TY - JOUR
T1 - Intervening within and across levels
T2 - A multilevel approach to stigma and public health
AU - Cook, Jonathan E.
AU - Purdie-Vaughns, Valerie
AU - Meyer, Ilan H.
AU - Busch, Justin T.A.
PY - 2014/2
Y1 - 2014/2
N2 - This article uses a multilevel approach to review the literature on interventions with promise to reduce social stigma and its consequences for population health. Three levels of an ecological system are discussed. The intrapersonal level describes interventions directed at individuals, to either enhance coping strategies of people who belong to stigmatized groups or change attitudes and behaviors of the non-stigmatized. The interpersonal level describes interventions that target dyadic or small group interactions. The structural level describes interventions directed at the social-political environment, such as laws and policies. These intervention levels are related and they reciprocally affect one another. In this article we review the literature within each level. We suggest that interventions at any level have the potential to affect other levels of an ecological system through a process of mutually reinforcing reciprocal processes. We discuss research priorities, in particular longitudinal research that incorporates multiple outcomes across a system.
AB - This article uses a multilevel approach to review the literature on interventions with promise to reduce social stigma and its consequences for population health. Three levels of an ecological system are discussed. The intrapersonal level describes interventions directed at individuals, to either enhance coping strategies of people who belong to stigmatized groups or change attitudes and behaviors of the non-stigmatized. The interpersonal level describes interventions that target dyadic or small group interactions. The structural level describes interventions directed at the social-political environment, such as laws and policies. These intervention levels are related and they reciprocally affect one another. In this article we review the literature within each level. We suggest that interventions at any level have the potential to affect other levels of an ecological system through a process of mutually reinforcing reciprocal processes. We discuss research priorities, in particular longitudinal research that incorporates multiple outcomes across a system.
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U2 - 10.1016/j.socscimed.2013.09.023
DO - 10.1016/j.socscimed.2013.09.023
M3 - Article
C2 - 24513229
AN - SCOPUS:84893509106
VL - 103
SP - 101
EP - 109
JO - Ethics in Science and Medicine
JF - Ethics in Science and Medicine
SN - 0277-9536
ER -