Understanding the factor structure of the public stigma of substance use disorder

Nieweglowski, Katherine; Dubke, Rachel; Mulfinger, Nadine; Sheehan, Lindsay; Corrigan, Patrick W.

doi:10.1080/16066359.2018.1474205

Cited by 34 publications

(51 citation statements)

References 15 publications

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“…In addition to these lethal consequences of drug use, being addicted to drugs comes with the problem of stigmatization (4)(5)(6)(7)(8). Expressions of such stigma comprise the attribution of negative labels such as being reckless, hopeless, helpless, unreliable, dangerous, and crazy (9,10). Such labeling is often based on the ascription that people choose to use drugs and are thus responsible for their addiction (6).…”

Section: Introductionmentioning

confidence: 99%

“…Such negative cognitions are known to evoke affective responses including fear and anger, which in turn, raise discriminatory behaviors such as dehumanization and reduced levels of help from public and health-care systems (9,10). People that are stigmatized by others also experience self-stigmatization which is often accompanied by psychological harm, and they may be negatively affected in their uptake of health care services (6).…”

Section: Introductionmentioning

confidence: 99%

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Public Stigma Toward Female and Male Opium and Heroin Users. An Experimental Test of Attribution Theory and the Familiarity Hypothesis

Sattler

Zolala

Baneshi

et al. 2021

Front. Public Health

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Drug abuse and addiction exist around the world. People addicted to drugs such as opium or heroin often encounter dehumanizing discriminatory behaviors and health-care systems that are reluctant to provide services. Experiencing discrimination often serves as a barrier to receiving help or finding a home or work. Therefore, it is important to better understand the mechanisms that lead to the stigmatization of drug addiction and who is more prone to stigmatizing behaviors. There is also a dearth of research on whether different patterns of stigma exist in men and women. Therefore, this study investigated factors affecting gender-specific stigmatization in the context of drug addiction. In our vignette study (NMensample = 320 and NWomensample = 320) in Iran, we experimentally varied signals and signaling events regarding a person with drug addiction (i.e., NVignettes = 32 per sample), based on Attribution Theory, before assessing stigmatizing cognitions (e.g., blameworthiness), affective responses (e.g., anger), and discriminatory inclinations (e.g., segregation) with the Attribution Questionnaire. We also tested assumptions from the Familiarity Hypothesis by assessing indicators of respondents' familiarity with drug addiction (e.g., knowledge about addiction). Results, for example, show higher stigma if the person used “harder” drugs, displayed aggressive behavior, or had a less controllable drug urge. Self-attributed knowledge about addiction or prior drug use increased some forms of stigma, but diminished others. These findings only partially converged between men and women. We suggest that anti-stigma initiatives should consider information about the stigmatized person, conditions of the addiction, and characteristics of stigmatizers.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Public Stigma Toward Female and Male Opium and Heroin Users. An Experimental Test of Attribution Theory and the Familiarity Hypothesis

Sattler

Zolala

Baneshi

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…It must also consider the social determinants of health and person-centered approaches (Stronks, Toebes, Hendriks, Ikram, & Venkatapuram, 2016). Although the literature suggests that stigma is a determining factor for recovery from drug dependence, studies on this matter are still scarce -especially in comparison to the stigma related to mental illness (Corrigan et al, 2016a(Corrigan et al, , 2016bNieweglowski et al, 2018;Silveira et al, 2018).…”

Section: Improved Attitudes and Beliefs; Increased Confidencementioning

confidence: 99%

“…It is manifested whenever an established power relationship favors the stigmatizer and causes the stigmatized to experience status loss (Link & Hatzenbuehler, 2016). Stigmatization is also associated with negative effects on stigmatized people's health and quality of life, by lowering their self-esteem and self-efficacy, limiting their social interaction, and increasing social isolation and unemployment (Nieweglowski, Dubke, Mulfinger, Sheehan, &van Boekel, 2015).…”

mentioning

confidence: 99%

Interventions to Reduce Stigma Related to People who Use Drugs: Systematic Review

Tostes

Dias

Reis

et al. 2020

Paidéia (Ribeirão Preto)

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Interventions to reduce stigma related to people who use drugs can improve their quality of life and adherence to treatment. This review aimed to identify and analyze studies on interventions to reduce the stigma related to people who use drugs. Searches were performed in the following databases, without period delimitation: PubmMed, APA PsycNET, ScienceDirect, Web of Science, and VHL. Considering secondary referencing, we identified a total of 5,488 records. This review covered 28 articles and was based on PRISMA. Although target audiences comprising students and health professionals were predominant, as well as the use of quantitative methods, sample size and interventions varied among studies. The selected studies present considerable methodological limitations. We concluded that no evidence confirms the effectiveness of the proposed interventions and which of them should continue to be applied for this specific aim. It is essential to invest in approaches other than those traditionally adopted.

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“…This, however, is especially prevalent when the context of talk is the participants' educational or career ambitions, and should possibly be viewed in the light of both our participants' drug-treatment enrolments which might favour negative views on drug use, including using peers (cf. Järvinen & Ravn, 2014), and of prevalent public discourses stigmatising drug users (Nieweglowski et al, 2018). As one example of this, Mia (20 y/o, not using) describes how she is still striving to "dispose of the bad" (referring to her still-using friends) in order to obtain a socially valued and well-educated future, as opposed to a future as an "unskilled factory worker" who associates with the wrong people.…”

Section: Ending Drug-related Friendships: Future Prospects Educationmentioning

confidence: 99%

Disturbing the ‘spoiled-unspoiled’ binary: performances of recovering identities in drug-experienced youths’ friendship narratives

Herold

Søgaard

2018

Addiction Research & Theory

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In existing recovery studies, binary distinctions between 'spoiled' identities defined by drug-related practices and relationships on the one side, and 'un-spoiled' drug-free identities on the other, are dominant. Similarly, in contexts of youth drug-treatment, substance-using friends are generally viewed as 'bad company', while non-using friends are considered as recovery promoters. This article, however, joins the growing chorus of qualitative researchers beginning to question critically this 'spoiled-unspoiled' distinction. Based on 30 qualitative interviews with 15 young people recruited from a Danish drug-treatment database, we investigate how drug-experienced youth perform recovering identities vis-à-vis their still-using friends. Employing a performative approach to identity formation, we demonstrate how such identity processes play out, and the dilemmas and ambivalences they entail. For example, while drug-using friends are regularly positioned as 'bad company', this is often accompanied by sentiments such as loss and frustration. Our analysis suggests that young people in recovery are easily trapped between societal expectations related to factors such as education on the one hand, and comfortability and connectedness with friends on the other. However, by means of carefully balanced 'borderwork', participants did occasionally manage to integrate using friends into their recovering identities without positioning them as 'bad company' per se. On this basis, we discuss whether breaking bonds with friends who still use drugs is imperative for any process of recovery, and argue that treatment programmes should focus on reconfiguring drug-related friendships, while taking seriously the notion that recovering youth are not necessarily interested in abandoning relations with drug-using friends.

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Understanding the factor structure of the public stigma of substance use disorder

Cited by 34 publications

References 15 publications

Public Stigma Toward Female and Male Opium and Heroin Users. An Experimental Test of Attribution Theory and the Familiarity Hypothesis

Public Stigma Toward Female and Male Opium and Heroin Users. An Experimental Test of Attribution Theory and the Familiarity Hypothesis

Interventions to Reduce Stigma Related to People who Use Drugs: Systematic Review

Disturbing the ‘spoiled-unspoiled’ binary: performances of recovering identities in drug-experienced youths’ friendship narratives

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