Prevention ReU48DP005008 · DP · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI THORPE, LORNA, TRINH-SHEVRIN, CHAU · 2014 to 2018
$6.9M
Stop-and-Frisk, Arrest, and Incarceration and STI/HIV Risk in Minority MSMR01DA044037 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KHAN, MARIA RABIA · 2017 to 2021
$4.0M
The Staying Safe Intervention: Preventing HCV among Young Opioid InjectorsR01DA041501 · NIDA · NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC. · PI GUARINO, HONORIA M, MATEU-GELABERT, PEDRO · 2016 to 2020
$3.6M
Interdisciplinary Research Training Institute on Hispanic Drug AbuseR25DA026401 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VALDEZ, AVELARDO · 2009 to 2019
$3.2M
HIV, HCV and STI Risk Associated with Nonmedical Use of Prescription OpioidsR01DA035146 · NIDA · NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC. · PI MATEU-GELABERT, PEDRO · 2013 to 2017
$2.9M
Accessible Care Intervention for Engaging People who Inject Illicit Drugs (PWID) in Hepatitis C CareR01DA041298 · NIDA · NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC. · PI MARKS, KRISTEN M, MATEU-GELABERT, PEDRO · 2016 to 2020
$2.8M
Stigma Associated with a High-Risk State for PsychosisR01MH096027 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUSSER, EZRA S., YANG, LAWRENCE H · 2012 to 2016
$2.6M
Ending transmission of HIV, HCV, and STDs and overdose in rural communities of people who inject drugs (ETHIC)UG3DA044829 · NIDA · UNIVERSITY OF CHICAGO · PI JENKINS, WILEY, PHO, MAI TUYET · 2017 to 2018
$1.1M
ACL HHS U48DP005008CDC HHS Fulbright Visiting Scholar (JDI)CDC HHS U48DP005008 (MK)NCCDPHP CDC HHS U48 DP005008NIDA NIH HHS DA013035 (LH)NIDA NIH HHS K01 DA042881NIDA NIH HHS K01DA042881 (VAE)NIDA NIH HHS K01 DA053159NIDA NIH HHS P30 DA011041NIDA NIH HHS P30 DA011041 (SRF, MK, SMW)NIDA NIH HHS R01 DA035146NIDA NIH HHS R01DA035146 (PMG)NIDA NIH HHS R01 DA041298NIDA NIH HHS R01 DA041501NIDA NIH HHS R01DA041501 (HG, PMG)NIDA NIH HHS R01 DA044037NIDA NIH HHS R01 DA044037 (MK)NIDA NIH HHS R03 DA033899NIDA NIH HHS R03DA033899 (HG)NIDA NIH HHS R25 DA026401NIDA NIH HHS R25DA026401 (SMW)NIDA NIH HHS T32 DA007233NIDA NIH HHS T32DA007233 (SMW)NIDA NIH HHS U10 DA013035NIDA NIH HHS UG1 DA013035NIDA NIH HHS UG3 DA044829NIDA NIH HHS UG3DA044829 (SRF, JME)NIMH NIH HHS R01 MH096027NIMH NIH HHS R01 MH096027 (LHY)
6 · The paper itself

Abstract

Stigma is a fundamental driver of adverse health outcomes. Although stigma is often studied at the individual level to focus on how stigma influences the mental and physical health of the stigmatized, considerable research has shown that stigma is multilevel and structural. This paper proposes a theoretical approach that synthesizes the literature on stigma with the literature on scapegoating and divide-and-rule as strategies that the wealthy and powerful use to maintain their power and wealth; the literatures on racial, gender, and other subordination; the literature on ideology and organization in sociopolitical systems; and the literature on resistance and rebellion against stigma, oppression and other forms of subordination. we develop a model of the "stigma system" as a dialectic of interacting and conflicting structures and processes. Understanding this system can help public health reorient stigma interventions to address the sources of stigma as well as the individual problems that stigma creates. On a broader level, this model can help those opposing stigma and its effects to develop alliances and strategies with which to oppose stigma and the processes that create it.

Indexed as

Mental DisordersPublic HealthHumansScapegoatingSocial Stigmadivide and ruledominationresistancescapegoatingstigmastrugglesubordination

Identifiers

PMID34115390
PMCPMC8664901

What OpenQuestion holds

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Registered trials

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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.