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

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

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.

LanguageEnglish
Pages43-49
Number of pages7
JournalSocial Science and Medicine
Volume232
Early online date25 Apr 2019
DOIs
Publication statusPublished - 1 Jul 2019

Fingerprint

Scotland
Poverty
poverty
Health
health
experience
socioeconomic position
Social Security
internalization
Stigma
Qualitative Study
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 and 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 and Medicine, Vol. 232, 01.07.2019, p. 43-49.

Research output: Contribution to journalArticle

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AU - McHardy, Fiona

AU - Sosu, Edward

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AB - 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.

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