Drug consumption stigma and patient legitimacy
Experiences of people who use drugs seeking care for chronic non-cancer pain in Nigeria
Bibliographic Data
| ID | 3653036 |
|---|---|
| Authors | Ediomo‐ubong E Nelson (0000-0002-2555-1824, Global Drug Policy Observatory, Swansea University, Swansea, UK, corresponding author) |
| Year | 2024 |
| Pages | 1-15 |
| Publication date | 2024-11-04 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Health Sociology Review (JOURNAL) |
| Journal identifiers | ISSN: 1446-1242 • E-ISSN: 1839-3551 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/14461242.2024.2413058 |
| PMID | 39496110 |
| OpenAlex | W4404033714 |
| Language | EN |
| Citations received | 1 |
| References cited | 40 |
26) who had sought care for chronic non-cancer pain in public hospitals in Uyo, Nigeria, drew on the idea of stigma as process of social reproduction and the concept of borderwork. Accounts framed stigma as a normalised feature of healthcare that emerged under different circumstances and operated to position chronic non-cancer pain patients who were PWUD as illegitimate subjects underserving of care. Stigma was widely seen as something to be expected, and was often tolerated by PWUD due to its ubiquity. However, they enacted borderwork marking-off stigma experiences that violated values of fairness and humaneness as well as those that spurned traditional gender norms. Participants responded to intolerable stigma through various acts of resistance, including dropping out of care. Stigma creates barriers to adequate pain management and establishes a context where basic care is accessed at the cost of fundamental human rights and dignity. Routine toleration of stigma helps to naturalise the phenomenon and render it invisible. Resistance to stigma provides a basis for interventions to address all forms of stigma in healthcare
Advertising · Business · Chronic pain · Drug · Family medicine · Health care · Legitimacy · Political science · Project commissioning · Psychiatry · Publishing · Social science · Social stigma · Sociology · HIV, Drug Use, Sexual Risk · Law · Medicine · Opioid Use Disorder Treatment · Pharmaceutical Practices and Patient Outcomes · Psychology
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| Highly cited | No |
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