IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v232y2019icp324-331.html
   My bibliography  Save this article

Intervention stigma: How medication-assisted treatment marginalizes patients and providers

Author

Listed:
  • Madden, Erin Fanning

Abstract

Methadone and buprenorphine are drugs used to treat opioid use disorders, and are labeled the “gold standard” of treatment by the National Institutes of Health. Yet associating with these forms of medication-assisted treatment (MAT) subjects individuals to stigma from healthcare personnel both within and outside addiction treatment communities. This study uses the case of MAT to propose a new category of stigma: “intervention stigma.” Unlike “condition stigmas” that mark individuals due to diagnosis, intervention stigma marks patients and health professionals due to involvement with a medical treatment or other form of intervention. In-depth interviews with 47 addiction treatment professionals explore how individuals working in MAT experience discrimination and prejudice from other healthcare professionals, especially abstinent treatment professionals who disagree with the use of medications to treat opioid use disorders. This discrimination and prejudice stems at times from stigma toward addiction diagnoses, and at other times toward unique features of MAT itself. The experiences of addiction treatment professionals illustrate how medical interventions can mark patients and professionals in ways that affect patient care, and thus must be added to the scope of destigmatization efforts operating in the health sector.

Suggested Citation

  • Madden, Erin Fanning, 2019. "Intervention stigma: How medication-assisted treatment marginalizes patients and providers," Social Science & Medicine, Elsevier, vol. 232(C), pages 324-331.
  • Handle: RePEc:eee:socmed:v:232:y:2019:i:c:p:324-331
    DOI: 10.1016/j.socscimed.2019.05.027
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953619302916
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2019.05.027?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Hatzenbuehler, M.L. & Phelan, J.C. & Link, B.G., 2013. "Stigma as a fundamental cause of population health inequalities," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 813-821.
    2. Sulzer, Sandra H., 2015. "Does “difficult patient” status contribute to de facto demedicalization? The case of borderline personality disorder," Social Science & Medicine, Elsevier, vol. 142(C), pages 82-89.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Paige Wray & Callahan K. Ward & Cindy Nelson & Sandra H. Sulzer & Christopher J. Dakin & Brennan J. Thompson & Matthew Vierimaa & Debasree Das Gupta & David A. E. Bolton, 2021. "Pickleball for Inactive Mid-Life and Older Adults in Rural Utah: A Feasibility Study," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    2. Victoria Rice Carlisle & Olivia M. Maynard & Darren Bagnall & Matthew Hickman & Jon Shorrock & Kyla Thomas & Joanna Kesten, 2023. "Should I Stay or Should I Go? A Qualitative Exploration of Stigma and Other Factors Influencing Opioid Agonist Treatment Journeys," IJERPH, MDPI, vol. 20(2), pages 1-20, January.
    3. Jin Wei Gong & Dan Luo & Wen Jia Liu & Juan Zhang & Zi Ru Chen & Qin-Yu Wang & Xin Yi Yang & Bing Xiang Yang & Hai-Shan Huang & Xiao Qin Wang, 2023. "Challenges faced when living with schizophrenia in the community: A narrative inquiry," International Journal of Social Psychiatry, , vol. 69(2), pages 420-429, March.
    4. Julia Dickson-Gomez & Sarah Krechel & Dan Katende & Bryan Johnston & Wamala Twaibu & Laura Glasman & Moses Ogwal & Geofrey Musinguzi, 2022. "The Role of Context in Integrating Buprenorphine into a Drop-In Center in Kampala, Uganda, Using the Consolidated Framework for Implementation Research," IJERPH, MDPI, vol. 19(16), pages 1-17, August.
    5. O'Brien, Thomas C. & Feinberg, Judith & Gross, Robert & Albarracín, Dolores, 2022. "Supportive environments during the substance use disorder epidemic in the rural United States: Provider support for interventions and expectations of interactions with providers," Social Science & Medicine, Elsevier, vol. 294(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Robert J. Cramer & Jennifer Langhinrichsen-Rohling & Andrea R. Kaniuka & Corrine N. Wilsey & Annelise Mennicke & Susan Wright & Erika Montanaro & Jessamyn Bowling & Kristin E. Heron, 2020. "Preferences in Information Processing, Marginalized Identity, and Non-Monogamy: Understanding Factors in Suicide-Related Behavior among Members of the Alternative Sexuality Community," IJERPH, MDPI, vol. 17(9), pages 1-17, May.
    2. Mayank Aggarwal & Anindya S. Chakrabarti & Chirantan Chatterjee, 2023. "Movies, stigma and choice: Evidence from the pharmaceutical industry," Health Economics, John Wiley & Sons, Ltd., vol. 32(5), pages 1019-1039, May.
    3. Karen M. Davison & Vidhi Thakkar & Shen (Lamson) Lin & Lorna Stabler & Maura MacPhee & Simon Carroll & Benjamin Collins & Zachary Rezler & Jake Colautti & Chaoqun (Cherry) Xu & Esme Fuller-Thomson & B, 2021. "Interventions to Support Mental Health among Those with Health Conditions That Present Risk for Severe Infection from Coronavirus Disease 2019 (COVID-19): A Scoping Review of English and Chinese-Langu," IJERPH, MDPI, vol. 18(14), pages 1-22, July.
    4. Garthwaite, Kayleigh & Bambra, Clare, 2017. "“How the other half live”: Lay perspectives on health inequalities in an age of austerity," Social Science & Medicine, Elsevier, vol. 187(C), pages 268-275.
    5. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    6. Bruce C. Martin & Benson Honig, 2020. "Inclusive Management Research: Persons with Disabilities and Self-Employment Activity as an Exemplar," Journal of Business Ethics, Springer, vol. 166(3), pages 553-575, October.
    7. Jacobs, Susan & Quinn, Joseph, 2022. "Cultural reproduction of mental illness stigma and stereotypes," Social Science & Medicine, Elsevier, vol. 292(C).
    8. Cook, Jonathan E. & Purdie-Vaughns, Valerie & Meyer, Ilan H. & Busch, Justin T.A., 2014. "Intervening within and across levels: A multilevel approach to stigma and public health," Social Science & Medicine, Elsevier, vol. 103(C), pages 101-109.
    9. Sorhaindo, Annik Mahalia & Lavelanet, Antonella Francheska, 2022. "Why does abortion stigma matter? A scoping review and hybrid analysis of qualitative evidence illustrating the role of stigma in the quality of abortion care," Social Science & Medicine, Elsevier, vol. 311(C).
    10. Alon Alalouf & Michal Soffer, 2023. "Stigma Management, Social Support, and quality of life: an exploratory study among people with Crohn’s Disease," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(1), pages 455-471, February.
    11. Iván Sánchez-Iglesias, 2023. "The “Why” in Mental Health, Stigma, and Addictive Behaviors: Causal Inferences in Applied Settings," IJERPH, MDPI, vol. 20(20), pages 1-7, October.
    12. O'Donnell, Aisling T. & Foran, Aoife-Marie, 2024. "The link between anticipated and internalized stigma and depression: A systematic review," Social Science & Medicine, Elsevier, vol. 349(C).
    13. Björn Huss, 2021. "Well-Being Before and After Pregnancy Termination: The Consequences of Abortion and Miscarriage on Satisfaction With Various Domains of Life," Journal of Happiness Studies, Springer, vol. 22(6), pages 2803-2828, August.
    14. Fenton, Anny T. & Elliott, Marc N. & Schwebel, David C. & Berkowitz, Zahava & Liddon, Nicole C. & Tortolero, Susan R. & Cuccaro, Paula M. & Davies, Suzy L. & Schuster, Mark A., 2018. "Unequal interactions: Examining the role of patient-centered care in reducing inequitable diffusion of a medical innovation, the human papillomavirus (HPV) vaccine," Social Science & Medicine, Elsevier, vol. 200(C), pages 238-248.
    15. Timothy P Schofield & Peter Butterworth, 2015. "Patterns of Welfare Attitudes in the Australian Population," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-14, November.
    16. Gabriella Y. Meltzer & Virginia W. Chang & Sarah A. Lieff & Margaux M. Grivel & Lawrence H. Yang & Don C. Des Jarlais, 2021. "Behavioral Correlates of COVID-19 Worry: Stigma, Knowledge, and News Source," IJERPH, MDPI, vol. 18(21), pages 1-15, October.
    17. Felner, Jennifer K. & Dudley, Terry D. & Ramirez-Valles, Jesus, 2018. "“Anywhere but here": Querying spatial stigma as a social determinant of health among youth of color accessing LGBTQ services in Chicago's Boystown," Social Science & Medicine, Elsevier, vol. 213(C), pages 181-189.
    18. Barbara A. Haley, 2017. "Does Stigma Inhibit Labor Force Participation of Young Millennials Who Receive Housing Assistance?," Poverty & Public Policy, John Wiley & Sons, vol. 9(1), pages 71-95, March.
    19. Davis, Jenny L. & Goar, Carla & Manago, Bianca & Reidinger, Bobbi, 2018. "Distribution and disavowal: Managing the parental stigma of Children's weight and weight loss," Social Science & Medicine, Elsevier, vol. 219(C), pages 61-69.
    20. Henny M. W. Bos & Nicola Carone & Esther D. Rothblum & Audrey S. Koh & Nanette K. Gartrell, 2023. "Long-Term Effects of Family Resilience on the Subjective Well-Being of Offspring in the National Longitudinal Lesbian Family Study," IJERPH, MDPI, vol. 20(6), pages 1-13, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:232:y:2019:i:c:p:324-331. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.