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

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

Social Science & Medicine, 2025, vol. 372, issue C

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.

Date: 2025
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DOI: 10.1016/j.socscimed.2025.117967

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