Large health disparities exist between stigmatized and nonstigmatized groups. In addition to experiencing and anticipating greater discrimination, members of stigmatized groups also tend to demonstrate greater ruminative tendencies in response, which may lead to these poor health outcomes. Even among stigmatized groups, differences in the visibility of stigma lead to different mechanisms through which stigma takes its toll. Previous work has primarily focused on the impact of belonging to a single marginalized group; however, people often belong to multiple marginalized groups, and this likely affects both their health outcomes and their anticipation of stigma. In the current study, we focused on individuals with concealable stigmatized identities (CSIs)—socially stigmatized identities that are not immediately apparent to others—and created a measure of concealable marginalization that captures multiple group memberships. We predicted that those possessing a greater number of CSIs would anticipate more stigma from others, and, in turn, ruminate more about the stigma, which would negatively impact the health. Surveying N = 288 adults with CSIs, we found that possessing a greater number of marginalized concealable identities predicted worse self‐reported physical quality of life. These relationships were partially mediated by greater anticipated stigma and brooding rumination in regard to their CSI. This work illuminates a more complete picture of how living with CSIs can take its toll on health.
This study examined the impact of the Abriendo Puertas parent education program among a large sample of low-income, Latino parents and caregivers of preschool children. In all, 922 parents were randomly assigned to the program ( n = 468) or a waitlist control group ( n = 454). Pretest data and posttest data (5-6 weeks postintervention) from parents (86.4% response rate) were collected from both the treatment and control groups. At each time point, parents reported on their knowledge, attitudes, and behaviors related to enhancing their children’s school readiness. Confirmatory factor analyses were conducted to assess the factorial validity of each survey scale, and path analyses were conducted to compare the outcomes of the treatment and control groups. In addition, to assess fade-out of program affects among treatment parents, follow-up data were collected 3 months postintervention. Intent-to-treat analyses found that, compared with the control group, the treatment group adopted parenting practices that enhanced preschool children’s preparation for school, gained knowledge about high-quality early child care and education settings, improved their ability to set goals for their children, and gained an appreciation for their role as models for their children. No differences were found between the control and treatment groups on parenting practices related to emotional expression, parental advocacy, or healthy behaviors. Results indicate that the Abriendo Puertas program improved parents’ and caregivers’ knowledge, attitudes, and behaviors. Results of this evaluation help build the evidence base on culturally relevant parenting programs for Latino parents of preschoolers.
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