Public support for safe consumption sites and syringe services programs to combat the opioid epidemic

McGinty, Emma E.; Barry, Colleen L.; Stone, Elizabeth M.; Niederdeppe, Jeff; Kennedy-Hendricks, Alene; Linden, Sarah; Sherman, Susan G.

doi:10.1016/j.ypmed.2018.02.026

Cited by 102 publications

(73 citation statements)

References 13 publications

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“…The very use of the moniker "epidemic" to describe the overdose crisis invokes isolation, quarantine, vector control, and other measures befitting infectious disease control but that are poorly calibrated for responding to the multifactorial opioid overdose crisis [97]. Language matters, because the judicious use of frames can shift public stigma [122,123], which can then become encoded structurally in the lack of public support for public health-oriented policies to address the opioid overdose crisis [126][127][128][129][130][131].…”

Section: Structural Stigmamentioning

confidence: 99%

Stigma as a fundamental hindrance to the United States opioid overdose crisis response

et al. 2019

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• The current United States opioid overdose crisis is a complex, multifaceted, public health emergency that urgently requires the implementation of evidence-based primary, secondary, and tertiary preventive interventions. We develop a typology of the stigma related to opioid use, showing how multiple dimensions of stigma continue to fundamentally hinder the response to the crisis. • Public stigma is driven by stereotypes about people with opioid use disorders, such as their perceived dangerousness or perceived moral failings, which translate into negative attitudes toward people with opioid use disorders. • Enacted stigma describes the behavioral manifestations of public stigma, including discrimination and social distancing. Public and enacted stigma, in turn, lead to delivery of suboptimal care and undermine access to treatment and harm reduction services. • Public stigma and enacted stigma can become structural stigma when they become encoded in cultural norms, laws, and institutional policies. Collectively, these forms of stigma run at cross purposes to-and reduce public support for-public health-oriented policies to address the opioid overdose crisis.

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Section: Structural Stigmamentioning

confidence: 99%

Stigma as a fundamental hindrance to the United States opioid overdose crisis response

et al. 2019

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“…Together, these findings suggest that the news media's framing of the opioid epidemic may have important implications for society, both for individuals and policy makers. Indeed, much like with previous drug epidemics related to crack cocaine and methamphetamine, people with opioid use disorders are often stigmatized in media reports, which might hinder policy implementation and harm reduction efforts (McGinty et al, 2018(McGinty et al, , 2019). Yet, contrary to media reporting on prior epidemics, coverage of the opioid epidemic has increasingly shifted towards a public health lens, which positions opioid use and related disorders as treatable health conditions, and away from the more traditional emphasis on law enforcement, which frames opioid misuse in terms of criminal activities (McGinty et al, 2016;Willis and Painter, 2019;Shachar et al, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

Framing science: How opioid research is presented in online news media

Matthias¹,

Fleerackers²,

Alperin³

2019

Preprint

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Popular news media play an instrumental role in shaping public perception of issues like the opioid crisis. Using a detailed coding instrument, we analyzed how opioid-related research was covered in 151 news stories published by nine major US and Canadian online news outlets at the height of the crisis. We find that a small proportion of available research receives coverage, mostly within issuefocused rather than science communication news stories. While most research studies are framed as established "facts", stories rarely provide sufficient information for news consumers to critically evaluate the validity of the research. Potential implications for science communication and public perception of science are discussed. www.scholcommlab.ca

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“…• stigma. HIV, HCV, and substance use disorders are among the most heavily stigmatized of medical conditions (McGinty et al, 2018). Stigma can make communities uninterested in investing time and resources into medical treatment for these conditions and create barriers for individuals seeking care.…”

Section: Chc Opportunities and Challengesmentioning

confidence: 99%

Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic

Breslau¹,

McBain²,

Simmons³

2019

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Human Services asked the RAND Corporation to conduct an exploratory study examining the factors that affect the ability of Community Health Centers (CHCs) to reduce transmission of infectious diseases related to the opioid epidemic. The emphasis is on rural areas, which have suffered disproportionately from the opioid epidemic and lack resources to address the complex social and medical issues related to opioid use, opioid use disorder, and risk for infectious diseases. Discussions were held with staff from eight CHCs, selected from the 102 CHCs in counties that prior research has identified as being at high risk for opioid-use-related transmission of infectious diseases. The content of these discussions was summarized to identify the major challenges that CHCs face in preventing and treating infectious diseases and the strategies that they employ to overcome these challenges. This work was sponsored by the Office of the Assistant Secretary for Planning and Evaluation under contract HHSP23320095649WC, for which Stephanie Chan serves as project officer. The research was conducted in RAND Health Care, a division of the RAND Corporation. RAND Health Care promotes healthier societies by improving health care systems in the United States and other countries. We do this by providing health care decisionmakers, practitioners, and consumers with actionable, rigorous, objective evidence to support their most complex decisions.

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Public support for safe consumption sites and syringe services programs to combat the opioid epidemic

Cited by 102 publications

References 13 publications

Stigma as a fundamental hindrance to the United States opioid overdose crisis response

Stigma as a fundamental hindrance to the United States opioid overdose crisis response

Framing science: How opioid research is presented in online news media

Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic

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