The unique nature of public stigma toward non‐medical prescription opioid use and dependence: a national study.
Background and Aims: Our ability to combat the opioid epidemic depends, in part, on dismantling the stigma that surrounds drug use. However, this epidemic has been unique and, to date, we have not understood the nature of public prejudices associated with it. Here, we examine the nature and magnitud...
| Publicado en: | Addiction Vol. 115; no. 12; pp. 2317 - 2327 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146927206&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146927206 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Dec2020 vid: 115 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 146927206 146927206 146927206 10.1111/add.15069 146927206 ppf: 2317 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The unique nature of public stigma toward non‐medical prescription opioid use and dependence: a national study. aug: au: Perry, Brea L. Pescosolido, Bernice A. Krendl, Anne C. affil: Department of Sociology, Indiana University, Bloomington IN,, USA sug: subj: Stigma Drugs, Prescription Analgesics, Opioid Substance Dependence Psychosocial Factors Substance Use Disorders Psychosocial Factors Consumer Attitudes Human Cross Sectional Studies Surveys United States Probability Sample Vignettes Depression Risk Factors Schizophrenia Risk Factors Stress, Psychological Risk Factors Descriptive Statistics Multiple Logistic Regression Confidence Intervals ab: Background and Aims: Our ability to combat the opioid epidemic depends, in part, on dismantling the stigma that surrounds drug use. However, this epidemic has been unique and, to date, we have not understood the nature of public prejudices associated with it. Here, we examine the nature and magnitude of public stigma toward prescription opioid use disorder (OUD) using the only nationally representative data available on this topic. Design General Social Survey (GSS), a cross‐sectional, nationally representative survey of public attitudes. Setting: United States, 2018. Participants/Cases: A total of 1169 US residents recruited using a probability sample. Measurements Respondents completed a vignette‐based survey experiment to assess public stigma toward people who develop OUD following prescription of opioid analgesics. This condition is compared with depression, schizophrenia, alcohol use disorder (AUD) and subclinical distress using multivariable logistic or linear regression. Findings Adjusting for covariates (e.g. race, age, gender), US residents were significantly more likely to label symptoms of OUD a physical illness [73%, confidence interval (CI) = 66–80%; P < 0.001] relative to all other conditions, and less likely to label OUD a mental illness (40%, CI = 32–48%; P < 0.001). OUD was significantly less likely to be attributed to bad character (37%, CI = 30–44%; P < 0.001) or poor upbringing (17%, CI = 12–23%; P < 0.001) compared with AUD. Nonetheless, perceptions of competence associated with OUD (e.g. ability to manage money; 41%, CI = 33–49%; P < 0.01) were lower than AUD, depression and subclinical distress. Moreover, willingness to socially exclude people with OUD was very high (e.g. 76% of respondents do not want to work with a person with OUD), paralleling findings on traditional targets of strong stigma (i.e. AUD and schizophrenia). Conclusions: US residents do not typically hold people with prescription opioid use disorder responsible for their addiction, but they express high levels of willingness to subject them to social exclusion. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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