Using Narratives to Identify Stigma Phenotypes - A Socio-Ecological Approach

项目总结/摘要 与物质使用障碍（SUD）相关的污名可能对身体健康产生严重的负面影响。 影响就业、住房和社会关系;导致社会疏远; 作为获得治疗的障碍。现有的减少耻辱感干预措施主要侧重于结构性 污名（例如，对医学生或与SUD患者一起工作的专业团体的教育），但 成见可在多个层面和不同背景下发生。特别是，需要消除更多的耻辱感 针对那些受自我羞辱影响的人的减少干预措施。我们建议通过以下方式弥补这一差距： 通过从两个不同的物质使用环境中收集的叙述来描述不同物质使用环境中的污名 来源、社交媒体和调查数据。本提案的长期目标是， 柱头表型-特征在于设置（例如，工作、家庭、学校）、演员（参与 与污名相关的经历），以及需要采取减少污名干预措施的情况，以及 适合其目标人群的干预机制。这一提议的意义在于 它的重点是成见，因为它直接影响到遭受成见的人-在这一领域， 缺乏减少干预措施。我们专注于与三种物质有关的耻辱：酒精，大麻， 阿片类药物我们的三个目标是：1）我们将整合自然语言处理和定性研究方法 识别污名化过程，其背景因素，以及社会中减少污名化的障碍和促进因素， 媒体语料库; 2）我们将进行一项调查，以从SUD患者中引出关于他们如何 3）我们将对目标1和目标2的结果进行三角分析， 背景、目标人群和未来减少污名干预措施的干预机制。我们 多学科研究团队拥有与此提案相关的多个领域的专业知识，包括NLP， 定性研究和物质使用，并处于进行研究的理想位置。

Project Summary/Abstract Stigma associated with substance use disorders (SUDs) can have severe negative consequences for physical and mental health; affect employment, housing, and social relationships; result in social alienation; and serve as a barrier to obtaining treatment. Existing stigma reduction interventions have largely focused on structural stigma (e.g. education of medical students or professional groups that work with persons with SUDs), but stigma can occur at multiple levels and in different contexts. In particular, there is a need for more stigma reduction interventions targeting those affected by self-stigma. We propose to address this gap by characterizing stigma in different substance use contexts through narratives collected from two different sources, social media and survey data. The long-term objective of this proposal is to derive insights concerning stigma phenotypes – characterized by setting (e.g., work, home, school), actors (persons involved in the stigma-related experience), and situations in which stigma reduction interventions are needed, as well as intervention mechanisms that are appropriate for their target populations. The significance of this proposal is that it focuses on stigma as it directly affects the persons who experience stigma – an area in which stigma reduction interventions are lacking. We focus on stigma relating to three substances: alcohol, cannabis, and opioids. Our three aims are: 1) we will integrate natural language processing and qualitative research methods to identify stigma processes, their contextual factors, and barriers and facilitators of stigma reduction in a social media corpus; 2) we will administer a survey to elicit narratives from persons with SUDs about how they have dealt with stigma in different contexts; and 3) we will triangulate the findings from Aims 1 and 2 to identify settings, target populations, and intervention mechanisms for future stigma reduction interventions. Our multidisciplinary research team possesses expertise in multiple areas relating to this proposal, including NLP, qualitative research, and substance use, and are ideally positioned to conduct the research.