The Influence of Stigmatizing Messages on Danger Appraisal: Examining the Model of Stigma Communication for Opioid-Related Stigma, Policy Support, and Related Outcomes

Ledford, Victoria; Lim, JungKyu Rhys; Namkoong, Kang; Chen, Junhan; Qin, Yan

doi:10.1080/10410236.2021.1920710

Cited by 14 publications

(10 citation statements)

References 32 publications

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“…Second, danger appraisal had a consistent, positive effect on public stigma. These findings aligned with previous findings based on cross-sectional data (e.g., Corrigan et al, 2003;Ledford et al, 2021;Smith et al, 2019) and demonstrated that danger appraisal is a critical mechanism to consider in understanding the emergence of public stigma based on exposure to stigmatizing communication. As noted in the literature review, interpersonal and mediated messages about health or other kinds of threats do not have to use stigma frames (e.g., see Dragojevic et al, 2014).…”

Section: Consistent and Fluctuating Influencessupporting

confidence: 89%

Longitudinal study of an emerging COVID-19 stigma: Media exposure, danger appraisal, and stress.

Smith¹,

Zhu²,

Martin³

et al. 2023

Stigma and Health

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Media coverage of coronavirus disease (COVID-19) has played a critical role throughout the pandemic: sharing news about the novel virus, policies and practices to mitigate it, and the race to create and distribute vaccines. The media coverage, however, has been critiqued as stigmatizing. Although this critique is not new, there is limited understanding of how and why new stigmas emerge from exposure to media coverage. Drawing upon the model of stigma communication (Smith et al., 2019) and the attribution model of stigma (Corrigan et al., 2003), we investigated a novel model of stigma emergence that delineates two kinds of longitudinal processes: (a) a message-effects process, in which exposure to mediated messages about COVID-19 leads to public stigma through danger appraisal and (b) a coping process in which stress and rumination shape later perceptions of public stigma. To test the model, we tracked an emerging COVID-19 stigma with a two-wave survey of a prospective, longitudinal cohort living in one county in a mid-Atlantic state (N = 883). The results supported this model. The longitudinal processes of stigma emergence and implications for COVID-19 stigma are discussed.

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Section: Consistent and Fluctuating Influencessupporting

confidence: 89%

Longitudinal study of an emerging COVID-19 stigma: Media exposure, danger appraisal, and stress.

Smith¹,

Zhu²,

Martin³

et al. 2023

Stigma and Health

View full text Add to dashboard Cite

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“… 73 Stigma may also undermine public support for naloxone: where naloxone recipients are perceived as dangerous, there may be less support for programs. 74 …”

Section: Meso Levelmentioning

confidence: 99%

“…73 Stigma may also undermine public support for naloxone: where naloxone recipients are perceived as dangerous, there may be less support for programs. 74 Stigma also has considerable influence on community support of other harm reduction efforts, including safe consumption facilities. For example, only 29% of US adults support legalizing safe consumption facilities, 75 and believe they would allow illegal activity and encourage people to use drugs, 76 with higher levels of stigma associated with lower support.…”

Section: Dovepressmentioning

confidence: 99%

The Impact of Stigma on People with Opioid Use Disorder, Opioid Treatment, and Policy

Cheetham¹,

Picco²,

Barnett³

et al. 2022

SAR

100

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Illicit drug use disorders are the most stigmatised health conditions worldwide, and stigma acts as a meaningful barrier to treatment entry and treatment provision. In the context of dramatically rising opioid-related harms, it is critical that we understand the drivers of stigma and how it affects opioid use disorder treatment and policy. The aim of this narrative review is to discuss how opioid-related stigma impacts treatment provision and harm reduction, and provide potential strategies to reduce stigma at a social and structural level. We used the Framework for Integrating Normative Influences on Stigma (FINIS) to identify sources of opioid-related stigma at the macro (structural stigma), meso (public stigma) and micro (internalised stigma) levels. Reducing stigma requires strategies that target multiple levels, however addressing inequity in the laws, regulations, and rules that segregate people with opioid and other substance use disorders from mainstream society is essential.

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“…Given that many education programs do include a component about suicide, we think it is important to pause and ask how focusing on the possibility of injury and death is being received by participants. Ledford et al (2022) suggested there is an emotional response to stigmatizing messages, which increases the likelihood these messages are passed to others. The concept of suicide, while difficult, is intriguing and discussions around it may be more memorable to participants, thereby reinforcing the stigma of dangerousness.…”

Section: Discussionmentioning

confidence: 99%

The miseducation of mental health programming: The impact on stigma and beliefs about suicide.

Gorman,

Brennan

2024

Stigma and Health

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We explored the relationship between mental illness stigma and suicide beliefs in university students who have and have not completed a mental health education program. Our findings indicate university students generally hold relatively low levels of mental illness stigma except for stigma about dangerousness. Those who completed a mental health education program had lower scores on public stigma indices compared to those who had not. Stigma about the dangerousness of those with mental illness was predictive of what someone believes about suicide whether or not they completed a mental health education program. This study emphasizes stigmatized beliefs about perceptions of dangerousness are persistent and strongly tied to beliefs about suicide. We call for educational programs to be more focused on challenging the stigma about dangerousness and to work to decouple mental illness stigma from beliefs about suicide.

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The Influence of Stigmatizing Messages on Danger Appraisal: Examining the Model of Stigma Communication for Opioid-Related Stigma, Policy Support, and Related Outcomes

Cited by 14 publications

References 32 publications

Longitudinal study of an emerging COVID-19 stigma: Media exposure, danger appraisal, and stress.

Longitudinal study of an emerging COVID-19 stigma: Media exposure, danger appraisal, and stress.

The Impact of Stigma on People with Opioid Use Disorder, Opioid Treatment, and Policy

The miseducation of mental health programming: The impact on stigma and beliefs about suicide.

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