Structural stigma and intersectional inequality in schizophrenia: A systematic review and qualitative meta-synthesis.
Soc Sci MedAug 17, 2026 (epub)
Clinical ResearchPsychiatry
Nathaël Naïs Jambon, Yankuba B Manga
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In 30 seconds
This systematic review and qualitative meta-synthesis examined 29 sources related to schizophrenia and its intersection with marginalized social positions. It identified five structural mechanisms of stigma that affect access to care and recovery. The findings highlight that structural stigma significantly contributes to inequality in schizophrenia, necessitating comprehensive reforms across various domains to address these disparities.
Key findings
- Five structural mechanisms of stigma were identified: economic exclusion, spatial marginalization, institutional inequities, coercive pathways, and epistemic injustice.
- The effects of stigma were most pronounced when intersecting with factors like racialization, socioeconomic disadvantage, and gender minority status.
- Structural stigma operates as an upstream determinant of inequality in schizophrenia, influencing both resource allocation and recognition in mental health systems.
Why it matters
Understanding structural stigma is crucial for clinicians as it highlights the broader social determinants affecting patient care and recovery in schizophrenia. Addressing these factors can lead to more equitable treatment approaches.