Examining how Situation and Stigma Influence Black/White Differences in Mental Health Care Recommendations

• In Event: 20820 - Section on Medical Sociology Roundtables
  In Refereed Roundtable (90 minute): Table 15. Stigma

Abstract

This study generates critical evidence regarding the differences in mental healthcare attitudes and stigma amongst Black and White individuals by examining how situational factors influence treatment recommendations. It challenges straightforward investigations of bias by exploring the intersection of race, illness etiology, and diagnosis using survey methodology and experimental vignette manipulations. Using modified labeling theory as our basis, the analysis explores how societal labels and stereotypes intersect to shape attitudes and behaviors. Results indicate that the race of the vignette individual does not directly impact recommendations but instead exerts an indirect influence through attitudes and personal stigma, primarily among Black participants. This underscores the importance of moving beyond attribute-based conceptualizations of stigma and developing culturally competent interventions that address the unique needs of different racial groups.

Authors

• Ryan Gibson, University of New Hampshire

• Nikhil Tomar, University of New Hampshire

• Kathryne Brewer, University of New Hampshire