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Stigma, Opioids, and Public Health Messaging

The Need to Disentangle Behavior From Identity

Bibliographic Data

ID11025591
AuthorsMatthew D Moore (0000-0001-8270-4252, All authors are with the Department of Health Sciences, California State University East Bay, Hayward.), Shabana Ali (All authors are with the Department of Health Sciences, California State University East Bay, Hayward.), Shabana Amanda Ali (0000-0002-4339-9467, California State University, East Bay), Danielle Burnich-Line (All authors are with the Department of Health Sciences, California State University East Bay, Hayward.), Whitney Gonzales (All authors are with the Department of Health Sciences, California State University East Bay, Hayward.), Michael Stanton (0000-0002-8142-6569, All authors are with the Department of Health Sciences, California State University East Bay, Hayward.), Michael V Stanton
Year2020
Volume110
Issue6
Pages807-810
Publication date2020-06-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2020.305628
PMID32298166
OpenAlexW3016869103
LanguageEN
Citations received12
References cited15

Stigma plays an important role in understanding successful interventions to control the opioid epidemic in the United States. Stigma has been described both as an agent to incentivize positive health behavior and as an agent of marginalization contributing to poorer health. Past scholarship has argued that stigma has positively motivated public health changes, for example, among tobacco users; it has also been associated with discrimination against vulnerable individuals, resulting in increasingly poorer health behaviors, for example in relation to HIV-prevention messaging. The discourse on stigma may conflate the denormalization of unhealthy behaviors with wholesale rejection of individual identities. More effective interventions would counter stigma against people who use opioids in general and specifically denormalize opioid misuse. These interventions might alter the effect of public health messaging and ultimately improve outcomes. We argue that public health educators and communication campaigns can contribute to positive social norm change and motivate healthy behaviors by incorporating strategies that attempt to disentangle unhealthy behaviors from identity

Health communication · Political science · Psychiatry · Psychological intervention · Public health · Public relations · Scholarship · Stigma (botany) · HIV, Drug Use, Sexual Risk · Medicine · Nursing · Opioid Use Disorder Treatment · Psychology · Social Psychology · Substance Abuse Treatment and Outcomes

  • Educating Young Adults about Opioid Misuse

    Open Access•Jessica M Rath, Siobhan N Perks et al.•International Journal of…•2021

  • Reframing human trafficking awareness campaigns in the United States

    Open Access•Elena Savoia, Rachael Piltch-Loeb et al.•Frontiers in Public Health•2023

  • Rethink Recovery

    Open Access•Dawnyéa D Jackson, Dana E Wagner et al.•Health Education & Behavior•2025

  • The Opioid Epidemic and the State of Stigma

    Övgü Kaynak, Christopher R Whipple et al.•Substance Use & Misuse•2022

  • Stigma Communication Surrounding Nonmedical Opioid Use Among Affected Family Members

    Emily Pasman, Sydney O’shay et al.•Health Communication•2024

  • Toward an actionable model to investigate and mitigate racialized substance use stigma facing Black people who use drugs

    Open Access•Devin E Banks•International Journal of Drug…•2026

  • Life unites us

    Open Access•Erika Bonnevie, Övgü Kaynak et al.•Health Education Journal•2022

  • O-Know Opioid Knowledge Test

    Virgil L Gregory, Susan Ofner et al.•Journal of Psychoactive Drugs•2022

  • Stigma as a local process

    Open Access•Ashley F Railey, Alison R Greene•International Journal of Drug…•2024

  • That Kind of Role Models it!’ Dynamics of Intergenerational Reinforcement and Disruption of Stigma Towards People Who Use Drugs

    Open Access•Juliet Miko Flam-Ross, Giulia Federica Zampini•Contemporary Drug Problems•2024

  • Individuals with chronic pain using opioids

    Open Access•Lena De Bonte, Justine Vanbavinckhove et al.•Health An Interdisciplinary…•2025

  • Unraveling Moral Evaluations

    Open Access•Erin B Hester•American Behavioral Scientist•2024

  • The Prescription Opioid and Heroin Crisis

    Andrew Kolodny, David T Courtwright et al.•Annual Review of Public Health•2015

  • Drug and Opioid-Involved Overdose Deaths — United States, 2013–2017

    Open Access•Lawrence Scholl, Puja Seth et al.•MMWR. Surveillance Summaries•2018

  • Social Stigma Toward Persons With Prescription Opioid Use Disorder

    Alene Kennedy‐Hendrick, Alene Kennedy-Hendricks et al.•Psychiatric Services•2017

  • Stigma, ethics and policy

    Open Access•Scott Burri, Scott Burris et al.•Social Science & Medicine•2008

  • HIV-Related Stigma and Knowledge in the United States

    Gregory M Herek, John P Capitanio et al.•American Journal of Public Health•2002

  • Effect of Increased Social Unacceptability of Cigarette Smoking on Reduction in Cigarette Consumption

    Benjamin Alamar, Stanton A Glantz•American Journal of Public Health•2006

  • Smoking and the emergence of a stigmatized social status

    Open Access•Jenny Stuber, Jennifer Stuber et al.•Social Science & Medicine•2008

  • Stigma and the ethics of public health

    Open Access•Ronald Bayer•Social Science & Medicine•2008

  • Conceptualizing Stigma

    Bruce G Link, Lexi Harari et al.•Annual Review of Sociology•2001

Citations per year2.4
Citation span2021 - 2026 (6)
Highly citedNo

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