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职业前医疗保健学员中的物质使用障碍污名与专业决策

Substance Use Disorder Stigma and Professional Decision Making Among Pre-Professional Healthcare Trainees.

作者信息

Witte Tricia H, Oldenburg Brantley

机构信息

Department of Human Development and Family Studies, The University of Alabama, Tuscaloosa, Alabama, USA.

出版信息

J Drug Educ. 2025 Mar;54(1):17-30. doi: 10.1177/00472379241278326. Epub 2024 Aug 22.

Abstract

Provider stigma toward people who have substance use disorders (SUDs) may be a barrier to effective treatment delivery. The purpose of this study was to measure provider stigma among healthcare professionals-in-training and determine whether stigma levels were associated with professional decision making. A sample of 240 participants were recruited from the following academic programs at a large university in the southeastern United States: Nursing, Social Work, Counseling, Marriage and Family Therapy, and Psychology. Through an online, anonymous survey, provider stigma and other constructs were measured. The participants were also asked to make two hypothetical professional decisions: one regarding their choice to provide treatment for an SUD patient and the other regarding their likelihood of attending a professional development event (i.e., conference session) on the topic of SUDs. Results showed that self-reported stigma toward patients with SUDs was associated with a reduced likelihood of choosing to provide treatment for a patient with SUD (compared to patients with other conditions) and a reduced likelihood of attending SUD training at an upcoming conference (compared to other conference topics). Results have potential implications for the development of training programs for pre-professional healthcare trainees.

摘要

医疗服务提供者对患有物质使用障碍(SUD)的人的污名化可能是有效提供治疗的障碍。本研究的目的是衡量接受培训的医疗专业人员中的提供者污名化情况,并确定污名化程度是否与专业决策相关。从美国东南部一所大型大学的以下学术项目中招募了240名参与者:护理、社会工作、咨询、婚姻与家庭治疗以及心理学。通过在线匿名调查,对提供者污名化和其他构念进行了测量。参与者还被要求做出两个假设性的专业决策:一个是关于他们为SUD患者提供治疗的选择,另一个是关于他们参加关于SUD主题的专业发展活动(即会议)的可能性。结果表明,自我报告的对SUD患者的污名化与为SUD患者提供治疗的选择可能性降低(与患有其他疾病的患者相比)以及参加即将到来的会议上的SUD培训的可能性降低(与其他会议主题相比)相关。研究结果对专业前医疗培训学员培训项目的开发具有潜在意义。

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