Evidence map›Paper›PMID 37402079›Full record

ArticleHealth & justice2023

Stigmatizing imagery for substance use disorders: a qualitative exploration.

Jessica Hulsey, Kayla Zawislak, Ginnie Sawyer-Morris, Valerie Earnshaw

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Article in Health & justice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jessica HulseyAddiction Policy Forum, 4701 Sangamore Road, Suite 100N, Bethesda, MD, 20816, USA. jhulsey@addictionpolicy.org.ORCID http://orcid.org/0000-0002-0338-0411
Kayla ZawislakAddiction Policy Forum, 4701 Sangamore Road, Suite 100N, Bethesda, MD, 20816, USA.ORCID http://orcid.org/0000-0002-8312-1638
Ginnie Sawyer-MorrisAddiction Policy Forum, 4701 Sangamore Road, Suite 100N, Bethesda, MD, 20816, USA.ORCID http://orcid.org/0000-0001-7821-6440
Valerie EarnshawUniversity of Delaware, Newark, DE, 19716, USA.ORCID http://orcid.org/0000-0002-4147-3301

Funding

Technical Assistance CoreU2CDA050097 · NIDA · GEORGE MASON UNIVERSITY · PI Todd David Molfenter, Jessica Hulsey Nickel · 2019 to 2026
$37.0M
NIDA NIH HHS U2CDA050097
6 · The paper itself

Abstract

backgroundStigma is a significant barrier to the treatment of individuals with substance use disorders. While prior efforts have been made to change stigmatizing language to refer to individuals with substance use disorders (SUD), little is known about the effects of stigmatizing imagery. There is a need for complementary qualitative research to identify both stigmatizing and non-stigmatizing imagery in the field of SUD.

methodsThis study used qualitative methods to identify stigmatizing and non-stigmatizing imagery for SUD and explore the reactions of people with lived experience with SUD to SUD-related imagery. We conducted focus groups and brief semi-structured qualitative interviews with 14 individuals in recovery from a range of SUD.

resultsParticipants identified images of substance use and criminal justice contact that are negative or stigmatizing, along with alternative images that were endorsed for use. The unanticipated concept of imagery-induced triggering and cue reactivity emerged in the interviews, along with an emphasis on diversity in race/ethnicity, gender, and age for representations of both patients and clinicians in all imagery.

conclusionsThe findings can be helpful in informing imagery that can depict addiction, individuals with SUD, and individuals involved in the justice system for various fields from research to media, public health, and community-based programming. Based on qualitative feedback from patients on triggering effects and reactivity to visual cues, it is never appropriate to use drug use and drug paraphernalia imagery to depict substance use or misuse or pictures of people in cages.

Identifiers

PMID37402079
PMCPMC10318721

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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.