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This study examined the effects of opioid stigma marks (e.g. "dirty," "unclean") on stigma-related outcomes among a sample of Amazon Mechanical Turk workers ( = 371). Using a 2 (stigma mark: yes, no) by 3 (opioid type: prescription opioid, heroin, fentanyl) between subjects factorial experiment, results indicated that compared to those in the no mark conditions, participants in the mark conditions expressed greater desire for social distance from and behavioral regulation of people with opioid use disorders. Opioid stigma marks were also indirectly associated with more behavioral regulation, more stigma message sharing, and less support for opioid-related public health policies through stigma beliefs. Results advance theoretical understandings of the stigma message effects process and offer practical recommendations for public health communicators and journalists.
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http://dx.doi.org/10.1080/10810730.2025.2552949 | DOI Listing |
Cochrane Database Syst Rev
September 2025
Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada.
Background: Opioid use disorder (OUD) is commonly treated in specialized care settings with long-acting opioid agonists, also known as opioid agonist therapy, or OAT. Despite the rise in opioid use globally and evidence for a 50% reduction in mortality when OAT is employed, the proportion of people with OUD receiving OAT remains small. One initiative to improve the access and uptake of OAT could be to offer OAT in a primary care setting; primary care clinics are more numerous, might reduce the visibility and potential stigma of receiving treatment for OUD, and may facilitate the care of other medical conditions that are unrelated to OUD.
View Article and Find Full Text PDFInnov Aging
August 2025
Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island, United States.
Background And Objectives: Increased referrals to skilled nursing facilities (SNFs) from hospitalized people with opioid use disorder (OUD) carry risk for financial, safety, and legal consequences for poor transitions in care. We aimed to better understand the hospital to SNF referral process and identify opportunities to improve transitions and care for people with OUD, an increasing share of whom are older adults.
Research Design And Methods: Participants included administrative, executive leadership, and clinical staff involved in SNF admission decisions across the United States.
J Law Med Ethics
September 2025
Dalla Lana School of Public Health, https://ror.org/03dbr7087University of Toronto, Canada.
The opioid overdose crisis has become a global public health emergency, claiming more than 100,000 lives each year. In North America, shifting opioid prescribing practices in response to the crisis have profoundly affected people living with chronic pain, who now face reduced access to prescription opioids. Against this backdrop, pain stakeholders have become increasingly active in policymaking arenas to shape how opioids and pain are understood.
View Article and Find Full Text PDFJ Health Commun
September 2025
School of Communication and Journalism, Auburn University, Auburn, Alabama, USA.
This study examined the effects of opioid stigma marks (e.g. "dirty," "unclean") on stigma-related outcomes among a sample of Amazon Mechanical Turk workers ( = 371).
View Article and Find Full Text PDFHealth Aff Sch
August 2025
Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Introduction: Employers play a critical role in addressing the opioid crisis in the United States, so the federal government created the Recovery-Ready Workplace (RRW) framework, which suggests employer action in 4 areas: prevention and risk reduction, education, employment, and treatment.
Methods: This study examines employees' views of RRW-related actions taken by their employers to address opioid misuse, using a national survey of 1010 U.S.