Drug consumption stigma and patient legitimacy: experiences of people who use drugs seeking care for chronic non-cancer pain in Nigeria.
This study explored how people who use drugs (PWUD) experience and respond to stigma in biomedical chronic non-cancer pain management. Thematic analysis of in-depth interviews with PWUD (n = 26) who had sought care for chronic non-cancer pain in public hospitals in Uyo, Nigeria, drew on the idea of...
| Publicado en: | Health Sociology Review Vol. 35; no. 2; pp. 156 - 171 |
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| Formato: | research Journal Article |
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Taylor & Francis Ltd
Jul2026
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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=195834154&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195834154 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14461242 1H4V jtl: Health Sociology Review issn: 14461242 maglogo: N pubinfo: dt: Jul2026 vid: 35 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 195834154 180646242 195834154 195834154 10.1080/14461242.2024.2413058 195834154 ppf: 156 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Drug consumption stigma and patient legitimacy: experiences of people who use drugs seeking care for chronic non-cancer pain in Nigeria. aug: au: Nelson, Ediomo-Ubong affil: Global Drug Policy Observatory, Swansea University, Swansea, UK sug: subj: Chronic Pain Drug Therapy Stigma Patient Attitudes Evaluation Substance Abuse Analgesics, Opioid Nigeria Human Descriptive Statistics Thematic Analysis Conceptual Framework Qualitative Studies Exploratory Research Semi-Structured Interview Pain Management Human Rights Health Care Delivery Open-Ended Questionnaires Audiorecording ab: This study explored how people who use drugs (PWUD) experience and respond to stigma in biomedical chronic non-cancer pain management. Thematic analysis of in-depth interviews with PWUD (n = 26) who had sought care for chronic non-cancer pain in public hospitals in Uyo, Nigeria, drew on the idea of stigma as process of social reproduction and the concept of borderwork. Accounts framed stigma as a normalised feature of healthcare that emerged under different circumstances and operated to position chronic non-cancer pain patients who were PWUD as illegitimate subjects underserving of care. Stigma was widely seen as something to be expected, and was often tolerated by PWUD due to its ubiquity. However, they enacted borderwork marking-off stigma experiences that violated values of fairness and humaneness as well as those that spurned traditional gender norms. Participants responded to intolerable stigma through various acts of resistance, including dropping out of care. Stigma creates barriers to adequate pain management and establishes a context where basic care is accessed at the cost of fundamental human rights and dignity. Routine toleration of stigma helps to naturalise the phenomenon and render it invisible. Resistance to stigma provides a basis for interventions to address all forms of stigma in healthcare. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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