Evidence map›Paper›PMID 39077954›Full record

ArticleSubstance use & addiction journal2025

Pointing Fingers: Who US Adults Blame for the Opioid Overdose Epidemic.

Yoonsang Kim, Alex Kresovich, Kai MacLean, Phoebe Lamuda, Marie Ngobo-Ekamby, Cedasia McQueen, John Schneider, Harold A Pollack, Bruce G Taylor

Abstract read
In one paragraph

Article in Substance use & addiction journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

9 authors.

Yoonsang KimPublic Health Department, NORC at the University of Chicago, Chicago, IL, USA.ORCID 0000-0002-1685-1753
Alex KresovichPublic Health Department, NORC at the University of Chicago, Chicago, IL, USA.
Kai MacLeanPublic Health Department, NORC at the University of Chicago, Chicago, IL, USA.
Phoebe LamudaPublic Health Department, NORC at the University of Chicago, Chicago, IL, USA.
Marie Ngobo-EkambyPublic Health Department, NORC at the University of Chicago, Chicago, IL, USA.
Cedasia McQueenPublic Health Department, NORC at the University of Chicago, Chicago, IL, USA.
John SchneiderDepartment of Public Health Sciences, The University of Chicago, Chicago, IL, USA.
Harold A PollackDepartment of Public Health Sciences, The University of Chicago, Chicago, IL, USA.
Bruce G TaylorPublic Health Department, NORC at the University of Chicago, Chicago, IL, USA.

Funding

Survey CoreU2CDA050098 · NIDA · UNIVERSITY OF CHICAGO · PI POLLACK, HAROLD ALEXANDER, SCHNEIDER, JOHN · 2019 to 2019
$17.2M
NIDA NIH HHS U2C DA050098
6 · The paper itself

Abstract

backgroundOver 3 million Americans have an opioid use disorder (OUD), and only a fraction receive treatment. Public opinion is crucial in enacting evidence-based policies. Few studies have examined the public's perception of blame for the ongoing opioid overdose epidemic directed at distinct groups. We assessed US adults' perceived blameworthiness for the epidemic and examined factors that may influence the perceived blameworthiness.

methodsWe conducted a national survey in 2022 using the AmeriSpeak® panel to assess US adults' perception of blame toward individuals with an OUD and external contributors. Of the 3335 eligible panel members invited to participate, 1233 (37%) completed the survey. We developed a measure of knowledge and understanding of OUD, with a higher value indicating a greater understanding of the nature of OUD and recovery-including knowledge and beliefs on evidence-based treatment and relapse. We analyzed the relationships between sources of blame, knowledge, and understanding of OUD, and individual-level correlates.

resultsHigher score of knowledge and understanding of OUD was associated with lower odds of blaming individuals with OUD (odds ratio [OR] = 0.73, 95% confidence interval [CI] = [0.51, 1.05]) and greater odds of blaming external contributors: healthcare providers (OR = 1.49, 95% CI = [1.05, 2.12]), pharmaceutical companies (OR = 2.17, 95% CI = [1.50, 3.15]), and health insurance companies (OR = 1.42, 95% CI = [0.97, 2.09]). Those who are female, non-Hispanic White, Democrat, have higher education, or have friends or family who misused opioids tended to score higher in knowledge and understanding of OUD.

conclusionsPerceived blameworthiness for the opioid overdose epidemic is related to knowledge and understanding of OUD. Public health campaigns with a bipartisan agenda to increase evidence-informed knowledge about OUD targeting people of color and with lower education may help reduce the blame toward people with an OUD, which in turn may increase support for evidence-informed policies.

Indexed as

Health Knowledge, Attitudes, PracticeOpiate OverdoseOpioid EpidemicOpioid-Related DisordersPublic OpinionAdultAgedFemaleHumansMaleMiddle AgedSurveys and QuestionnairesUnited StatesYoung Adultattributionevidence-informed policyknowledgeopioid use disorderperceived blameworthiness

Identifiers

PMID39077954
PMCPMC11779971

What OpenQuestion holds

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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.