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Public stigma and treatment preferences for alcohol use disorders

BACKGROUND: Alcohol use disorders (AUD) are among the most highly stigmatized medical conditions. Only a minority of individuals with AUD seek treatment, and stigma is one of the most prominent barriers to treatment-seeking. However, there is a lack of knowledge about the associations between stigma...

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Autores principales: Finn, Sara Wallhed, Mejldal, Anna, Nielsen, Anette Søgaard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9872434/
https://www.ncbi.nlm.nih.gov/pubmed/36694198
http://dx.doi.org/10.1186/s12913-023-09037-y
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author Finn, Sara Wallhed
Mejldal, Anna
Nielsen, Anette Søgaard
author_facet Finn, Sara Wallhed
Mejldal, Anna
Nielsen, Anette Søgaard
author_sort Finn, Sara Wallhed
collection PubMed
description BACKGROUND: Alcohol use disorders (AUD) are among the most highly stigmatized medical conditions. Only a minority of individuals with AUD seek treatment, and stigma is one of the most prominent barriers to treatment-seeking. However, there is a lack of knowledge about the associations between stigma and preferences for help-seeking, and the associations between stigma and preferences for treatment seeking. AIM: to investigate the associations between stigma and preferences for where to seek help and treatment for AUD. As sub-analyses, associations between stigma, level of alcohol use and preferences for help-seeking and treatment preferences will be analyzed. METHOD: Cross-sectional design, including n = 3037 participants aged 30 – 65 years, living in Denmark. Data: In 2020, an online questionnaire was administered by a market research company. The questionnaire covered demographics, preferences for help-seeking and treatment for AUD, stigma measured with the Difference, Disdain & Blame Scales for Public Stigma, and alcohol use measured with the Alcohol Use Disorder Test (AUDIT). Analyses: restricted cubic spline models were applied to model outcomes. Odds ratios were calculated. RESULTS: A lower level of stigma was associated with a higher probability of preferring formal and informal help-seeking for AUD. Both high and low levels of stigma were associated with a higher probability of preferring to consult general practitioners. Stigma was not associated with other preferences for treatment-seeking, nor trying to change oneself or a passive strategy. The sub-analyses, grouped by level of alcohol use, showed similar results. CONCLUSION: Stigma is associated with lower preferences for formal and informal help-seeking, however not type of treatment preferred. Future studies should address stigma in relation to other factors of the treatment-seeking process. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09037-y.
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spelling pubmed-98724342023-01-25 Public stigma and treatment preferences for alcohol use disorders Finn, Sara Wallhed Mejldal, Anna Nielsen, Anette Søgaard BMC Health Serv Res Research BACKGROUND: Alcohol use disorders (AUD) are among the most highly stigmatized medical conditions. Only a minority of individuals with AUD seek treatment, and stigma is one of the most prominent barriers to treatment-seeking. However, there is a lack of knowledge about the associations between stigma and preferences for help-seeking, and the associations between stigma and preferences for treatment seeking. AIM: to investigate the associations between stigma and preferences for where to seek help and treatment for AUD. As sub-analyses, associations between stigma, level of alcohol use and preferences for help-seeking and treatment preferences will be analyzed. METHOD: Cross-sectional design, including n = 3037 participants aged 30 – 65 years, living in Denmark. Data: In 2020, an online questionnaire was administered by a market research company. The questionnaire covered demographics, preferences for help-seeking and treatment for AUD, stigma measured with the Difference, Disdain & Blame Scales for Public Stigma, and alcohol use measured with the Alcohol Use Disorder Test (AUDIT). Analyses: restricted cubic spline models were applied to model outcomes. Odds ratios were calculated. RESULTS: A lower level of stigma was associated with a higher probability of preferring formal and informal help-seeking for AUD. Both high and low levels of stigma were associated with a higher probability of preferring to consult general practitioners. Stigma was not associated with other preferences for treatment-seeking, nor trying to change oneself or a passive strategy. The sub-analyses, grouped by level of alcohol use, showed similar results. CONCLUSION: Stigma is associated with lower preferences for formal and informal help-seeking, however not type of treatment preferred. Future studies should address stigma in relation to other factors of the treatment-seeking process. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09037-y. BioMed Central 2023-01-24 /pmc/articles/PMC9872434/ /pubmed/36694198 http://dx.doi.org/10.1186/s12913-023-09037-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Finn, Sara Wallhed
Mejldal, Anna
Nielsen, Anette Søgaard
Public stigma and treatment preferences for alcohol use disorders
title Public stigma and treatment preferences for alcohol use disorders
title_full Public stigma and treatment preferences for alcohol use disorders
title_fullStr Public stigma and treatment preferences for alcohol use disorders
title_full_unstemmed Public stigma and treatment preferences for alcohol use disorders
title_short Public stigma and treatment preferences for alcohol use disorders
title_sort public stigma and treatment preferences for alcohol use disorders
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9872434/
https://www.ncbi.nlm.nih.gov/pubmed/36694198
http://dx.doi.org/10.1186/s12913-023-09037-y
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