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Honor Norms Predict Lower Support for Opioid Harm Reduction Policies in the U.S
Stephen Foster1, Katy Jones1, Jarrod Bock2
1Department of Psychology, Penn State York, York, PA, USA.
Cultural honor norms are linked to lower support for harm reduction services in the US. Beliefs about heroin use disorder controllability mediate this relationship, impacting public acceptance and policy enactment.
Area of Science:
- Social Sciences
- Public Health
- Sociology
Background:
- Harm reduction services are evidence-based strategies to mitigate drug overdose and related harms.
- Accessibility of these vital services varies significantly across the United States.
- Understanding barriers to public support is crucial for expanding harm reduction initiatives.
Purpose of the Study:
- To investigate the influence of cultural honor norms on public support for harm reduction programs in the US.
- To examine the mediating role of controllability beliefs regarding heroin use disorder in this relationship.
Main Methods:
- A web-based survey was administered to 376 adults in the United States.
- The survey assessed participants' endorsement of honor norms, controllability beliefs about heroin use disorder, and support for various harm reduction programs.
Main Results:
- Higher levels of honor endorsement were significantly associated with decreased support for harm reduction programs.
- Controllability beliefs about heroin use disorder explained the link between honor norms and support for most evaluated programs.
Conclusions:
- Cultural honor norms present a potential barrier to public support for harm reduction services.
- Regions with strong honor cultures may face greater challenges in implementing and enacting policies for these programs.
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