瘾君子框架、社会污名化和 NIMBY 综合症：研究应对阿片类药物危机的障碍

IF 2.3 Q3 SUBSTANCE ABUSE

Contemporary Drug Problems Pub Date : 2024-03-05 DOI:10.1177/00914509241231821

Nathan E. Kruis, Övgü Kaynak, Christopher Whipple, Erica Saylor, W. Kensinger

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引用次数: 0

摘要

学者们认为，对阿片类药物使用障碍（OUD）的污名化是实施阿片类药物危机循证应对措施（包括使用药物治疗阿片类药物使用障碍）的重大障碍。他们还记录了成瘾框架与支持对药物使用采取惩罚性应对措施之间的关系。本研究使用宾夕法尼亚州居民的代表性样本（N = 1,033），通过实证研究成瘾框架、阿片类药物相关污名和政策相关态度（即 NIMBY 综合征、对 OUD 的惩罚性治疗的支持以及对开具 MOUD 的个人的就业歧视的支持）之间的关系，对这些文献进行了综合。结果表明，支持疾病成瘾模式与赞同阿片类药物治疗中心NIMBY综合征、支持对OUD进行惩罚性治疗以及支持对开具MOUD的个人进行就业歧视呈负相关；然而，这些关系完全由阿片类药物相关污名所调节，因此对疾病成瘾模式的支持仅通过阿片类药物相关污名间接影响结果测量。本文讨论了政策影响。

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Addiction Frameworks, Social Stigma, and NIMBY Syndrome: Examining Barriers to Responding to the Opioid Crisis

Scholars have argued that stigma of opioid use disorder (OUD) is a significant barrier to implementing evidence-based responses to the opioid crisis, including the use of medications for opioid use disorder (MOUD). They have also documented a relationship between addiction frameworks and support for punitive responses to substance use. Using a representative sample of Pennsylvania residents ( N = 1,033), the current study synthesizes this literature by empirically examining the relationship between addiction frameworks, opioid-related stigma, and policy-related attitudes (i.e., NIMBY syndrome, support for punitive treatment of OUD, and support for employment discrimination against individuals prescribed MOUD). Results show that support for the disease model of addiction was negatively associated with endorsing NIMBY syndrome for opioid-treatment centers, support for punitive treatment of OUD, and support for employment discrimination against individuals prescribed MOUD; however, these relationships were fully mediated by opioid-related stigma, such that support for the disease model of addiction impacted outcome measures only indirectly through opioid-related stigma. Policy implications are discussed within.

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来源期刊

Contemporary Drug Problems Social Sciences-Law

CiteScore

3.30

自引率

0.00%

发文量

期刊介绍： Contemporary Drug Problems is a scholarly journal that publishes peer-reviewed social science research on alcohol and other psychoactive drugs, licit and illicit. The journal’s orientation is multidisciplinary and international; it is open to any research paper that contributes to social, cultural, historical or epidemiological knowledge and theory concerning drug use and related problems. While Contemporary Drug Problems publishes all types of social science research on alcohol and other drugs, it recognizes that innovative or challenging research can sometimes struggle to find a suitable outlet. The journal therefore particularly welcomes original studies for which publication options are limited, including historical research, qualitative studies, and policy and legal analyses. In terms of readership, Contemporary Drug Problems serves a burgeoning constituency of social researchers as well as policy makers and practitioners working in health, welfare, social services, public policy, criminal justice and law enforcement.