ArticleJournal of addiction medicine
The Incidence and Disparities in Use of Stigmatizing Language in Clinical Notes for Patients With Substance Use Disorder.
Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Understanding Stigmatizing Language Lexicons: A Comparative Analysis in Clinical Contexts.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Pooled it
- Hospital-Based Clinicians' Knowledge and Practices Regarding Stigmatizing Language in Clinical Documentation: A Multicenter Survey.Journal of general internal medicine · 2026Article
- Stigmatizing language in alcohol-associated cirrhosis open notes: Persistent but declining.Hepatology communications · 2026Article
- Natural Language Processing Applied to Psychiatric Clinical Notes: Scoping Review.JMIR medical informatics · 2026Article
- Identifying Patterns of Stigmatizing Language Use in the Safety Net.Journal of general internal medicine · 2026Article
- Mapping the role of artificial intelligence in health-related stigma: a scoping review.NPJ digital medicine · 2026Article
- Chaplains' Charting in the USA in the Era of "Open Notes:" Recommendations from a Quality Improvement Project.Journal of religion and health · 2026Article
- Evaluating the implementation and impact of harm reduction vending machines in veterans supportive housing settings: a mixed-methods study protocol.Harm reduction journal · 2026Article
- Words Matter: Content Analysis of Language Used When Documenting in the Medical Records of Patients in Mental Health.Journal of multidisciplinary healthcare · 2026Article
- Detecting stigmatizing language in clinical notes with large language models for addiction care.npj health systems · 2026Article
- Identifying Bias at Scale in Clinical Notes Using Large Language Models.Mayo Clinic proceedings. Digital health · 2025Article
- Hospital-Based Stigma Practices Towards Individuals With Opioid Use Disorder: A Qualitative Study in Austin, Texas.American journal of medicine open · 2025Article
- Patient Disability Status and the Use of Stigmatizing Language in Clinical Notes During Hospital Admission for Birth.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025Article
- Words matter: Stigmatizing language in medical records of individuals electing medication for opioid use disorder.Drug and alcohol dependence · 2025Article
- Identifying and Reducing Stigmatizing Language in Home Health Care With a Natural Language Processing-Based System (ENGAGE): Protocol for a Mixed Methods Study.JMIR research protocols · 2025Article
- Changes in Documentation After Implementing Open Notes in Mental Health Care: Pre-Post Mixed Methods Study.Journal of medical Internet research · 2025Article
- Efficient Detection of Stigmatizing Language in Electronic Health Records via In-Context Learning: Comparative Analysis and Validation Study.JMIR medical informatics · 2025Article
- Addressing stigma for families affected by opioid use disorder.Seminars in perinatology · 2025Review
- Using natural language processing to explore differences in healthcare professionals' language on Functional Neurological Disorder: a comparative topic and sentiment analysis study.Frontiers in digital health · 2025Article
- Documentation of Stigmatizing Language in Electronic Health Records and Birth Outcomes.Health equity · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveThe language used to describe people with substance use disorder impacts stigma and influences clinical decision making. This study evaluates the presence of stigmatizing language (SL) in clinical notes and detects patient- and provider-level differences.
methodsAll free-text notes generated in a large health system for patients with substance-related diagnoses between December 2020 and November 2021 were included. A natural language processing algorithm using the National Institute on Drug Abuse's "Words Matter" list was developed to identify use of SL in context.
resultsThere were 546,309 notes for 30,391 patients, of which 100,792 (18.4%) contained SL. A total of 18,727 patients (61.6%) had at least one note with SL. The most common SLs used were "abuse" and "substance abuse." Nurses were least likely to use SL (4.1%) while physician assistants were most likely (46.9%). Male patients were more likely than female patients to have SL in their notes (adjusted odds ratio [aOR], 1.17; 95% confidence internal [CI], 1.11-1.23), younger patients aged 18 to 24 were less likely to have SL than patients 45 to 54 years (aOR, 0.55; 95% CI, 0.50-0.61), Asian patients were less likely to have SL than White patients (aOR, 0.45; 95% CI, 0.36-0.56), and Hispanic patients were less likely to have SL than non-Hispanic patients (aOR, 0.88; 95% CI, 0.80-0.98).
conclusionsThe majority of patients with substance-related diagnoses had at least one note containing SL. There were also several patient characteristic disparities associated with patients having SL in their notes. The work suggests that more clinician interventions about use of SL are needed.
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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.