ArticleSociology of health & illness2016
Negotiating substance use stigma: the role of cultural health capital in provider-patient interactions.
Article in Sociology of health & illness, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 84 citations in OpenAlex.
- Theorizing causality: A qualitative study of xylazine-related wound diversity and perceived etiology among people who inject drugs.Addiction (Abingdon, England) · 2026Article
- Building and Boosting Capitals for Health Care Access: A Qualitative Study of Homeless Health Peer Advocacy in London, UK.Sociology of health & illness · 2026Article
- Stigma and the Inverse Care Law: Experiences of 'Care' for People Living in Marginalised Conditions.Sociology of health & illness · 2025Article
- Social Capital and Cultural Health Capital in Primary Care: The Case of Group Medical Visits.Sociology of health & illness · 2025Article
- "If they get out of drug rehab centers, they're on their own": Opportunities and challenges for people released from compulsory drug rehabilitation centers to communities in Vietnam.The International journal on drug policy · 2024Article
- Developing practical strategies to reduce addiction-related stigma and discrimination in public addiction treatment centers: a mixed-methods study protocol.Addiction science & clinical practice · 2024Article
- The Impact of Cultural Health Capital on Market Choice Along the Texas-Mexico Border.Journal of racial and ethnic health disparities · 2024Article
- Stigma as a barrier to integrated substance use and HIV care in Vietnam: A qualitative examination of patient and provider perspectives.Journal of ethnicity in substance abuse · 2024Article
- "Whatever I said didn't register with her": medical fatphobia and interactional and relational disconnect in healthcare encounters.Frontiers in sociology · 2024Article
- Resistance to anti-smoking messages related to the higher smoking stigma of Korean female smokers.Frontiers in psychology · 2024Article
- Framing stigma as an avoidable social harm that widens inequality.The Sociological review · 2023Article
- Emergency department experiences of people who use drugs who left or were discharged from hospital against medical advice.PloS one · 2023Article
- Social service providers' perspectives on caring for structurally vulnerable hospital patients who use drugs: a qualitative study.BMC health services research · 2022Article
- "You're Not Supposed to be on it Forever": Medications to Treat Opioid Use Disorder (MOUD) Related Stigma Among Drug Treatment Providers and People who Use Opioids.Substance abuse : research and treatment · 2022Article
- Health Professional Stigma as a Barrier to Contingency Management Implementation in Opioid Treatment Programs.Translational issues in psychological science · 2021Article
- Patterns of Alcohol Use Among Transgender Patients Receiving Care at the Veterans Health Administration: Overall and Relative to Nontransgender Patients.Journal of studies on alcohol and drugs · 2021Article
- The Role of Nurses in Eliminating Health Disparities and Achieving Health Equity.Journal of psychosocial nursing and mental health services · 2020Article
- Mitigating the Risk of Infectious Diseases Among Rural Drug Users in Western North Carolina: Results of the Southern Appalachia Test, Link, Care (SA-TLC) Health Care Provider Survey.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020Article
- Strategies used by people who inject drugs to avoid stigma in healthcare settings.Drug and alcohol dependence · 2019Article
- A Mixed Methods Study of Anticipated and Experienced Stigma in Health Care Settings Among Women Living with HIV in the United States.AIDS patient care and STDs · 2019Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
Diverse aspects of life and lifestyles, including stigmatised attributes and behaviors are revealed as providers and patients discuss health. In this article, we examine how the stigma associated with substance use issues shapes clinical interactions. We use the theoretical framework of cultural health capital (CHC) to explain how substance use stigma is created, reinforced and sometimes negotiated as providers and patients engage in health interactions. We present two main findings using examples. First, two theoretical concepts--habitus and field--set the social position and expectations of providers and patients in ways that facilitate the stigmatisation of substance use. Second, we found both providers and patients actively exchanged CHC as a key strategy to reduce the negative effects of stigma. In some clinical encounters, patients possessed and activated CHC, providers acknowledged patient's CHC and CHC was successfully exchanged. These interactions were productive and mutually satisfying, even when patients were actively using substances. However, when CHC was not activated, acknowledged and exchanged, stigma was unchallenged and dominated the interaction. The CHC theoretical framework allows us to examine how the stigma process is operationalized and potentially even counteracted in clinical interactions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.