Substance Use Related Stigma: What we Know and the Way Forward.

Magdalena Kulesza, Mary E Larimer, Deepa Rao
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引用次数: 128

Abstract

Aims: To conduct a systematic review of the literature investigating the relationship between stigma experienced by individuals who use drugs.

Methods: We conducted an online literature search and identified articles related to stigma among individuals who use drugs. Studies evaluating associations between stigma and socio-demographic variables and if applicable clinical and substance use variables are presented. In addition, recommendations for future research are provided.

Results: We identified 26 articles describing 28 studies evaluating stigma. The majorities of studies were published in the last 11 years and conducted in the U.S. Samples were relatively diverse: 41.7% of all participants who provided data identified as racial/ethnic minorities. The vast majority of the relationships between stigma and socio-demographic characteristics were included in only one or very few studies, which limits conclusions. The relationship between stigma and psychological well-being is the only consistent finding reported in the literature. Specifically, results suggest that stigma has a detrimental effect on psychological well-being among individuals who use drugs.

Conclusions: While this literature is expanding at a rapid pace, this review indicates several areas for future research and needed improvements in research methodology in this area. Specifically, lack of comprehensive description of sample characteristics, lack of construct identification and proper definition, a dearth of longitudinal studies and limited research describing relationships between stigma and substance use behavior are a few areas identified for further research.

与药物使用相关的耻辱:我们所知道的和前进的道路。
目的:对研究吸毒个体所经历的耻辱感之间关系的文献进行系统综述。方法:我们进行了在线文献检索,并确定了与吸毒个体的耻辱感相关的文章。研究评估耻辱和社会人口变量之间的关联,如果适用的临床和物质使用变量提出。最后,对今后的研究提出了建议。结果:我们确定了26篇文章,描述了28项评估病耻感的研究。大多数研究发表于过去11年,并在美国进行。样本相对多样化:41.7%的参与者提供的数据被确定为种族/少数民族。绝大多数病耻感与社会人口学特征之间的关系仅在一项或极少数研究中被纳入,这限制了结论。耻辱感和心理健康之间的关系是文献中唯一一致的发现。具体来说,研究结果表明,耻辱感对吸毒者的心理健康有不利影响。结论:虽然这一文献正在快速扩展,但这一综述指出了未来研究的几个领域,以及该领域研究方法的需要改进。具体而言,缺乏对样本特征的全面描述,缺乏结构识别和适当的定义,缺乏纵向研究以及描述病耻感与物质使用行为之间关系的研究有限,是确定的几个有待进一步研究的领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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