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Mapping the lived experience of rural substance use stigma: A conceptual framework of salient attitudes, beliefs, and behaviors in people who use drugs

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  • Sibley, Adams L.
  • Bartels, Sophia M.
  • Noar, Seth M.
  • Gottfredson O'Shea, Nisha
  • Muessig, Kathryn E.
  • Miller, William C.
  • Go, Vivian F.

Abstract

Stigma directly contributes to physical, social, and psychic harm in people who use drugs. Current stigma frameworks privilege perspectives of stigmatizers, discounting the subjective lived experience of the stigmatized. Acknowledging that stigma is a universal phenomenon that manifests locally, we aimed to identify salient stigma-related attitudes, beliefs, behaviors, and experiences among people who use drugs in the rural Appalachian region of the United States.

Suggested Citation

  • Sibley, Adams L. & Bartels, Sophia M. & Noar, Seth M. & Gottfredson O'Shea, Nisha & Muessig, Kathryn E. & Miller, William C. & Go, Vivian F., 2025. "Mapping the lived experience of rural substance use stigma: A conceptual framework of salient attitudes, beliefs, and behaviors in people who use drugs," Social Science & Medicine, Elsevier, vol. 372(C).
    • Handle: RePEc:eee:socmed:v:372:y:2025:i:c:s0277953625002977
    DOI: 10.1016/j.socscimed.2025.117967
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    References listed on IDEAS

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    1. Eileen E. Avery & Joan M. Hermsen & Danielle C. Kuhl, 2021. "Toward a Better Understanding of Perceptions of Neighborhood Social Cohesion in Rural and Urban Places," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 157(2), pages 523-541, September.
    2. Ezell, Jerel M. & Walters, Suzan & Friedman, Samuel R. & Bolinski, Rebecca & Jenkins, Wiley D. & Schneider, John & Link, Bruce & Pho, Mai T., 2021. "Stigmatize the use, not the user? Attitudes on opioid use, drug injection, treatment, and overdose prevention in rural communities," Social Science & Medicine, Elsevier, vol. 268(C).
    3. Alexander C Tsai & Mathew V Kiang & Michael L Barnett & Leo Beletsky & Katherine M Keyes & Emma E McGinty & Laramie R Smith & Steffanie A Strathdee & Sarah E Wakeman & Atheendar S Venkataramani, 2019. "Stigma as a fundamental hindrance to the United States opioid overdose crisis response," PLOS Medicine, Public Library of Science, vol. 16(11), pages 1-18, November.
    4. Gilbert E. Metcalf & Qitong Wang, 2019. "Abandoned by Coal, Swallowed by Opioids?," NBER Working Papers 26551, National Bureau of Economic Research, Inc.
    5. Yang, Lawrence Hsin & Kleinman, Arthur & Link, Bruce G. & Phelan, Jo C. & Lee, Sing & Good, Byron, 2007. "Culture and stigma: Adding moral experience to stigma theory," Social Science & Medicine, Elsevier, vol. 64(7), pages 1524-1535, April.
    6. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
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