ArticlePLoS medicine2019
Stigma as a fundamental hindrance to the United States opioid overdose crisis response.
Abstract read
In one paragraph
Article in PLoS medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 210 papers, 1 of them a synthesis that pooled it.
0numbers the graph read from it
0cells of the map it votes in
210citing papers in PubMed, 1 pooled it
–field-weighted citation impact
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
210 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers and facilitators to initiating and adhering to harm reduction services among people who inject drugs in the United States: a systematic review.Harm reduction journal · 2026Pooled it
- Does perceived stigma impact opioid use disorder treatment uptake? A cross-sectional secondary analysis of buprenorphine engagement among syringe service program participants.Addiction science & clinical practice · 2026Trial
- Recruiting a National Sample of First Response Agencies to Participate in an Overdose Prevention Research Project: Randomized Controlled Trial and Feasibility Study.JMIR formative research · 2026Trial
- The Association of Perceived Risk for Opioid Overdose and Subsequent Overdose Among a Cohort of Opioid Overdose Survivors Who Use Nonprescribed Opioids.Substance use & addiction journal · 2026Trial
- Portrayals of alcohol use disorder treatment outcomes and their effects on stigma: Population-based, randomized survey experiment in rural Uganda.Drug and alcohol dependence · 2025Trial
- Comparative effectiveness of extended-release naltrexone versus buprenorphine-naloxone on treatment interruption: Comparing findings from a reanalysis of the X:BOT RCT and harmonized target trial emulation using population-based observational data.Addiction (Abingdon, England) · 2025Trial
- Disclosing Recovery: A pilot randomized controlled trial of a patient decision aid to improve disclosure processes for people in treatment for opioid use disorder.Journal of substance use and addiction treatment · 2024Trial
- Pilot randomized controlled trial of a hospital-based substance use treatment and recovery team (START) to improve initiation of medication for alcohol or opioid use disorder and linkage to follow-up care.Journal of substance use and addiction treatment · 2023Trial
- A randomized controlled trial of an intervention to reduce stigma toward people with opioid use disorder among primary care clinicians.Addiction science & clinical practice · 2023Trial
- Effect of Exposure to Visual Campaigns and Narrative Vignettes on Addiction Stigma Among Health Care Professionals: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Barriers and motivators for opioid deprescribing among Danish adults receiving long-term treatment with short-acting opioids: an exploratory qualitative study in primary care informed by self-determination theory.Scandinavian journal of primary health care · 2026Article
- What We Do Matters: A Documentary Style Video to Address Healthcare Stigma Toward People Who Use Substances.Substance use & addiction journal · 2026Article
- HIV-Stigmatizing Beliefs and Attitudes as a Barrier to Early PrEP Care Continuum Engagement Among People Who Inject Drugs.AIDS and behavior · 2026Article
- Perceptions surrounding intranasal naloxone use and access among a population experiencing homelessness.Exploratory research in clinical and social pharmacy · 2026Article
- Depressive Symptoms and Anticipated Help-seeking Stigma as Mental Healthcare Navigation Barriers Among People Who Use Opioids.Community mental health journal · 2026Article
- "In My Community, if You're an Addict, People Don't Just Look Down on You for the Drugs, but for Being Black, Too": Black and Latine Methadone Patients' Experiences Around Addiction, Methadone Treatment, and Intersectional Stigma.Journal of racial and ethnic health disparities · 2026Article
- Cervical Cancer Screening With Human Papillomavirus Self-Collection Testing in an Opioid Treatment Program.JAMA network open · 2026Article
- Telehealth and Intervention Stigma: Patient Perspectives About Flexible Opioid Use Disorder Treatment Delivery.Substance use & addiction journal · 2026Article
- Perceptions of Buprenorphine With Naloxone Treatment and the Fear of Precipitated Withdrawal: A Qualitative Exploration With HIV Prevention Trials Network 094 INTEGRA Participants and Staff.Drug and alcohol review · 2026Article
- A Qualitative Phenomenological Study of Treatment Options for Patients with SCD and Chronic Pain: Buprenorphine-Naloxone or Full-Agonist Therapy.International journal of environmental research and public health · 2026Article
150 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Alexander C TsaiCenter for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States of America.ORCID 0000-0001-6397-7917
Mathew V KiangCenter for Population Health Sciences, Stanford University School of Medicine, Stanford, California, United States of America.ORCID 0000-0001-9198-150X
Michael L BarnettHarvard Medical School, Boston, Massachusetts, United States of America.ORCID 0000-0002-4884-6609
Leo BeletskyNortheastern University School of Law, Boston, Massachusetts, United States of America.ORCID 0000-0003-0726-0676
Katherine M KeyesMailman School of Public Health, Columbia University, New York City, New York, United States of America.
Emma E McGintyDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Laramie R SmithDivision of Infectious Diseases and Global Public Health, University of California at San Diego School of Medicine, San Diego, California, United States of America.
Steffanie A StrathdeeDivision of Infectious Diseases and Global Public Health, University of California at San Diego School of Medicine, San Diego, California, United States of America.ORCID 0000-0002-7724-691X
Sarah E WakemanHarvard Medical School, Boston, Massachusetts, United States of America.ORCID 0000-0002-5475-2713
Atheendar S VenkataramaniDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.ORCID 0000-0002-7612-8903
Funding
No grant is acknowledged in the PubMed record.
Abstract
Alexander Tsai and co-authors discuss the role of stigma in responses to the US opioid crisis.
Indexed as
Social StigmaAnalgesics, OpioidDrug OverdoseHumansOpioid-Related DisordersUnited StatesAnalgesics, Opioid
Identifiers
What OpenQuestion holds
Textmetadata
LicenceCC BY
Read underepoch 390
Registered trials
None linked
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.