Evidence map›Paper›PMID 42277855›Full record

SynthesisBMC health services research2026

Stigmatism among physicians and nurses towards patients with alcohol use disorder: a systematic review.

Emilie Benoni Kofod, Camilla Dahl Haislund Olsen, Kjeld Andersen, Anette Søgaard Nielsen

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Emilie Benoni KofodThe Unit for Clinical Alcohol Research, Psychiatric Research Unit, Department of Clinical Research, Faculty of Health Sciences, The University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0009-0004-9757-0380
Camilla Dahl Haislund OlsenThe Unit for Clinical Alcohol Research, Psychiatric Research Unit, Department of Clinical Research, Faculty of Health Sciences, The University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-8309-9266
Kjeld AndersenThe Unit for Clinical Alcohol Research, Psychiatric Research Unit, Department of Clinical Research, Faculty of Health Sciences, The University of Southern Denmark, Odense, Denmark.
Anette Søgaard NielsenThe Unit for Clinical Alcohol Research, Psychiatric Research Unit, Department of Clinical Research, Faculty of Health Sciences, The University of Southern Denmark, Odense, Denmark. ansnielsen@health.sdu.dk.ORCID http://orcid.org/0000-0002-8569-4165

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsAlcohol use disorder (AUD) is a common and debilitating condition in Western countries. AUD is often stigmatized, which can worsen the condition and be a barrier for treatment seeking. This is a systematic review that aimed to identify and analyze stigmatizing attitudes and behaviors of physicians and nurses towards patients with AUD in Western hospital and primary care settings, 2014-2024. The study also examines potential differences between physicians and nurses, settings, and changes over time.

methodsA systematic review was conducted in accordance with the PRISMA reporting guideline. Pubmed, PsycINFO and Embase were searched using MeSH terms and free-text keywords covering alcohol use disorders, healthcare professionals and stigma-related concepts (e.g. "Stereotyping," "Attitude," "Prejudice"). Two reviewers independently completed the full screening of articles, data extraction, and quality assessment. The included studies were assessed for quality using the Critical Appraisal Skills Programme (CASP).

resultsOf the 2835 articles screened, 11 studies were included. Stigmatizing behaviors and attitudes towards patients with AUD were common and often characterized by stereotyping, prejudice, and negative feelings. Recurring themes and patterns included avoidance of patients, moral judgment, and perceptions of patients as resistant to treatment, all contributing to the perception that treatment is futile. No differences were observed between physicians and nurses, across healthcare settings, or over time. The qualitative studies were generally of higher quality, while the quantitative studies showed methodological weaknesses.

conclusionStigmatizing attitudes and behaviors towards patients with AUD persist among physicians and nurses, hindering effective care. Further research, including patient perspectives and ethnographic approaches, is needed to understand these behaviors and their impact on patient care and treatment-seeking. Addressing stigma is crucial for improving care outcomes.

Indexed as

AlcoholismAttitude of Health PersonnelNursesPhysiciansSocial StigmaStereotypingHumansAlcohol Use DisorderAttitudeNursesPhysiciansStigma

Identifiers

PMID42277855
PMCPMC13488237

What OpenQuestion holds

Textmetadata
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.