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Stigma Against Patients With Substance Use Disorders Among Health Care Professionals and Trainees and Stigma-Reducing
Summary
Healthcare professionals and trainees exhibit stigma towards patients with substance use disorders (SUDs). While interventions show promise in reducing this stigma, more rigorous research is needed to develop effective strategies.
Area of Science:
- Medical Social Sciences
- Public Health
- Healthcare Professional Education
Background:
- Substance use disorders (SUDs) are a significant public health issue.
- Stigmatizing attitudes among healthcare professionals (HCPs) and trainees can negatively impact patient care.
- Understanding the prevalence and interventions for SUD stigma is crucial for improving healthcare outcomes.
Approach:
- Systematic review of 7 databases for studies published between 2011 and 2023.
- Inclusion of observational and intervention studies from the United States and Canada quantifying SUD stigma.
- Quality assessment applied to all included studies, with no exclusion based on quality.
Key Points:
- 32 studies (17 observational, 15 intervention) met inclusion criteria, all from the US.
- All observational studies indicated some level of stigma among HCPs/trainees towards patients with SUDs.
- Most interventions (12/15) resulted in small, statistically significant reductions in stigma.
Conclusions:
- SUD stigma is prevalent among HCPs and trainees.
- Interventions can reduce stigma, but results are heterogeneous and require further investigation.
- Future research should focus on validated measures, clinical outcome associations, and robust intervention designs.
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