Dissertation/ Thesis

Perceived Stigma and Health-Related Quality of Life in the Working Uninsured: Does Thwarted Belongingness Play a Role?

التفاصيل البيبلوغرافية
العنوان: Perceived Stigma and Health-Related Quality of Life in the Working Uninsured: Does Thwarted Belongingness Play a Role?
المؤلفون: Hirsch, Jameson K., Sirois, Fuschia M., Visser, Preston Lee, Brooks, Byron D., Kohls, Niko, Offenbacher, Martin, Toussaint, Loren
المصدر: ETSU Faculty Works.
بيانات النشر: Digital Commons @ East Tennessee State University.
المجموعة: East Tennessee State University
مصطلحات موضوعية: health-related quality of life, working uninsured, Psychology, Behavior and Behavior Mechanisms
الوصف: The extent to which individuals perceive stigma from others and internalize stigmatizing beliefs is increasingly recognized as a contributor to psychological and physical distress. Individuals in poverty may feel increasingly stigmatized as a result of financial hardship; however, little research has examined the linkage of financial stigma to health outcomes, nor the potential underlying explanatory mechanisms of such an association. According to self-determination theory, loss of social capital, which often occurs when a person is stigmatized, may deleteriously affect health outcomes, yet this premise has not been tested. We assessed the incremental impact of sociodemographic characteristics, and experienced and internalized financial stigma, on health-related quality of life (HRQL), as well as the mediating effect of belongingness, in a sample of 100 working, uninsured primary care patients. Results confirmed that experienced and internalized perceived stigma contributed additional variance, over the effects of sociodemographic factors, to poor HRQL, and belongingness was a significant mediator. Financial stigma may increase isolation, reducing opportunities for meaningful social connections, thereby deleteriously impacting mental and physical health outcomes. Therapeutically addressing stigma, and bolstering social connectedness, may improve HRQL in the underserved and impoverished.
Original Identifier: oai:dc.etsu.edu:etsu-works-6705
نوع الوثيقة: Text
DOI: 10.1037/sah0000116
الاتاحة: https://dc.etsu.edu/etsu-works/5486
رقم الانضمام: edsndl.ETSU.oai.dc.etsu.edu.etsu.works.6705
قاعدة البيانات: Networked Digital Library of Theses & Dissertations