Jang Ki Won, Lee Hae Kook, Park Byung Joo, Kang Hoon-Chul, Lee Sang-Kyu, Kim Chan-Hyung, Nam Sang Kyu, Roh Daeyoung
Mind-Neuromodulation Laboratory, Hallym University College of Medicine, Chuncheon, Republic of Korea.
Department of Psychiatry, Catholic University College of Medicine, Seoul, Republic of Korea.
Psychiatry Investig. 2023 Jul;20(7):671-680. doi: 10.30773/pi.2023.0065. Epub 2023 Jul 24.
This study aims to understand the attitudes, stigma, and discrimination of the general adult population toward drug addiction.
We conducted a cross-sectional nationwide survey with 1,020 Korean adults using an Internet web-based panel. Self-reported data were collected on demographics, experience with substance abuse, perceptions of narcotic analgesic use, beliefs about the legalization of cannabis use, coping with substance abuse and addiction, and perceptions of drug risks. All statistical analysis in this study utilized the IBM SPSS Statistics 26 program.
In this study, 1.6% of the participants reported abuse of opioid analgesics, 88.0% reported negative perceptions of drug addiction, and 76.9% reported agreeing to unfair treatment of drug addicts. Logistic regression analysis found that perceived stigma was more prevalent among women (odd ratio [OR]=2.087, p<0.01), old adults (OR=1.939, p<0.01), those with no personal experience of opioid misuse (OR=8.172, p<0.05), and those who were non-smoking (OR=2.011, p<0.01). In addition, the discriminatory attitude was more prevalent among participants with higher income (OR=1.989, p<0.001) and those who are non-smoking (OR=1.608, p<0.05).
This study provides information and guidelines for public intervention in drug addiction by identifying factors influencing social stigma and discriminatory behaviors toward drug addiction. The findings suggest that education on drug addiction prevention for the general adult population is necessary, and this education should include knowledge on coping with drug addiction and reducing stigma and discrimination toward drug addicts.
本研究旨在了解普通成年人群对药物成瘾的态度、污名化及歧视情况。
我们通过基于互联网的面板对1020名韩国成年人进行了一项全国性横断面调查。收集了关于人口统计学、药物滥用经历、对麻醉性镇痛药使用的看法、对大麻合法化的信念、应对药物滥用和成瘾的方式以及对药物风险的看法等自我报告数据。本研究中的所有统计分析均使用IBM SPSS Statistics 26程序。
在本研究中，1.6%的参与者报告曾滥用阿片类镇痛药，88.0%的参与者对药物成瘾持负面看法，76.9%的参与者表示同意对吸毒者进行不公平对待。逻辑回归分析发现，污名化在女性（优势比[OR]=2.087，p<0.01）、老年人（OR=1.939，p<0.01）、无阿片类药物滥用个人经历者（OR=8.172，p<0.05）以及非吸烟者（OR=2.011，p<0.01）中更为普遍。此外，歧视态度在收入较高的参与者（OR=1.989，p<0.001）和非吸烟者（OR=1.608，p<0.05）中更为普遍。
本研究通过识别影响对药物成瘾的社会污名化和歧视行为的因素，为药物成瘾公共干预提供了信息和指导方针。研究结果表明，有必要对普通成年人群开展药物成瘾预防教育，且该教育应包括应对药物成瘾以及减少对吸毒者污名化和歧视的知识。
