Spatial stigma and health inequality

Keene, Danya E.; Padilla, Mark

doi:10.1080/09581596.2013.873532

Cited by 113 publications

(112 citation statements)

References 51 publications

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“…However, places, people, and experiences are co-constructed and produce an intricate agglomeration, in which each element is actively shaped and reshaped by the others. For stigmatized populations, such as people living with HIV (PLHIV) and people who use drugs (PWUD), experiences of place can influence their access to health care services (Chesney & Smith, 1999; Nations & Monte, 1996), and contribute to adverse health outcomes (Keene & Padilla, 2010, 2014; Latkin, German, Vlahov, & Galea, 2013; Wutich, Ruth, Brewis, & Boone, 2014). …”

Section: Introductionmentioning

confidence: 99%

“…classism, racism). The resulting ‘blemish of place’ (Wacquant, 2007) denigrates neighbourhood occupants who often embody stigmatizing discourses, disrupting their sense of identity and social interactions, while also constraining their access to other neighbourhoods (Keene & Padilla, 2014; Author et al, 2015; Wutich et al, 2014). As such, territorial stigmatization exacerbates inequality for these populations, often leading to considerable consequences for their well-being.…”

Section: Introductionmentioning

confidence: 99%

“…However, the concept of territorial stigma has more recently been employed to advance understandings of how these processes further vilify stigmatized populations as they move – or attempt to move – from stigmatized places or neighbourhoods into other areas (Keene & Padilla, 2014; McCormick, Joseph, & Chaskin, 2012; Author et al, 2015; Rhodes, 2012; Thompson et al, 2007; Wacquant, 2007; Wutich et al, 2014). While rooted in geographic areas, territorial stigma is mobile and follows people as they move from stigmatized areas to other spaces, whether other neighbourhoods (Author et al, 2015) or entirely new cities (Keene & Padilla, 2014), and engage in other spaces.…”

Section: Introductionmentioning

confidence: 99%

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Navigating identity, territorial stigma, and HIV care services in Vancouver, Canada: A qualitative study

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Navigating identity, territorial stigma, and HIV care services in Vancouver, Canada: A qualitative study

et al. 2016

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“…This discrimination may also limit people's economic and health-promoting opportunities. Specifically, it has been postulated that spatial stigma Article [Geospatial Health 2016;11:399] [page 169] 5.4 .627 1.19 .70,7.1 .867 .82 .65,1.0 .104 Negative external No 3 -2.7, 5.2 .518 .97 .57, 1.2 .85 -4.96 -14.5, 4.6 .302 -1.98 -8.8, 4.9 .561 .85 .63 restricts residents' access to health-promoting resources and limits economic opportunities, and thus contributes to persistent health disparities (Thompson et al, 2007;Keene and Padilla, 2014). For example, employers may discriminate in the hiring process against addresses from disadvantaged neighborhoods (Kirschenman and Neckerman, 1991;Wilson, 1996).…”

Section: Discussionmentioning

confidence: 99%

“…For example, spatial stigma, or the negative representations of place that are attached to neighborhoods may have deleterious effects on the health of residents via psychosocial stress, among other potential pathways (Keene and Padilla, 2014). Spatial stigma has also been defined by the co-occurrence of its components: labeling, stereotyping, separation, status loss and discrimination (Chaix, 2009).…”

Section: Introductionmentioning

confidence: 99%

Perceived spatial stigma, body mass index and blood pressure: a global positioning system study among low-income housing residents in New York City

Duncan¹,

Ruff²,

Chaix³

et al. 2016

Geospat Health

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Previous research has highlighted the salience of spatial stigma on the lives of low-income residents, but has been theoretical in nature and/or has predominantly utilised qualitative methods with limited generalisability and ability to draw associations between spatial stigma and measured cardiovascular health outcomes. The primary objective of this study was to evaluate relationships between perceived spatial stigma, body mass index (BMI), and blood pressure among a sample of low-income housing residents in New York City (NYC). Data come from the community-based NYC Low-income Housing, Neighborhoods and Health Study. We completed a crosssectional analysis with survey data, which included the four items on spatial stigma, as well objectively measured BMI and blood pressure data (analytic n=116; 96.7% of the total sample). Global positioning systems (GPS) tracking of the sample was conducted for a week. In multivariable models (controlling for individual-level age, gender, race/ethnicity, education level, employment status, total household income, neighborhood percent non-Hispanic Black and neighborhood median household income) we found that participants who reported living in an area with a bad neighborhood reputation had higher BMI (B=4.2, 95%CI: -0.01, 8.3, P=0.051), as well as higher systolic blood pressure (B=13.2, 95%CI: 3.2, 23.1, P=0.01) and diastolic blood pressure (B=8.5, 95%CI: 2.8, 14.3, P=0.004). In addition, participants who reported living in an area with a bad neighborhood reputation had increased risk of obesity/overweight [relative risk (RR)=1.32, 95%CI: 1.1, 1.4, P=0.02) and hypertension/pre-hypertension (RR=1.66, 95%CI: 1.2, 2.4, P=0.007). However, we found no differences in spatial mobility (based GPS data) among participants who reported living in neighborhoods with and without spatial stigma (P>0.05). Further research is needed to investigate how placebased stigma may be associated with impaired cardiovascular health among individuals in stigmatised neighborhoods to inform effective cardiovascular risk reduction interventions.

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Go‐along interview assessment of community health priorities for neighborhood renewal

Berg

DeRenzo

Carpiano

et al. 2023

American J of Comm Psychol

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Healthcare systems are increasingly investing in approaches to address social determinants of health and health disparities. Such initiatives dovetail with certain approaches to neighborhood development, such as the EcoDistrict standard for community development, that prioritize both ecologically and socially sustainable neighborhoods. However, healthcare system and community development initiatives can be untethered from the preferences and lived realities of residents in the very neighborhoods upon which they focus. Utilizing the go‐along approach to collecting qualitative data in situ, we interviewed 19 adults to delineate residents' community health perspectives and priorities. Findings reveal health priorities distinct from clinical outcomes, with residents emphasizing social connectedness, competing intra‐ and interneighborhood perceptions that potentially thwart social connectedness, and a neighborhood emplacement of agency, dignity, and self‐worth. Priorities of healthcare systems and community members alike must be accounted for to optimize efforts that promote health and social well‐being by being valid and meaningful to the community of focus.

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Spatial stigma and health inequality

Cited by 113 publications

References 51 publications

Navigating identity, territorial stigma, and HIV care services in Vancouver, Canada: A qualitative study

Navigating identity, territorial stigma, and HIV care services in Vancouver, Canada: A qualitative study

Perceived spatial stigma, body mass index and blood pressure: a global positioning system study among low-income housing residents in New York City

Go‐along interview assessment of community health priorities for neighborhood renewal

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