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Cited by 61Substance Abuse Treatment and OutcomesMental Health Treatment and AccessOpioid Use Disorder Treatment

Implications of addiction diagnosis and addiction beliefs for public stigma: A cross‐national experimental study

Rundle, Samantha M., Cunningham, John A., Hendershot, Christian S.·2021·Drug and Alcohol Review
DOI 10.1111/dar.13244
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Abstract

Introduction: Stigmatisation of alcohol and other drug (AOD) use disorders poses a significant barrier to treatment access. A review by the World Health Organization concluded that addictive disorders were the most stigmatised health condition. Few studies have examined whether different etiological models of addiction (MOA) have implications for public stigma toward AOD disorders. The current study examined whether beliefs representative of five MOA predict public stigma levels and whether stigma differs for AOD use disorders relative to other health conditions. Methods: Survey data were collected from Canada, the USA and Australia using an online data collection platform. Participants were randomised to one of four vignette manipulations describing an individual with an alcohol use disorder and/or other disorder. Participants' stigma toward the vignette character and beliefs related to five MOA (disease, moral, psychological, sociological, nature) were measured. Results: Stigma ratings were significantly higher in the alcohol use disorder condition compared to other conditions. Two MOA accounted for significant variance in stigma ratings, where greater beliefs in the nature and psychological MOA predicted significantly lower levels of stigma toward alcohol use disorder. Contrary to predictions, beliefs in the disease MOA did not relate to lower stigma. Lastly, beliefs in the moral MOA partly accounted for geographical region differences (the USA vs. Canada) in public stigma. Discussion and Conclusions: The current study provides further experimental support that AOD disorders are more stigmatised than others. Additionally, the findings suggest that MOA may relate differentially to perceived stigma, and that regional variability in such beliefs exists.

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Authors
Rundle, S. M., Cunningham, J. A., & Hendershot, C. S.
Affiliations
Centre for Addiction and Mental Health (CA)
Corresponding author
Hendershot, Christian S.
ORCID
Venue
Drug and Alcohol Review
Publisher
Wiley
Published
2021-01-25
Volume
40
Issue
5
Pages
842-846
ISSN
  • 0959-5236 (ISSN-L)
  • 1465-3362
DOI
10.1111/dar.13244
OpenAlex
W3125038960
Cited by
61
References
49
Citations by year
2026: 8 · 2025: 15 · 2024: 12 · 2023: 12 · 2022: 8 · 2021: 6
FWCI
6.85
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Drug and Alcohol Review (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Canada Research Chairs
  • Canadian Institutes of Health Research (ERN‐155202)
  • World Health Organization
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
public stigma, alcoholism, disease models, moral exemplars, psychological model, sociological models, treatment access barriers, cross-national comparison, regional variation
MeSH terms
Alcoholism, Humans, Stereotyping, Behavior, Addictive, Substance-Related Disorders, Social Stigma

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