Stringer Kristi L, Baker Elizabeth H
University of Alabama at Birmingham, AL, USA.
J Fam Issues. 2018 Jan;39(1):3-27. doi: 10.1177/0192513X15581659. Epub 2015 Apr 24.
Substance use (SU) stigma is one factor contributing to unmet need for SU treatment. Additionally, theory suggests that women and single parents who use substances experience enhanced stigma because they do not adhere to normative social expectations. This study examines differences in perceived stigma by gender and parenthood among those with unmet need for SU treatment using the 2003-2010 National Survey of Drug Use and Health ( = 1,474). Results indicate that women are more likely to report stigma as a barrier to treatment compared with men, though the interaction between gender and parenthood is not significant. We find that married parents report the highest level of stigma. We situate our findings in past health-related stigma research. We suggest that these results shed a light on stigma, particularly as it relates to family status, as a contributing factor to differences regarding SU treatment utilization. Finally, we raise a provocative question concerning social status and anticipated stigma.
物质使用（SU）污名是导致物质使用治疗需求未得到满足的一个因素。此外，理论表明，使用物质的女性和单亲父母会经历更大的污名，因为他们不符合规范性的社会期望。本研究利用2003 - 2010年全国药物使用和健康调查（n = 1474），考察了在物质使用治疗需求未得到满足的人群中，按性别和父母身份划分的感知污名差异。结果表明，与男性相比，女性更有可能将污名报告为治疗的障碍，尽管性别和父母身份之间的交互作用不显著。我们发现已婚父母报告的污名程度最高。我们将研究结果置于过去与健康相关的污名研究背景中。我们认为，这些结果揭示了污名，尤其是与家庭状况相关的污名，是物质使用治疗利用率差异的一个促成因素。最后，我们提出了一个关于社会地位和预期污名的引人深思的问题。
