Stigma Towards Individuals with Alcohol and Substance Use Disorders Among Turkish Psychiatrists and Non-psychiatrist Physicians: Prevalence and the Importance of Physician's Gender on Stigmatization Level


Yılmaz Karaman İ. G., Gunduz T., Güleç G.

INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION, cilt.21, sa.2, ss.1286-1300, 2023 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 2
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1007/s11469-022-00965-0
  • Dergi Adı: INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, PAIS International, Psycinfo, Social services abstracts, Sociological abstracts
  • Sayfa Sayıları: ss.1286-1300
  • Anahtar Kelimeler: Social stigma, Addiction medicine, Alcoholism, Substance-related disorders, Physicians, Psychiatry, MENTAL-ILLNESS, DRUG-ADDICTION, CARE, ATTITUDES, NURSES, TURKEY
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Addiction requires a lengthy treatment process. Besides, it harms a person's general health. Thus, individuals with alcohol and substance use disorders (IASUD) often need medical assistance. However, facing stigma in healthcare facilities reduces the willingness to seek treatment among people trying to cope with addiction problems. In addition, stigma may hamper IASUD from receiving other healthcare services. The present study aims to determine the prevalence of mild and severe stigmatization among psychiatrists and non-psychiatrist physicians (NPP). At the same time, it investigates the factors related to stigmatizing IASUD among psychiatrists and NPP. The study recruited 292 Turkish physicians who completed their education and training. An online survey was utilized to collect data with YEDAM Substance Addiction Stigmatization Scale (SASS), YEDAM Alcohol Addiction Stigmatization Scale (AASS), and Addiction Treatment Stigma Scale (ATSS). Psychiatrists who participated in the present study had stigmatizing attitudes towards individuals with alcohol use disorder (20%), towards individuals with substance use disorder (18.5%), and towards treatments of addiction (23.1%). Among NPPs, 36.6% had stigmatizing attitudes towards individuals with alcohol use disorder, 59.5% had negative attitudes towards substance use disorder, and 34.4% had stigmatizing attitudes towards addiction treatments. Two-way ANOVA showed that psychiatrists had lower stigma levels than NPPs in SASS, AASS, and ATSS (p < 0.001, p = 0.006, p = 0.010). Being a female physician significantly affected AASS and ATSS scores; females had higher scores (respectively, p = 0.045, p = 0.043). Psychiatry training is related to the lesser; being a female physician is related to the higher stigmatization of IASUD.