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Phenotypes of stigma expressed by people who use drugs on Reddit

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  • Bouzoubaa, Layla
  • Aghakhani, Elham
  • Rezapour, Rezvaneh

Abstract

Despite record-high overdose deaths in the U.S., most individuals meeting criteria for substance use disorder remain outside formal treatment systems. Stigma is a major contributor to this treatment gap yet remains difficult to study among people who use drugs (PWUD) who are not engaged in clinical care. Social media platforms like Reddit offer a valuable window into the lived experiences of stigma of this population through naturally occurring discourse. This study develops a comprehensive framework for identifying stigma expressions in social media discourse, identifies distinct patterns using computational methods, and examines how these patterns relate to established stigma theory.

Suggested Citation

  • Bouzoubaa, Layla & Aghakhani, Elham & Rezapour, Rezvaneh, 2026. "Phenotypes of stigma expressed by people who use drugs on Reddit," Social Science & Medicine, Elsevier, vol. 390(C).
    • Handle: RePEc:eee:socmed:v:390:y:2026:i:c:s0277953625012201
    DOI: 10.1016/j.socscimed.2025.118889
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