Lipsett Megan, Wyant-Stein Katie, Mendes Simone, Berger Estelle, Berkman Elliot T, Terplan Mishka, Cioffi Camille C
Department of Psychology, Center for Translational Neuroscience, University of Oregon, Eugene, OR, United States.
Diamond Lab, Department of Psychology, University of Utah, Salt Lake City, UT, United States.
Front Psychiatry. 2023 Jun 7;14:1199661. doi: 10.3389/fpsyt.2023.1199661. eCollection 2023.
Substance use disorders are a common and treatable condition among pregnant and parenting people. Social, self, and structural stigma experienced by this group represent a barrier to harm reduction, treatment utilization, and quality of care. We examine features of research dissemination that may generate or uphold stigmatization at every level for pregnant and parenting individuals affected by substance use disorder and their children. We explore stigma reduction practices within the research community that can increase uptake of evidence-based treatment programs and prevent potential harm related to substance use in pregnant and parenting people. The strategies we propose include: (1) address researcher stereotypes, prejudice, and misconceptions about pregnant and parenting people with substance use disorder; (2) engage in interdisciplinary and transdisciplinary collaborations that engage with researchers who have lived experience in substance use; (3) use community-based approaches and engage community partners, (4) address stigmatizing language in science communication; (5) provide contextualizing information about the social and environmental factors that influence substance use among pregnant and parenting people; and (6) advocate for stigma-reducing policies in research articles and other scholarly products.
物质使用障碍在孕妇及育儿人群中是一种常见且可治疗的状况。该群体所经历的社会、自我及结构性污名是减少伤害、治疗利用及护理质量的障碍。我们研究了研究传播的特征，这些特征可能在各个层面上对受物质使用障碍影响的孕妇及育儿个体及其子女产生或维持污名化。我们探索研究界内减少污名的做法，这些做法可增加基于证据的治疗方案的采用率，并预防与孕妇及育儿人群物质使用相关的潜在危害。我们提出的策略包括：（1）解决研究人员对患有物质使用障碍的孕妇及育儿人群的刻板印象、偏见和误解；（2）开展跨学科和跨领域合作，与有物质使用亲身经历的研究人员合作；（3）采用基于社区的方法并让社区伙伴参与进来；（4）解决科学传播中带有污名化的语言问题；（5）提供有关影响孕妇及育儿人群物质使用的社会和环境因素的背景信息；以及（6）在研究文章和其他学术成果中倡导减少污名的政策。
