Structural stigma and all-cause mortality in sexual minority populations

Overview of attention for article published in Social Science & Medicine, January 2013
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  • In the top 5% of all articles scored by Altmetric
  • One of the highest-scoring articles from this source (#8 of 2,590)
  • High score compared to articles of the same age (98th percentile)
  • High score compared to articles of the same age and source (94th percentile)

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mendeley
37 Mendeley
Article title
Structural stigma and all-cause mortality in sexual minority populations
Published in
Social Science & Medicine, January 2013
DOI 10.1016/j.socscimed.2013.06.005
Pubmed ID
Abstract

Stigma operates at multiple levels, including intrapersonal appraisals (e.g., self-stigma), interpersonal events (e.g., hate crimes), and structural conditions (e.g., community norms, institutional policies). Although prior research has indicated that intrapersonal and interpersonal forms of stigma negatively affect the health of the stigmatized, few studies have addressed the health consequences of exposure to structural forms of stigma. To address this gap, we investigated whether structural stigma-operationalized as living in communities with high levels of anti-gay prejudice-increases risk of premature mortality for sexual minorities. We constructed a measure capturing the average level of anti-gay prejudice at the community level, using data from the General Social Survey, which was then prospectively linked to all-cause mortality data via the National Death Index. Sexual minorities living in communities with high levels of anti-gay prejudice experienced a higher hazard of mortality than those living in low-prejudice communities (Hazard Ratio [HR] = 3.03, 95% Confidence Interval [CI] = 1.50, 6.13), controlling for individual and community-level covariates. This result translates into a shorter life expectancy of approximately 12 years (95% C.I.: 4-20 years) for sexual minorities living in high-prejudice communities. Analysis of specific causes of death revealed that suicide, homicide/violence, and cardiovascular diseases were substantially elevated among sexual minorities in high-prejudice communities. Strikingly, there was an 18-year difference in average age of completed suicide between sexual minorities in the high-prejudice (age 37.5) and low-prejudice (age 55.7) communities. These results highlight the importance of examining structural forms of stigma and prejudice as social determinants of health and longevity among minority populations.

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Score in context

This article has an Altmetric score of 100. This is our high-level measure of the quality and quantity of online attention that this article has received. This score was calculated when the article was last mentioned on 26 June 2015.
All articles
#23,035
of 4,077,375 articles
Articles in Social Science & Medicine
#8
of 2,590 articles
Articles of similar age
#1,508
of 118,556 articles
Articles of similar age in Social Science & Medicine
#1
of 19 articles
Altmetric has tracked 4,077,375 articles across all sources so far. Compared to these this article has done particularly well and is in the 99th percentile: it's in the top 5% of all articles ever tracked by Altmetric.
So far Altmetric has tracked 2,590 articles from this source. They typically receive a little more attention than average, with a mean score of 6.3. This article has done particularly well, scoring higher than 99% of its peers.
Older articles will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this score to the 118,556 tracked articles that were published within six weeks on either side of this one in any source. This article has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this article to 19 articles from the same source and published within six weeks on either side of this one. This article has done particularly well, scoring higher than 94% of its contemporaries.