Health inequality implications from a qualitative study of experiences of poverty stigma in Scotland

Greig Inglis*, Fiona McHardy, Edward Sosu, John McAteer, Hannah Biggs

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Rationale
Individuals living in Scotland's most deprived communities experience a higher burden of morbidity and early mortality than those living in more affluent areas. Experiences of poverty-based stigma may be one psychosocial mechanism through which socioeconomic position influences health, although there is little available data on this issue from a Scottish perspective.

Objective
The aim of this study was to identify which aspects of poverty stigma are particularly salient to individuals with lived experience of poverty, and may therefore contribute to health inequalities.

Methods
Five focus groups were conducted with 39 individuals with experience of living on low incomes in Scotland in order to explore their experiences and perceptions of poverty stigma.

Results
Five main themes were identified, reflecting aspects of poverty stigma operating at various structural, public and individual levels: media representations of poverty; negative encounters with social security systems; perceived public attitudes regarding poverty in Scotland; lowered self-esteem and internalisation of negative attitudes, and; emotional responses to stigma.

Conclusion
These dimensions of stigma potentially influence public health and health inequalities in Scotland, although future research will be necessary to quantify these and estimate their relationships with health outcomes.
Original languageEnglish
Pages (from-to)43-49
Number of pages7
JournalSocial Science & Medicine
Volume232
Early online date25 Apr 2019
DOIs
Publication statusPublished - 31 Jul 2019
Externally publishedYes

Fingerprint

Scotland
Poverty
poverty
Health
health
experience
socioeconomic position
Social Security
internalization
Qualitative Study
Stigma
Focus Groups
social security
Self Concept
morbidity
self-esteem
low income
mortality
Public Health
public health

Keywords

  • Scotland
  • Stigma
  • Health inequalities
  • Poverty

Cite this

Inglis, Greig ; McHardy, Fiona ; Sosu, Edward ; McAteer, John ; Biggs, Hannah. / Health inequality implications from a qualitative study of experiences of poverty stigma in Scotland. In: Social Science & Medicine. 2019 ; Vol. 232. pp. 43-49.
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Health inequality implications from a qualitative study of experiences of poverty stigma in Scotland. / Inglis, Greig; McHardy, Fiona; Sosu, Edward; McAteer, John; Biggs, Hannah.

In: Social Science & Medicine, Vol. 232, 31.07.2019, p. 43-49.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Health inequality implications from a qualitative study of experiences of poverty stigma in Scotland

AU - Inglis, Greig

AU - McHardy, Fiona

AU - Sosu, Edward

AU - McAteer, John

AU - Biggs, Hannah

PY - 2019/7/31

Y1 - 2019/7/31

N2 - RationaleIndividuals living in Scotland's most deprived communities experience a higher burden of morbidity and early mortality than those living in more affluent areas. Experiences of poverty-based stigma may be one psychosocial mechanism through which socioeconomic position influences health, although there is little available data on this issue from a Scottish perspective. ObjectiveThe aim of this study was to identify which aspects of poverty stigma are particularly salient to individuals with lived experience of poverty, and may therefore contribute to health inequalities. MethodsFive focus groups were conducted with 39 individuals with experience of living on low incomes in Scotland in order to explore their experiences and perceptions of poverty stigma. ResultsFive main themes were identified, reflecting aspects of poverty stigma operating at various structural, public and individual levels: media representations of poverty; negative encounters with social security systems; perceived public attitudes regarding poverty in Scotland; lowered self-esteem and internalisation of negative attitudes, and; emotional responses to stigma. ConclusionThese dimensions of stigma potentially influence public health and health inequalities in Scotland, although future research will be necessary to quantify these and estimate their relationships with health outcomes.

AB - RationaleIndividuals living in Scotland's most deprived communities experience a higher burden of morbidity and early mortality than those living in more affluent areas. Experiences of poverty-based stigma may be one psychosocial mechanism through which socioeconomic position influences health, although there is little available data on this issue from a Scottish perspective. ObjectiveThe aim of this study was to identify which aspects of poverty stigma are particularly salient to individuals with lived experience of poverty, and may therefore contribute to health inequalities. MethodsFive focus groups were conducted with 39 individuals with experience of living on low incomes in Scotland in order to explore their experiences and perceptions of poverty stigma. ResultsFive main themes were identified, reflecting aspects of poverty stigma operating at various structural, public and individual levels: media representations of poverty; negative encounters with social security systems; perceived public attitudes regarding poverty in Scotland; lowered self-esteem and internalisation of negative attitudes, and; emotional responses to stigma. ConclusionThese dimensions of stigma potentially influence public health and health inequalities in Scotland, although future research will be necessary to quantify these and estimate their relationships with health outcomes.

KW - Scotland

KW - Stigma

KW - Health inequalities

KW - Poverty

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M3 - Article

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JO - Social Science & Medicine

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