The effectiveness of interventions for reducing stigma related to substance use disorders: a systematic review.
- Authors
- Livingston, James D; Milne, Teresa; Fang, Mei Lan; Amari, Erica
- Year
- 2012
- Journal
- Addiction (Abingdon, England)
- PMID
- 21815959
- DOI
- 10.1111/j.1360-0443.2011.03601.x
- PMCID
- PMC3272222
AIMS: This study provides a systematic review of existing research that has empirically evaluated interventions designed to reduce stigma related to substance use disorders. METHODS: A comprehensive review of electronic databases was conducted to identify evaluations of substance use disorder related stigma interventions. Studies that met inclusion criteria were synthesized and assessed using systematic review methods. RESULTS: Thirteen studies met the inclusion criteria. The methodological quality of the studies was moderately strong. Interventions of three studies (23%) focused on people with substance use disorders (self-stigma), three studies (23%) targeted the general public (social stigma) and seven studies (54%) focused on medical students and other professional groups (structural stigma). Nine interventions (69%) used approaches that included education and/or direct contact with people who have substance use disorders. All but one study indicated their interventions produced positive effects on at least one stigma outcome measure. None of the interventions have been evaluated across different settings or populations. CONCLUSIONS: A range of interventions demonstrate promise for achieving meaningful improvements in stigma related to substance use disorders. The limited evidence indicates that self-stigma can be reduced through therapeutic interventions such as group-based acceptance and commitment therapy. Effective strategies for addressing social stigma include motivational interviewing and communicating positive stories of people with substance use disorders. For changing stigma at a structural level, contact-based training and education programs targeting medical students and professionals (e.g. police, counsellors) are effective.
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| Study protocol for an efficacy trial of the "PrEP for Health" intervention to increase HIV PrEP use among people who inject drugs. | Bazzi AR et al. | β | 2023 | β |
| The associations between public stigma and support for others' help-seeking for alcohol use disorder: a cross sectional study in the general Danish population. | Wallhed Finn S et al. | β | 2023 | β |
| The Entanglements of Substance Use Disorders and Emergency Departments. | Pepper D | β | 2023 | β |
| The role of prejudice and prior contact in support for evidence-based interventions to reduce drug-related deaths: Results from a survey across the island of Ireland. | Miller NM et al. | β | 2023 | β |
| The role of substance use treatment in reducing stigma after release from incarceration: A qualitative analysis. | Moore KE et al. | β | 2023 | β |
| The Stigma Surrounding Opioid Use as a Barrier to Cancer-Pain Management: An Overview of Experiences with Fear, Shame, and Poorly Controlled Pain in the Context of Advanced Cancer. | Harsanyi H et al. | β | 2023 | β |
| Understanding stigma through the lived experiences of people with opioid use disorder. | Judd H et al. | β | 2023 | β |
| Using Social Media to Examine Themes Surrounding Fentanyl Misuse and Risk Indicators. | Kasson E et al. | β | 2023 | β |
| Voices of Women With Lived Experience of Substance Use During Pregnancy: A Qualitative Study of Motivators and Barriers to Recruitment and Retention in Research. | Hilliard F et al. | β | 2023 | β |
| Acceptance of medications for opioid use disorder in recovery housing programs in Missouri. | Wood CA et al. | β | 2022 | β |
| Accessing needle exchange services in disasters for remote areas of Aotearoa New Zealand. | Rijnink A et al. | β | 2022 | β |
| A Comprehensive Approach to Understanding Substance Use Disorder and Recovery: Former Patients' Experiences and Reflections on the Recovery Process Four Years After Discharge from SUD Treatment. | Wangensteen T et al. | β | 2022 | β |
| Addressing Bias and Stigma in the Language We Use With Persons With Opioid Use Disorder: A Narrative Review. | Werder K et al. | β | 2022 | β |
| Alcohol use disorder and disability insurance in Switzerland: the attitudes and views of lawyers, insurance medical experts, and addiction-specialist therapists. | Wyler H et al. | β | 2022 | β |
| Assessing Student Readiness to Work with People Who Use Drugs: Development of a Multi-disciplinary Addiction Educational Survey. | Brown PCM et al. | β | 2022 | β |
| Assessment of a comprehensive naloxone education program's impact on community member knowledge and attitudes on a college campus. | Doughty B et al. | β | 2022 | β |
| Association between Prescribers' Perceptions of the Utilization of Medication for Opioid Use Disorder and Opioid Dependence Treatability. | Adzrago D et al. | β | 2022 | β |
| Attitudes on Methadone Utilization in the Emergency Department: A Physician Cross-sectional Study. | Heil J et al. | β | 2022 | β |
| Barriers to Working with Patients Who Misuse Opioids and Physician Burnout: Implications for Medical Education. | Dhanani LY et al. | β | 2022 | β |
| Black-White differences in barriers to specialty alcohol and drug treatment: findings from a qualitative study. | Pinedo M et al. | β | 2022 | β |
| Blended-eLearning Improves Alcohol Use Care in Kenya: Pragmatic Randomized Control Trial Results and Parallel Qualitative Study Implications. | Clair V et al. | β | 2022 | β |
| "Can we get a Black rehabilitation center"? Factors impacting the treatment experiences of Black people who use opioids. | Hargons CN et al. | β | 2022 | β |
| Changes in social work students' attitudes and knowledge following opioid overdose prevention training. | Halmo RS et al. | β | 2022 | β |
| Compassion, stigma, and professionalism among emergency personnel responding to the opioid crisis: An exploratory study in New Hampshire, USA. | Metcalf SA et al. | β | 2022 | β |
| Computational analyses identify addiction help-seeking behaviors on the social networking website Reddit: Insights into online social interactions and addiction support communities. | Valdez D et al. | β | 2022 | β |
| Contact based intervention reduces stigma among pharmacy students. | Bakos-Block CR et al. | β | 2022 | β |
| Cooperative Extension professionals' knowledge and attitudes toward the opioid epidemic: Implications for capacity development and outreach. | Washburn LT et al. | β | 2022 | β |
| Course and Correlates of Stigma in Patients on Opioid Agonist Treatment: A Prospective Study from an Outpatient Treatment Program in India. | Ghosh A et al. | β | 2022 | β |
| Disciplinary processes for nurses, from organizational supervision to outcomes: A document analysis of a regulatory authority's decisions. | Papinaho O et al. | β | 2022 | β |
| Economic burden of attention-deficit/hyperactivity disorder among adults in the United States: a societal perspective. | Schein J et al. | β | 2022 | β |
| Examining stigma relating to substance use and contextual factors in social media discussions. | Chen AT et al. | β | 2022 | β |
| Experiences of peer support workers supporting individuals with substance use disorders in Egypt: phenomenological analysis. | Ibrahim N et al. | β | 2022 | β |
| Experiences of stigma in hospitals with addiction consultation services: A qualitative analysis of patients' and hospital-based providers' perspectives. | Hoover K et al. | β | 2022 | β |
| Facing Our Fears: The Impact of a 4-Day Training Intervention to Reduce Negative Perspectives on Sexual and Gender Minorities among Religious Leaders in Kenya. | Mbote DK et al. | β | 2022 | β |
| Factors influencing medical students' attitudes towards substance use during pregnancy. | Richelle L et al. | β | 2022 | β |
| Framework for opioid stigma in cancer pain. | Bulls HW et al. | β | 2022 | β |
| Gambling and Gambling Problem Perception Questionnaire as a tool to evaluate professionals' attitudes towards problem gamblers and training programmes in Japan. | Katayama M et al. | β | 2022 | β |
| Gambling Disorder and Stigma: Opportunities for Treatment and Prevention. | Quigley L | β | 2022 | β |
| General Beliefs About Illicit Drug Use and Stigma: Perspective of People Who Use Illicit Drugs. | Ventura CAA et al. | β | 2022 | β |
| How do naloxone-based interventions work to reduce overdose deaths: a realist review. | Miller NM et al. | β | 2022 | β |
| How to incorporate lived experience into evidence-based interventions: assessing fidelity for peer-delivered substance use interventions in local and global resource-limited settings. | Anvari MS et al. | β | 2022 | β |
| Improving access to drug and alcohol treatment in NSW Australia: The role of self-determination and peer support. | Bryant J et al. | β | 2022 | β |
| Increasing Short- and Long-Term Buprenorphine Treatment Capacity: Providing Waiver Training for Medical Students. | Stokes DC et al. | β | 2022 | β |
| <i>The associated press stylebook</i> changes and the use of addiction-related stigmatizing terms in news media. | Bessette LG et al. | β | 2022 | β |
| Learning From the Lived Experiences of People With Opioid Use Disorder: A Pilot Study of the Impact on Students' Stigma Perceptions and Attitudes. | Manganti JK et al. | β | 2022 | β |
| Longitudinal evaluation of pharmacists' social distance preference and attitudes toward patients with opioid misuse following an educational training program. | Werremeyer A et al. | β | 2022 | β |
| Measuring and Addressing Stigma Within HIV Interventions for People Who Use Drugs: a Scoping Review of Recent Research. | Lancaster KE et al. | β | 2022 | β |
| Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City. | Scheidell JD et al. | β | 2022 | β |
| Perceived risk of opioid use disorder secondary to opioid analgesic medication use by the general population in France. | Lavergne J et al. | β | 2022 | β |
| Practical Considerations for Treating Comorbid Posttraumatic Stress Disorder in the Addictions Clinic: Approaches to Clinical Care, Leadership, and Alleviating Shame. | Israel B et al. | β | 2022 | β |
| Preceptors' preparedness to teach about substance and opioid use disorder: a qualitative study. | Lowe E et al. | β | 2022 | β |
| Provider Characteristics Associated with Trust When Caring for Women Experiencing Substance Use Disorders in the Perinatal Period. | Renbarger KM et al. | β | 2022 | β |
| Response to college students' mental health needs: a rapid review. | Gaiotto EMG et al. | β | 2022 | β |
| Stigmatization of Pregnant Individuals with Opioid Use Disorder. | Crawford AD et al. | β | 2022 | β |
| Substance use disorder approaches in US primary care clinics with national reputations as workforce innovators. | O'Malley DM et al. | β | 2022 | β |
| Supportive environments during the substance use disorder epidemic in the rural United States: Provider support for interventions and expectations of interactions with providers. | O'Brien TC et al. | β | 2022 | β |
| The Determinants and Effects of Chronic Pain Stigma: A Mixed Methods Study and the Development of a Model. | Bean DJ et al. | β | 2022 | β |
| The impact of family engagement in opioid assisted treatment: Results from a randomised controlled trial. | Al Ghafri H et al. | β | 2022 | β |
| The impact of knowledge, self-efficacy, and stigma on STI testing intention among college students. | Thomas JA et al. | β | 2022 | β |
| The Impact of Stigma on People with Opioid Use Disorder, Opioid Treatment, and Policy. | Cheetham A et al. | β | 2022 | β |
| The Impaired Nurse. | Salani D et al. | β | 2022 | β |
| The stigma system: How sociopolitical domination, scapegoating, and stigma shape public health. | Friedman SR et al. | β | 2022 | β |
| Training Providers in Motivational Interviewing to Promote Behavior Change. | Budhwani H et al. | β | 2022 | β |
| Trust and collaboration between patients and staff in SUD treatment: A qualitative study of patients' reflections on inpatient SUD treatment four years after discharge. | Wangensteen T et al. | β | 2022 | β |
| Types and Sources of Stigma on Opioid Use Treatment and Recovery Communities on Reddit. | Kepner W et al. | β | 2022 | β |
| Workplace Supported Recovery from Substance Use Disorders: Defining the Construct, Developing a Model, and Proposing an Agenda for Future Research. | Frone MR et al. | β | 2022 | β |
| Addressing alcohol and other drug use among young people from migrant and ethnic minority backgrounds: Perspectives of service providers in Melbourne, Australia. | Douglass CH et al. | β | 2021 | β |
| A qualitative examination of substance use service needs among people who use drugs (PWUD) with treatment and service experience in Ontario, Canada. | Russell C et al. | β | 2021 | β |
| A Qualitative Exploration of Addiction Disclosure and Stigma among Faculty Members in a Canadian University Context. | Burns VF et al. | β | 2021 | β |
| A systematic review of stigma interventions for providers who treat patients with substance use disorders. | Bielenberg J et al. | β | 2021 | β |
| Changing Nurse Practitioner Students' Attitudes and Beliefs About Caring for Those With Opioid Use Disorders. | Elliott KM et al. | β | 2021 | β |
| Clinician and patient attitudes toward use of organs from hepatitis C viremic donors and their impact on acceptance: A contemporary review. | Fleetwood VA et al. | β | 2021 | β |
| Commentary: Addiction, Stigma, and Neurodiversity. | Sussman S | β | 2021 | β |
| Commentary on Kelly et al.: The struggle to define or be defined. | Livingston JD | β | 2021 | β |
| Co-use of methamphetamine and opioids among people in treatment in Oregon: A qualitative examination of interrelated structural, community, and individual-level factors. | Lopez AM et al. | β | 2021 | β |
| Detecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit. | Garg S et al. | β | 2021 | β |
| Effectiveness of Mindfulness-Based Relapse Prevention in Individuals with Substance Use Disorders: A Systematic Review. | Ramadas E et al. | β | 2021 | β |
| Efficacy of a minimally guided internet treatment for alcohol misuse and emotional problems in young adults: Results of a randomized controlled trial. | Frohlich JR et al. | β | 2021 | β |
| Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials. | Eiroa-Orosa FJ et al. | β | 2021 | β |
| Ensuring access to high-quality substance use disorder treatment for Medicaid enrollees: A qualitative study of diverse stakeholders' perspectives. | Zhen-Duan J et al. | β | 2021 | β |
| Experiences of stigma among individuals in recovery from opioid use disorder in a rural setting: A qualitative analysis. | Burgess A et al. | β | 2021 | β |
| Faith Communities' Improvements in Readiness to Engage in Addictions Resilience and Recovery Support Programming. | Travis DJ et al. | β | 2021 | β |
| Fear of Stigma Mediates the Relationship between Internalized Stigma and Treatment-Seeking among Individuals with Substance Use Problems. | Benz MB et al. | β | 2021 | β |
| Healthy Choices Intervention is Associated with Reductions in Stigma Among Youth Living with HIV in the United States (ATN 129). | Budhwani H et al. | β | 2021 | β |
| How to be self-reliant in a stigmatising context? Challenges facing people who inject drugs in Vietnam. | Thu Trang N et al. | β | 2021 | β |
| Identifying Self-Management Support Needs for Pregnant Women With Opioid Misuse in Online Health Communities: Mixed Methods Analysis of Web Posts. | Liang OS et al. | β | 2021 | β |
| Intervention Stigma toward Medications for Opioid Use Disorder: A Systematic Review. | Madden EF et al. | β | 2021 | β |
| "It's way more than just writing a prescription": A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder. | Saunders EC et al. | β | 2021 | β |
| Linking MATTERS: Barriers and Facilitators to Implementing Emergency Department-Initiated Buprenorphine-Naloxone in Patients with Opioid Use Disorder and Linkage to Long-Term Care. | Sokol R et al. | β | 2021 | β |
| Mental Health Nurses' Attitudes towards Consumers with co-Existing Mental Health and Drug and Alcohol Problems: A Scoping Review. | Anandan R et al. | β | 2021 | β |
| Motivational Interviewing and Caregiver Engagement in the Family Check-Up 4 Health. | Berkel C et al. | β | 2021 | β |
| Naloxone's role in the national opioid crisis-past struggles, current efforts, and future opportunities. | Bennett AS et al. | β | 2021 | β |
| Navigating Intersectional Stigma: Strategies for Coping Among Cisgender Women of Color. | Azhar S et al. | β | 2021 | β |
| Online interventions to reduce stigma towards population groups affected by blood borne viruses in Australia. | Broady TR et al. | β | 2021 | β |
| Perception of pharmacy students toward opioid-related disorders and roles of community pharmacists: A French nationwide cross-sectional study. | Balayssac D et al. | β | 2021 | β |
| Pharmacists' stigma toward patients engaged in opioid misuse: When "social distance" does not mean disease prevention. | Werremeyer A et al. | β | 2021 | β |
| Revisiting the relationship between contact and physician attitudes toward patients with opioid use disorder. | Dhanani LY et al. | β | 2021 | β |
| Stigmatization of people with alcohol and drug addiction among Turkish undergraduate students. | Topkaya N et al. | β | 2021 | β |
| Stigmatization of people with alcohol use disorders: An updated systematic review of population studies. | Kilian C et al. | β | 2021 | β |
| Stigmatizing Diagnoses in Neurosurgery: A Narrative Review. | Sedney CL et al. | β | 2021 | β |
| Substance Use Stigma, Avoidance Coping, and Missed HIV Appointments Among MSM Who Use Substances. | Batchelder AW et al. | β | 2021 | β |
| Teaching Residents to Treat Substance Use Disorders: Overcoming 10 Common Patient-Perceived Barriers to Outpatient Treatment Engagement. | Davidson SM et al. | β | 2021 | β |
| The application of harm reduction to methamphetamine use during pregnancy: a call to arms. | Wakeman B et al. | β | 2021 | β |
| Untangling the Complexities of Substance Use Initiation and Recovery: Client Reflections on Opioid Use Prevention and Recovery From a Social-Ecological Perspective. | Maina G et al. | β | 2021 | β |
| Using community engagement to implement evidence-based practices for opioid use disorder: A data-driven paradigm & systems science approach. | El-Bassel N et al. | β | 2021 | β |
| Using intervention mapping to develop 'ROSE': an intervention to support peer workers in overdose response settings. | Mamdani Z et al. | β | 2021 | β |
| Using Positive Empathy Interventions to Reduce Stigma Toward People Who Inject Drugs. | Clinton AJ et al. | β | 2021 | β |
| Variation in brief treatment for substance use disorder: a qualitative investigation of four federally qualified health centers with SBIRT services. | Watson DP et al. | β | 2021 | β |
| Violence, HIV Risks, and Polysubstance Use Among HIV-Positive People Who Inject Drugs in Ukraine. | Lee JO et al. | β | 2021 | β |
| A Clinical Nurse Specialist-Led Emergency Department Naloxone Distribution Program. | Mullennix SC et al. | β | 2020 | β |
| Alcohol-Related Risky Behavior Patterns and Their Association With Alcohol Use and Perceived Alcohol Stigma in Moshi, Tanzania. | Zhao D et al. | β | 2020 | β |
| An ethical exploration of the narratives surrounding substance use and pain management at the end of life: a discussion paper. | Witham G et al. | β | 2020 | β |
| A pilot study of a neuroscience-based, harm minimisation programme in schools and youth centres in Australia. | Debenham J et al. | β | 2020 | β |
| A systematic review of patients' and providers' perspectives of medications for treatment of opioid use disorder. | Cioe K et al. | β | 2020 | β |
| Attitudes towards Substance Use Disorders among Students in the Social Sciences: The Role of Gender and Terminology. | Feingold D | β | 2020 | β |
| Challenges of Estimates in Drug-Related Overdose Deaths in Iran: Evidence from the Literature. | Rostami M et al. | β | 2020 | β |
| Correlates of Expressed Emotion Among Family Members of Individuals Who Sought Treatment for Opioid Use. | Ellis JD et al. | β | 2020 | β |
| Detection of Suicidality Among Opioid Users on Reddit: Machine Learning-Based Approach. | Yao H et al. | β | 2020 | β |
| Eating disorders and related stigma: analysis among a population of Italian nursing students. | Lupo R et al. | β | 2020 | β |
| Exploration of Intervention Strategies to Reduce Public Stigma Associated with Gambling Disorder. | Brown KL et al. | β | 2020 | β |
| Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents. | Johnson ME et al. | β | 2020 | β |
| Factor structure of The Opening Minds Stigma Scale for Health Care Providers and psychometric properties of its Hungarian version. | Εri D et al. | β | 2020 | β |
| Five Priority Areas for Improving Medications Development for Alcohol Use Disorder and Promoting Their Routine Use in Clinical Practice. | Litten RZ et al. | β | 2020 | β |
| HIV prevention cascades for injection and sexual risk behaviors among HIV-negative people who inject drug in Iran. | Gangi MF et al. | β | 2020 | β |
| Human Rights, Stigma, and Substance Use. | Wogen J et al. | β | 2020 | β |
| Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers within the Treatment System. | Madras BK et al. | β | 2020 | β |
| It is just that people treat you like a human being: The meaning of dignity for patients with substance use disorders. | Solberg H et al. | β | 2020 | β |
| "I Was Raised in Addiction": Constructions of the Self and the Other in Discourses of Addiction and Recovery. | Sibley AL et al. | β | 2020 | β |
| Knowledge of, attitudes towards, and willingness to care for sex workers: Differences between general and mental health nursing students. | Ma H et al. | β | 2020 | β |
| Language and stigmatization of individuals with mental health problems or substance addiction in the Netherlands: An experimental vignette study. | Martinelli TF et al. | β | 2020 | β |
| Occupational experiences of homelessness: A systematic review and meta-aggregation. | Marshall CA et al. | β | 2020 | β |
| Outcomes of reducing stigma towards alcohol misuse during adolescence: results of a randomized controlled trial of the MAKINGtheLINK intervention. | Cheetham A et al. | β | 2020 | β |
| Palliative care for patients with substance use disorder and multiple problems: a qualitative study on experiences of healthcare professionals, volunteers and experts-by-experience. | Ebenau A et al. | β | 2020 | β |
| Perceptions of alcohol misuse among Alaska native health care system stakeholders: A qualitative exploration. | Trinidad SB et al. | β | 2020 | β |
| Prevalence of Mental Health Disorders among Individuals Enrolled in an Emergency Response Program for Treatment of Opioid Use Disorder. | Bakos-Block C et al. | β | 2020 | β |
| Reducing Health-Related Stigma Through Narrative Messages. | Heley K et al. | β | 2020 | β |
| Report of the 2020 Special Committee on Substance Use and Pharmacy Education. | Tran T et al. | β | 2020 | β |
| Self-help interventions to reduce self-stigma in people with mental health problems: A systematic literature review. | Mills H et al. | β | 2020 | β |
| Should "Pain Clearance" Be Routine for Elective Surgery? | Dunham AM et al. | β | 2020 | β |
| Situating the Continuum of Overdose Risk in the Social Determinants of Health: A New Conceptual Framework. | Park JN et al. | β | 2020 | β |
| Some notes on the use, concept and socio-political framing of 'stigma' focusing on an opioid-related public health crisis. | Fischer B | β | 2020 | β |
| Stigma and substance use disorders: A clinical, research, and advocacy agenda. | Earnshaw VA | β | 2020 | β |
| Teaching Those Who Care How to Care for a Person With Substance Use Disorder. | Dion K et al. | β | 2020 | β |
| The Bell Tolls for Thee & Thine: Compassion Fatigue & the Overdose Epidemic. | Winstanley EL | β | 2020 | β |
| The Perceived Stigma of Addiction and Treatment Utilization among Cannabis Addicts in Thailand. | Yangyuen S et al. | β | 2020 | β |
| The Role of Stigma in the Nursing Care of Families Impacted by Neonatal Abstinence Syndrome. | Recto P et al. | β | 2020 | β |
| The sources of stigma and the impacts on Afghan refugees with substance abuse disorders: A qualitative study in Iran. | Deilamizade A et al. | β | 2020 | β |
| "They look at us like junkies": influences of drug use stigma on the healthcare engagement of people who inject drugs in New York City. | Muncan B et al. | β | 2020 | β |
| Treatment barriers among individuals with co-occurring substance use and mental health problems: Examining gender differences. | Agterberg S et al. | β | 2020 | β |
| Understanding, Contextualizing, and Addressing PrEP Stigma to Enhance PrEP Implementation. | Calabrese SK | β | 2020 | β |
| Why Are Some US Nonprofit Hospitals Not Addressing Opioid Misuse in Their Communities? | Cronin CE et al. | β | 2020 | β |
| Ambiguous identities of drugs and people: A scoping review of opioid-related stigma. | McCradden MD et al. | β | 2019 | β |
| A new brief opioid stigma scale to assess perceived public attitudes and internalized stigma: Evidence for construct validity. | Yang LH et al. | β | 2019 | β |
| An Integrative Program to Reduce Stigma in Primary Healthcare Workers Toward People With Diagnosis of Severe Mental Disorders: A Protocol for a Randomized Controlled Trial. | GrandΓ³n P et al. | β | 2019 | β |
| Attitudes toward substance misusing pregnant women following a specialist education programme: An exploratory case study. | Hooks C | β | 2019 | β |
| Biased labels: An experimental study of language and stigma among individuals in recovery and health professionals. | Ashford RD et al. | β | 2019 | β |
| Bioethical analysis to the therapeutic use of Cannabis: Integrative review. | Vasconcelos SC et al. | β | 2019 | β |
| Brief video intervention to improve attitudes throughout medications for opioid use disorder in a correctional setting. | Lam JA et al. | β | 2019 | β |
| Client and Provider Perspectives on Antiretroviral Treatment Uptake and Adherence Among People Who Inject Drugs in Indonesia, Ukraine and Vietnam: HPTN 074. | Go VF et al. | β | 2019 | β |
| Criminal Justice Professionals' Attitudes Toward Mental Illness and Substance Use. | Lowder EM et al. | β | 2019 | β |
| Effectiveness of a multimodal training programme to improve general practitioners' burnout, job satisfaction and psychological well-being. | Barcons C et al. | β | 2019 | β |
| Effectiveness of Providing Education About Alcohol Use Disorders and Compassion Fatigue for Emergency Department Nurses. | Williamson D | β | 2019 | β |
| Effect of fat composition in enteral nutrition for Crohn's disease in adults: A systematic review. | Ajabnoor SM et al. | β | 2019 | β |
| Emergency Department Initiation of Buprenorphine for Opioid Use Disorder: Current Status, and Future Potential. | Fox L et al. | β | 2019 | β |
| Emergency department physicians' and pharmacists' perspectives on take-home naloxone. | Holland TJ et al. | β | 2019 | β |
| Exploring the experiences of staff working at an opiate assisted treatment clinic: An interpretive descriptive study. | McCall J et al. | β | 2019 | β |
| Factors associated with emergency department use for mental health reasons among low, moderate and high users. | Fleury MJ et al. | β | 2019 | β |
| Factors Influencing Stigma Toward Individuals Who Have Substance Use Disorders. | Witte TH et al. | β | 2019 | β |
| 'For pain, no shame' and 'My secret solace': Accounts of over-the-counter codeine dependence using Q methodology. | Kirschbaum M et al. | β | 2019 | β |
| "I Don't Feel Like I Have a Problem Because I Can Still Go To Work and Function": Problem Recognition Among Persons With Substance Use Disorders. | Rogers SM et al. | β | 2019 | β |
| Implementation science and stigma reduction interventions in low- and middle-income countries: a systematic review. | Kemp CG et al. | β | 2019 | β |
| Improving birth outcomes for women who are substance using or have mental illness: a Canadian cohort study comparing antenatal midwifery and physician models of care for women of low socioeconomic position. | McRae DN et al. | β | 2019 | β |
| Internalized stigma and its correlates among treatment seeking opium users in India: A cross-sectional observational study. | Gupta P et al. | β | 2019 | β |
| Intervention stigma: How medication-assisted treatment marginalizes patients and providers. | Madden EF | β | 2019 | β |
| Life after opioid-involved overdose: survivor narratives and their implications for ER/ED interventions. | Elliott L et al. | β | 2019 | β |
| Mental health stigma in depressed Latinos over the course of therapy: Results from a randomized controlled trial. | Collado A et al. | β | 2019 | β |
| Models of care for opioid dependent pregnant women. | Johnson E | β | 2019 | β |
| Negative Impacts of Self-Stigma on the Quality of Life of Patients in Methadone Maintenance Treatment: The Mediated Roles of Psychological Distress and Social Functioning. | Cheng CM et al. | β | 2019 | β |
| Nursing: Addressing substance use in the 21st century. | Finnell DS et al. | β | 2019 | β |
| Palliative care for people with substance use disorder and multiple problems: a qualitative study on experiences of patients and proxies. | Ebenau A et al. | β | 2019 | β |
| Perceived Devaluation among a Cohort of Street-Involved Youth in Vancouver, Canada. | Karamouzian M et al. | β | 2019 | β |
| Self-Stigma Reduction Interventions for People Living with HIV/AIDS and Their Families: A Systematic Review. | Ma PHX et al. | β | 2019 | β |
| Stigmatizing language in news media coverage of the opioid epidemic: Implications for public health. | McGinty EE et al. | β | 2019 | β |
| Stigma towards alcohol use disorder: Comparing healthcare workers with the general population. | Soh KC et al. | β | 2019 | β |
| Stigma towards people who use drugs: A case vignette study in methadone maintenance treatment clinics in China. | Luo S et al. | β | 2019 | β |
| Strategies used by people who inject drugs to avoid stigma in healthcare settings. | Biancarelli DL et al. | β | 2019 | β |
| Substance Use Stigma and Antiretroviral Therapy Adherence Among a Drug-Using Population Living with HIV. | Stringer KL et al. | β | 2019 | β |
| The association between perceived stigma and substance use disorder treatment outcomes: a review. | Crapanzano KA et al. | β | 2019 | β |
| Why Don't Hospitals Prioritize Substance Abuse in Their Community Benefit Programming? | Franz B et al. | β | 2019 | β |
| Addressing Unhealthy Substance Use in Primary Care. | Pace CA et al. | β | 2018 | β |
| Alcohol screening and brief intervention in a representative sample of veterans receiving primary care services. | Bachrach RL et al. | β | 2018 | β |
| A mixed methods study of the social support networks of female sex workers and their primary noncommercial male partners in Tijuana, Mexico. | Wagner KD et al. | β | 2018 | β |
| Antimicrobial stigmatization: Public health concerns about conventional pig farming and pig farmers' experiences with stigmatization. | Fynbo L et al. | β | 2018 | β |
| Associations of the Neighborhood Environment With Substance Use: A Cross-sectional Investigation Among Patients in Compulsory Drug Detention Centers in Thailand. | Yangyuen S et al. | β | 2018 | β |
| Challenges and opportunities for implementation of substance misuse interventions in conflict-affected populations. | Greene MC et al. | β | 2018 | β |
| Change in Medical Student Attitudes Toward Patients with Substance Use Disorders After Course Exposure. | Koyi MB et al. | β | 2018 | β |
| Correlates of Stigma Severity Among Persons Seeking Opioid Detoxification. | Bozinoff N et al. | β | 2018 | β |
| Destigmatizing Mental Illness: An Innovative Evidence-Based Undergraduate Curriculum. | Carroll SM | β | 2018 | β |
| Differences by sex in associations between injection drug risks and drug crime conviction among people who inject drugs in Almaty, Kazakhstan. | Marotta PL et al. | β | 2018 | β |
| Drug-related stigma and access to care among people who inject drugs in Vietnam. | Lan CW et al. | β | 2018 | β |
| Effectiveness of Motivational Interviewing on adult behaviour change in health and social care settings: A systematic review of reviews. | Frost H et al. | β | 2018 | β |
| Efficacy of an Online Self-Help Treatment for Comorbid Alcohol Misuse and Emotional Problems in Young Adults: Protocol for a Randomized Controlled Trial. | Frohlich JR et al. | β | 2018 | β |
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| How does a drug court experience influence student pharmacists? | Palombi LC et al. | β | 2018 | β |
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| Longitudinal Stigma Reduction in People Living with HIV Experiencing Homelessness or Unstable Housing Diagnosed With Mental Health or Substance Use Disorders: An Intervention Study. | Maskay MH et al. | β | 2018 | β |
| Pain and Addiction in Specialty and Primary Care: The Bookends of a Crisis. | Schottenfeld JR et al. | β | 2018 | β |
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| Perspectives on HIV pre-exposure prophylaxis (PrEP) utilization and related intervention needs among people who inject drugs. | Biello KB et al. | β | 2018 | β |
| State Responses to the Opioid Crisis. | Parker AM et al. | β | 2018 | β |
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| Substance use, recovery, and linguistics: The impact of word choice on explicit and implicit bias. | Ashford RD et al. | β | 2018 | β |
| "That's not me anymore": Resistance strategies for managing intersectional stigmas for women with substance use and incarceration histories. | Gunn AJ et al. | β | 2018 | β |
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| Trait Emotional Intelligence Profiles of Parents With Drug Addiction and of Their Offspring. | Aslanidou GS et al. | β | 2018 | β |
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| Adverse Reactions Associated With Cannabis Consumption as Evident From Search Engine Queries. | Yom-Tov E et al. | β | 2017 | β |
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| General Beliefs and Stigma Regarding Illicit Drug Use: Perspectives of Family Members and Significant Others of Drug Users in an Inner City in Brazil. | Ventura CAA et al. | β | 2017 | β |
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| Medical providers' knowledge and concerns about opioid overdose education and take-home naloxone rescue kits within Veterans Affairs health care medical treatment settings. | Winograd RP et al. | β | 2017 | β |
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| Social Stigma Toward Persons With Prescription Opioid Use Disorder: Associations With Public Support for Punitive and Public Health-Oriented Policies. | Kennedy-Hendricks A et al. | β | 2017 | β |
| Sociodemographic and access-related correlates of health-care utilization among African American injection drug users: The BESURE study. | Maragh-Bass AC et al. | β | 2017 | β |
| Support for Relatives Bereaved by Psychiatric Patient Suicide: National Confidential Inquiry Into Suicide and Homicide Findings. | Pitman AL et al. | β | 2017 | β |
| Systematic Review of Guidelines on Managing Patients with Harmful Use of Alcohol in Primary Healthcare Settings. | Zhang DX et al. | β | 2017 | β |
| Talking about parental substance abuse with children: eight families' experiences of Beardslee's family intervention. | Pihkala H et al. | β | 2017 | β |
| The influence of stigma on the quality of life for prostate cancer survivors. | Wood AW et al. | β | 2017 | β |
| Trainees' knowledge, attitudes, and practices towards caring for the substance-exposed mother-infant dyad. | Schiff DM et al. | β | 2017 | β |
| Adolescent Substance Use: Moving Screening Into the Practice Mainstream. | Delaney KR | β | 2016 | β |
| A Qualitative Analysis of Medical Students' Reflection on Attending an Alcoholics Anonymous Meeting: Insights for Future Addiction Curricula. | Kastenholz KJ et al. | β | 2016 | β |
| Attitudes Toward Addiction, Methadone Treatment, and Recovery Among HIV-Infected Ukrainian Prisoners Who Inject Drugs: Incarceration Effects and Exploration of Mediators. | Polonsky M et al. | β | 2016 | β |
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| Epidemiology of DSM-5 Drug Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions-III. | Grant BF et al. | β | 2016 | β |
| Hepatitis C virus seroprevalence in pregnant women delivering live-born infants in North Thames, England in 2012. | Cortina-Borja M et al. | β | 2016 | β |
| Improving Psychiatrists' Attitudes Towards Individuals with Psychotic Disorders and Co-Occurring Substance Use Disorders. | Avery J et al. | β | 2016 | β |
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| "It is not just about the alcohol": service users' views about individualised and standardised clinical assessment in a therapeutic community for alcohol dependence. | Alves PC et al. | β | 2016 | β |
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| Primary care physicians' perspectives on the prescription opioid epidemic. | Kennedy-Hendricks A et al. | β | 2016 | β |
| Results of a participatory needs assessment demonstrate an opportunity to involve people who use alcohol in drug user activism and harm reduction. | Crabtree A et al. | β | 2016 | β |
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| The effectiveness of telephone counselling in the treatment of illicit drug and alcohol use concerns. | Gates P et al. | β | 2016 | β |
| THE EFFECT OF STIGMA ON CRIMINAL OFFENDERS' FUNCTIONING: A LONGITUDINAL MEDIATIONAL MODEL. | Moore KE et al. | β | 2016 | β |
| The Significance of Harm Reduction as a Social and Health Care Intervention for Injecting Drug Users: An Exploratory Study of a Needle Exchange Program in Fresno, California. | Clarke K et al. | β | 2016 | β |
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| Does lung cancer attract greater stigma than other cancer types? | Marlow LA et al. | β | 2015 | β |
| Effectiveness of Nonpharmacologic Interventions in Systemic Sclerosis: A Systematic Review. | Willems LM et al. | β | 2015 | β |
| Fertility-related research needs among women at the margins. | Schwartz SR et al. | β | 2015 | β |
| Impacts of stigma on HIV risk for women who inject drugs in Java: A qualitative study. | Spooner C et al. | β | 2015 | β |
| Improving Psychiatry Residents' Attitudes Toward Individuals Diagnosed with Substance Use Disorders. | Avery J et al. | β | 2015 | β |
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| The association between patient activation and medication adherence, hospitalization, and emergency room utilization in patients with chronic illnesses: a systematic review. | Kinney RL et al. | β | 2015 | β |
| The influence of self-esteem and social support on the relationship between stigma and depressive symptomology in parents caring for children with intellectual disabilities. | Cantwell J et al. | β | 2015 | β |
| 'They don't look at what affects us': the role of ecodevelopmental factors on alcohol and drug use among Latinos with physical disabilities. | Cordova D et al. | β | 2015 | β |
| Tobacco Denormalization as a Public Health Strategy: Implications for Sexual and Gender Minorities. | Antin TM et al. | β | 2015 | β |
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| Desired social distance from people who have hepatitis C virus: an exploration among staff in health care, dentistry, drug treatment, and tattoo/body piercing. | Suarez AE et al. | β | 2014 | β |
| Examining the role of vocational rehabilitation on access to care and public health outcomes for people living with HIV/AIDS. | Conyers L et al. | β | 2014 | β |
| Experiences of and attitudes toward injecting drug use among marginalized African migrant and refugee youth in Melbourne, Australia. | Horyniak D et al. | β | 2014 | β |
| How is acceptance of the brain disease model of addiction related to Australians' attitudes towards addicted individuals and treatments for addiction? | Meurk C et al. | β | 2014 | β |
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| Schools-based interventions for reducing stigmatization of acquired brain injury: the role of interpersonal contact and visible impairment. | Irwin LG et al. | β | 2014 | β |
| Severity of club drug dependence and perceived need for treatment among a sample of adult club drug users in Shanghai, China. | Ding Y et al. | β | 2014 | β |
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| Alcohol stigma and persistence of alcohol and other psychiatric disorders: a modified labeling theory approach. | Glass JE et al. | β | 2013 | β |
| A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: how far have we come? | Stangl AL et al. | β | 2013 | β |
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| Developing the evidence base for addressing inequalities and smoking in the United Kingdom. | McNeill A et al. | β | 2012 | β |
| Factors associated with experiences of stigma in a sample of HIV-positive, methamphetamine-using men who have sex with men. | Semple SJ et al. | β | 2012 | β |
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