Social Status Influence on Stigma Towards Mental Illness and Substance Use Disorder in the United States

Miller, Paula K.; Cuthbertson, Courtney; Loveridge, Scott

doi:10.1007/s10597-021-00817-6

Cited by 12 publications

(6 citation statements)

References 57 publications

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“…Refugees are groups of people who are vulnerable to stressful circumstances. Interviewing stressed and traumatized populations regarding substance use is sensitive work, and the findings can sometimes be stigmatizing [20][21][22]. However, qualitative researchers have developed techniques that are incorporated throughout their research processes to minimize these challenges [23].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of qualitative research on substance use among refugees

et al. 2022

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Aims: To evaluate qualitative research on substance use and substance use disorders (SUDs) among refugees in terms of practitioners' and substance users' attitudes, beliefs and experiences. Methods: Six medical, allied health and social sciences databases (EBSCO, PubMed, ScienceDirect, Web of Science, Scholar and the Cochrane Library) were systematically searched in a time frame between January and April 2021 to identify original peerreviewed articles describing qualitative findings related to substance use among refugees (alcohol, illicit drugs, tobacco and prescription drugs). Study selection, critical appraisal and detailed extraction were performed via the Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Systematic Reviews (PRISMA) (2018). Three independent reviewers selected the relevant abstracts and articles. Synthesis of the evidence identified prominent themes relating to the context and consequences of substance use.Results: Twenty-six studies were included in this review. Twenty-three studies applied qualitative methods and three applied mixed methods. Synthesis of the evidence from the included studies resulted in four main findings: there is a considerable susceptibility of refugees to substance use and SUDs; the harmful consequences of substance use are complicated by the social insecurities of refugees; there are rather high barriers to treatment and health facilities for refugees in many host countries; and there is a strong need to improve effective access to treatment, interventions and prevention approaches. Conclusions: Refugees are at high risk for substance use and substance use disorders and often face high barriers to treatment and interventions in host countries.

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Section: Introductionmentioning

confidence: 99%

A systematic review of qualitative research on substance use among refugees

et al. 2022

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“…Diseases or characteristics with a social or structural stigma attached to them are varied and can depend on the sociocultural context. These may include characteristics related to sexual orientation [ 132 , 133 ], sexually transmitted diseases [ 134 - 136 ], psychiatric disorders [ 137 , 138 ], or skin diseases [ 139 , 140 ]. Target groups should be carefully evaluated in terms of stigmatized characteristics (see Multimedia Appendix 2 for details), and protective privacy measures should be intensified accordingly.…”

Section: Resultsmentioning

confidence: 99%

Ethical Issues in Social Media Recruitment for Clinical Studies: Ethical Analysis and Framework

Zimmermann¹,

Willem²,

Bredthauer³

et al. 2022

J Med Internet Res

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Background Social media recruitment for clinical studies holds the promise of being a cost-effective way of attracting traditionally marginalized populations and promoting patient engagement with researchers and a particular study. However, using social media for recruiting clinical study participants also poses a range of ethical issues. Objective This study aims to provide a comprehensive overview of the ethical benefits and risks to be considered for social media recruitment in clinical studies and develop practical recommendations on how to implement these considerations. Methods On the basis of established principles of clinical ethics and research ethics, we reviewed the conceptual and empirical literature for ethical benefits and challenges related to social media recruitment. From these, we derived a conceptual framework to evaluate the eligibility of social media use for recruitment for a specific clinical study. Results We identified three eligibility criteria for social media recruitment for clinical studies: information and consent, risks for target groups, and recruitment effectiveness. These criteria can be used to evaluate the implementation of a social media recruitment strategy at its planning stage. We have discussed the practical implications of these criteria for researchers. Conclusions The ethical challenges related to social media recruitment are context sensitive. Therefore, social media recruitment should be planned rigorously, taking into account the target group, the appropriateness of social media as a recruitment channel, and the resources available to execute the strategy.

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“…Perceived stigma is prevalent in many countries 11 . At the individual level, authors identified age and gender as associated with stigma 29 . Several studies 14,30,31 discussed the role of age in mitigating, and stigma in deepening, poor mental health.…”

Section: Introductionmentioning

confidence: 99%

“…11 At the individual level, authors identified age and gender as associated with stigma. 29 Several studies 14,30,31 discussed the role of age in mitigating, and stigma in deepening, poor mental health. A study of undergraduate students based on a vignette approach that used the word "anxiety" found women held less stigma than men about social anxiety disorder, and those who had experienced social anxiety disorder also expressed less desire for shunning those with the illness.…”

Section: Introductionmentioning

confidence: 99%

Rural US residents recognize anxiety better than urbanites and suburbanites but hold similar stigma

Loveridge

Skidmore

Shupp

et al. 2023

The Journal of Rural Health

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PurposeRecognizing signs of psychological distress is a critical first step in assisting people who are struggling with poor mental health to access help. However, community‐level factors that impact recognition and stigma are underexplored. The purpose of this study is to investigate the relationship between rurality, other community‐level variables, and individual variables with regard to the recognition and stigma of anxiety.MethodsWe use a survey of US adults (N = 627), including a rural oversample, and a cloaked vignette approach. We assess the ability to identify anxiety and measure associated stigma. The analysis applies an ecological model in multinomial logistic regressions.FindingsAbout half of the respondents recognize anxiety from a list of possibilities when provided with a vignette detailing common anxiety symptoms. Respondents living in rural areas are nearly twice as likely to correctly identify anxiety than nonrural respondents. About one‐fifth of respondents agree with a statement designed to measure stigma: that exhibiting the symptoms is a sign of personal weakness. Respondents able to identify anxiety show less stigma. Respondents from counties with high mental health provider access were less likely to endorse the stigma statement.ConclusionsRural areas seem poised to reduce the stigma associated with anxiety, because residents are more adept at identifying anxiety than people living elsewhere. Future work could focus on effective mechanisms for reducing stigma associated with anxiety in rural areas, and whether anxiety recognition and stigma are changing.

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Social Status Influence on Stigma Towards Mental Illness and Substance Use Disorder in the United States

Cited by 12 publications

References 57 publications

A systematic review of qualitative research on substance use among refugees

A systematic review of qualitative research on substance use among refugees

Ethical Issues in Social Media Recruitment for Clinical Studies: Ethical Analysis and Framework

Rural US residents recognize anxiety better than urbanites and suburbanites but hold similar stigma

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