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Framework for opioid stigma in cancer pain
Hailey W Bulls1, Edward Chu2, Burel R Goodin3
1Section of Palliative Care and Medical Ethics and Palliative Research Center (PaRC), Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
Pain
|May 19, 2021
Summary
Opioid stigma negatively impacts cancer pain management. This study introduces the Opioid Stigma Framework (OSF) to understand and address stigma for improved patient care.
Area of Science:
- Oncology
- Pain Management
- Public Health
Background:
- Millions of cancer patients use prescription opioids for pain.
- The opioid crisis has led to unintended consequences, including opioid stigma.
- Opioid stigma is a growing concern for cancer patients, but its drivers and effects are understudied.
Purpose of the Study:
- To propose a conceptual framework, the Opioid Stigma Framework (OSF), for understanding opioid stigma in cancer pain.
- To guide future research and intervention development for opioid stigma in cancer patients.
Main Methods:
- Literature review on health-related stigma.
- Adaptation of the Health Stigma and Discrimination Framework.
- Topical review of challenges in opioid cancer pain management.
- Incorporation of expertise in cancer, pain, and opioid prescribing.
Main Results:
- The OSF comprises 5 domains: contributors to stigma, intersecting stigmas, stigma manifestations, proximal outcomes, and long-term impacts.
- The framework offers avenues for exploring stigma mechanisms and developing targeted interventions.
Conclusions:
- The OSF provides a structured approach to understanding and addressing opioid stigma in cancer pain.
- This framework can facilitate research and the development of interventions to eliminate opioid stigma and improve patient outcomes.
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