Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug- and alcohol-use disorders

Substance-use disorders are a public health crisis globally and carry with them significant morbidity and mortality. Stigma toward people who abuse these substances, as well as the internalization of that stigma by substance users, is widespread. In this review, we synthesized the available evidence...

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Bibliographic Details
Published in:Substance abuse and rehabilitation 2018-01, Vol.9, p.115-136
Main Authors: Hammarlund, R, Crapanzano, K A, Luce, L, Mulligan, L, Ward, K M
Format: Article
Language:English
Subjects:
Addictions
Addictive behaviors
Alcohol
Alcohol use
Alcoholism
Analysis
Care and treatment
Decision making
Drug abuse
Mental disorders
Mental health
Methadone
Morbidity
Mortality
Narcotics
perceived social stigma
Public health
Review
Self-stigma
Stigma
Stigma (Social psychology)
Substance abuse
Substance abuse treatment
Substance use disorder
substance use disorders
treatment seeking
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Description
Summary:Substance-use disorders are a public health crisis globally and carry with them significant morbidity and mortality. Stigma toward people who abuse these substances, as well as the internalization of that stigma by substance users, is widespread. In this review, we synthesized the available evidence for the role of perceived social stigma and self-stigma in people's willingness to seek treatment. While stigma may be frequently cited as a barrier to treatment in some samples, the degree of its impact on decision-making regarding treatment varied widely. More research needs to be done to standardize the definition and measurement of self- and perceived social stigma to fully determine the magnitude of their effect on treatment-seeking decisions.
ISSN:1179-8467
1179-8467
DOI:10.2147/SAR.S183256