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Targeting Addiction Structural Stigma Embodied in Law ("TASSEL"): Findings from an intrastate legal mapping study
Daniel S Goldberg1, Lina Brou1, Sarah Hemeida1
1University of Colorado Anschutz Medical Campus, Fitzsimons Building, 13001 East 17th Place, Aurora, CO 80045, United States.
The International Journal on Drug Policy
|October 30, 2025
Summary
California laws contain provisions that promote stigma against individuals with addiction. Identifying and remediating these laws through legal epidemiology is crucial for advancing health equity and reducing structural stigma.
Area of Science:
- Legal epidemiology
- Public health law
- Health equity
Background:
- Stigma is a significant driver of health disparities.
- Laws can perpetuate or alleviate stigma.
- Understanding legal frameworks is essential for addressing addiction stigma.
Purpose of the Study:
- To map laws that promote stigma against individuals with addiction in California.
- To utilize legal epidemiology methods for policy surveillance.
- To identify opportunities for legal remediation of stigma.
Main Methods:
- Employed a vertical/intrastate legal mapping design.
- Collected and analyzed legal data at state, county, and municipal levels.
- Followed a five-phase process: data harvesting, coding, analysis, discrepancy resolution, and dataset perfection.
Main Results:
- All surveyed California jurisdictions have laws that promote addiction stigma.
- Common stigmatizing laws include employment restrictions and zoning regulations.
- Legislative findings in many jurisdictions also contribute to stigma.
Conclusions:
- Laws are key mediators of structural stigma and offer avenues for anti-stigma interventions.
- Developing methods to map stigma-promoting laws is vital for policy surveillance.
- This work supports anti-stigma efforts and promotes health equity.
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