Skip to main content
Top
Published in: International Journal of Mental Health and Addiction 6/2022

20-01-2022 | Addiction | Original Article

Opioid Use Stigma: An Examination of Student Attitudes on Harm Reduction Strategies

Authors: Gemma Reynolds, Brittany L. Lindsay, Stephanie Knaak, Andrew C. H. Szeto

Published in: International Journal of Mental Health and Addiction | Issue 6/2022

Login to get access

Abstract

Understanding how the public views harm reduction strategies may help inform researchers on how to reduce related stigma and barriers to help-seeking. The current study explored whether stigma towards those who use opioids was affected by gender and type of harm reduction strategy used. Undergraduate students (N = 328) were randomly assigned to read one of six vignettes varying by gender and the type of harm reduction strategy: no harm reduction, opioid agonist therapy (OAT), or safe consumption sites (SCSs). Results demonstrated that participants were less stigmatizing towards the character who engaged in OAT compared to the character with no harm reduction. There was also a pattern demonstrating that SCSs may be perceived more negatively than OAT, although these differences only met conventional significance, not adjusted/corrected alphas. There were no significant effects for gender. Qualitative results revealed that participants held misconceptions about harm reduction. Implications and future directions are discussed.
Footnotes
1
The Opening Minds Provider Attitudes Towards Opioid Use Scale (OM-PATOS; Knaak & Stuart, 2021) was originally included in the survey as a potential covariate, but it was realized post-hoc that the measure was too similar in construct to the dependent measures (but measured before the experimental manipulation) and was not used in the study.
 
Literature
go back to reference Centers for Disease Control and Prevention (CDC). (2013). Vital signs: Overdoses of prescription opioid pain relievers and other drugs among women-United States, 1999–2010. MMWR. Morbidity and Mortality Weekly Report, 62(26), 537–542. Centers for Disease Control and Prevention (CDC). (2013). Vital signs: Overdoses of prescription opioid pain relievers and other drugs among women-United States, 1999–2010. MMWR. Morbidity and Mortality Weekly Report, 62(26), 537–542.
go back to reference Csiernik, R., Rowe, W., & Watkin, J. (2017). Prevention as controversy: Harm reduction. In R. Csiernik & W. S. Rowe (Eds.) Responding to the oppression of addiction: Canadian social work responses (3rd ed., pp. 28–47). Canadian Scholars' Press. Csiernik, R., Rowe, W., & Watkin, J. (2017). Prevention as controversy: Harm reduction. In R. Csiernik & W. S. Rowe (Eds.) Responding to the oppression of addiction: Canadian social work responses (3rd ed., pp. 28–47). Canadian Scholars' Press.
go back to reference IBM Corp. (2019). IBM SPSS Statistics for Windows , Version 26.0. Armonk, NY: IBM Corp. [Computer software]. IBM Corp. (2019). IBM SPSS Statistics for Windows , Version 26.0. Armonk, NY: IBM Corp. [Computer software].
go back to reference Knaak, S., Beshara, J., Billett, M., Kharpal, K., & Patten, S. (2022). Measuring impacts of curricular content and personal story on substance use stigma. Journal of Nursing Education. Knaak, S., Beshara, J., Billett, M., Kharpal, K., & Patten, S. (2022). Measuring impacts of curricular content and personal story on substance use stigma. Journal of Nursing Education.
go back to reference Knaak, S., Stuart, H. (2021). Measuring opioid-related stigma. In K. S. Dobson and H. Stuart (Eds.), The stigma of mental illness. Oxford University Press. Knaak, S., Stuart, H. (2021). Measuring opioid-related stigma. In K. S. Dobson and H. Stuart (Eds.), The stigma of mental illness. Oxford University Press.
go back to reference Mannarini, S., & Boffo, M. (2015). Anxiety, bulimia, drug and alcohol addiction, depression, and schizophrenia: What do you think about their aetiology, dangerousness, social distance, and treatment? A latent class analysis approach. Social Psychiatry and Psychiatric Epidemiology, 50(1), 27–37. https://doi.org/10.1007/s00127-014-0925-xCrossRefPubMed Mannarini, S., & Boffo, M. (2015). Anxiety, bulimia, drug and alcohol addiction, depression, and schizophrenia: What do you think about their aetiology, dangerousness, social distance, and treatment? A latent class analysis approach. Social Psychiatry and Psychiatric Epidemiology, 50(1), 27–37. https://​doi.​org/​10.​1007/​s00127-014-0925-xCrossRefPubMed
go back to reference McLean, S. A., Paxton, S. J., Massey, R., Hay, P. J., Mond, J. M., & Rodgers, B. (2014). Stigmatizing attitudes and beliefs about bulimia nervosa: Gender, age, education and income variability in a community sample. International Journal of Eating Disorders, 47(4), 353–361. https://doi.org/10.1002/eat.22227CrossRefPubMed McLean, S. A., Paxton, S. J., Massey, R., Hay, P. J., Mond, J. M., & Rodgers, B. (2014). Stigmatizing attitudes and beliefs about bulimia nervosa: Gender, age, education and income variability in a community sample. International Journal of Eating Disorders, 47(4), 353–361. https://​doi.​org/​10.​1002/​eat.​22227CrossRefPubMed
go back to reference Tostes, J. G. D. A., Dias, R. T., Reis, A. A. D. S., Silveira, P. S. D., & Ronzani, T. M. (2020). Intervenções para redução do estigma relacionado às pessoas que usam drogas: Revisão sistemática [Interventions to reduce stigma related to people who use drugs: Systematic review]. Paidéia (ribeirão Preto), 30, e3022. https://doi.org/10.1590/1982-4327e3022CrossRef Tostes, J. G. D. A., Dias, R. T., Reis, A. A. D. S., Silveira, P. S. D., & Ronzani, T. M. (2020). Intervenções para redução do estigma relacionado às pessoas que usam drogas: Revisão sistemática [Interventions to reduce stigma related to people who use drugs: Systematic review]. Paidéia (ribeirão Preto), 30, e3022. https://​doi.​org/​10.​1590/​1982-4327e3022CrossRef
go back to reference Woo, J., Bhalerao, A., Bawor, M., Bhatt, M., Dennis, B., Mouravska, N., Zielinkski, L., & Samaan, Z. (2017). “Don’t judge a book by its cover”: A qualitative study of methadone patients’ experiences of stigma. Substance Abuse: Research and Treatment, 11, 11–12. https://doi.org/10.1177/1178221816685087CrossRef Woo, J., Bhalerao, A., Bawor, M., Bhatt, M., Dennis, B., Mouravska, N., Zielinkski, L., & Samaan, Z. (2017). “Don’t judge a book by its cover”: A qualitative study of methadone patients’ experiences of stigma. Substance Abuse: Research and Treatment, 11, 11–12. https://​doi.​org/​10.​1177/​1178221816685087​CrossRef
Metadata
Title
Opioid Use Stigma: An Examination of Student Attitudes on Harm Reduction Strategies
Authors
Gemma Reynolds
Brittany L. Lindsay
Stephanie Knaak
Andrew C. H. Szeto
Publication date
20-01-2022
Publisher
Springer US
Published in
International Journal of Mental Health and Addiction / Issue 6/2022
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-022-00756-7

Other articles of this Issue 6/2022

International Journal of Mental Health and Addiction 6/2022 Go to the issue