Journal of substance use · 2025
Understanding the association between medical mistrust, opioid knowledge, and stigma towards adults with a history of an opioid use disorder.
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Dellucci Trey V, Adams Zachary W, Borowiecki Mateusz, Lamuda Phoebe A, Flanagan Elizabeth, Aalsma Matthew C, Pollack Harold, Schneider John, Taylor Bruce G
Аннотация
BACKGROUND: Negative public attitudes or stigma towards opioid use disorder (OUD) is associated with lower engagement in treatment for OUD. Studies examining correlates of opioid-related stigma are needed to better understand modifiable pathways to be targeted in stigma reduction interventions.
PURPOSE: Grounded in the knowledge-attitude-behavior framework, this study examines an indirect pathway between medical mistrust and stigma towards individuals with a history of an OUD through opioid knowledge. Additionally, the study examines whether racial and sexual minority status moderates the relationship between opioid knowledge and opioid stigma.
METHODS: The analytic sample included 6,310 participants who were recruited from the AmeriSpeak® panel and completed a survey on attitudes towards opioids and OUD between October 2021 and November 2021.
RESULTS: Medical mistrust was negatively associated with opioid knowledge (B = -0.16, p < .001). In turn, opioid knowledge was negatively associated with opioid stigma (B = -0.18, p < .001). The association between opioid knowledge and opioid stigma was further moderated by both racial and sexual minority status.
DISCUSSION: Findings offer insight into possible intervention and prevention programing. Opioid knowledge is modifiable and may be a mechanism for reducing stigma and improving attitudes towards people living with an OUD.
PURPOSE: Grounded in the knowledge-attitude-behavior framework, this study examines an indirect pathway between medical mistrust and stigma towards individuals with a history of an OUD through opioid knowledge. Additionally, the study examines whether racial and sexual minority status moderates the relationship between opioid knowledge and opioid stigma.
METHODS: The analytic sample included 6,310 participants who were recruited from the AmeriSpeak® panel and completed a survey on attitudes towards opioids and OUD between October 2021 and November 2021.
RESULTS: Medical mistrust was negatively associated with opioid knowledge (B = -0.16, p < .001). In turn, opioid knowledge was negatively associated with opioid stigma (B = -0.18, p < .001). The association between opioid knowledge and opioid stigma was further moderated by both racial and sexual minority status.
DISCUSSION: Findings offer insight into possible intervention and prevention programing. Opioid knowledge is modifiable and may be a mechanism for reducing stigma and improving attitudes towards people living with an OUD.