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      Stigmatising attitudes towards people who inject drugs, and people living with blood borne viruses or sexually transmissible infections in a representative sample of the Australian population

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          Abstract

          Stigma has significant detrimental health outcomes for those affected. This study examined socio-demographic characteristics that were associated with stigmatising attitudes among the general population towards people who inject drugs, and people living with blood borne viruses or sexually transmissible infections. Questions were included in the Australian Survey of Social Attitudes (total sample = 1,001). Attitudes towards each of the target populations were measured by 5-item stigma scales. Bivariate analyses and multiple regression analyses were conducted to identify socio-demographic characteristics associated with stigmatising attitudes. Knowing a person affected by a stigmatised attribute was associated with reduced stigmatising attitudes, while voting for a conservative political party was associated with increased stigmatising attitudes. Age, gender, education, income, and marital status were each related to some stigmatising attitudes. Results also highlight differences between attitudes towards a stigmatised behaviour (i.e., injecting drug use) and stigmatised conditions (i.e., blood borne viruses and sexually transmissible infections). Identifying socio-demographic characteristics that are associated with stigmatising attitudes may have global implications for informing stigma reduction interventions, in order to promote positive health outcomes for affected communities.

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          Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review.

          Healthcare professionals are crucial in the identification and accessibility to treatment for people with substance use disorders. Our objective was to assess health professionals' attitudes towards patients with substance use disorders and examine the consequences of these attitudes on healthcare delivery for these patients in Western countries. Pubmed, PsycINFO and Embase were systematically searched for articles published between 2000 and 2011. Studies evaluating health professionals' attitudes towards patients with substance use disorders and consequences of negative attitudes were included. An inclusion criterion was that studies addressed alcohol or illicit drug abuse. Reviews, commentaries and letters were excluded, as were studies originating from non-Western countries. The search process yielded 1562 citations. After selection and quality assessment, 28 studies were included. Health professionals generally had a negative attitude towards patients with substance use disorders. They perceived violence, manipulation, and poor motivation as impeding factors in the healthcare delivery for these patients. Health professionals also lacked adequate education, training and support structures in working with this patient group. Negative attitudes of health professionals diminished patients' feelings of empowerment and subsequent treatment outcomes. Health professionals are less involved and have a more task-oriented approach in the delivery of healthcare, resulting in less personal engagement and diminished empathy. This review indicates that negative attitudes of health professionals towards patients with substance use disorders are common and contribute to suboptimal health care for these patients. However, few studies have evaluated the consequences of health professionals' negative attitudes towards patients with substance use disorders. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.
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            Do needs for security and certainty predict cultural and economic conservatism? A cross-national analysis.

            We examine whether individual differences in needs for security and certainty predict conservative (vs. liberal) position on both cultural and economic political issues and whether these effects are conditional on nation-level characteristics and individual-level political engagement. Analyses with cross-national data from 51 nations reveal that valuing conformity, security, and tradition over self-direction and stimulation (a) predicts ideological self-placement on the political right, but only among people high in political engagement and within relatively developed nations, ideologically constrained nations, and non-Eastern European nations, (b) reliably predicts right-wing cultural attitudes and does so more strongly within developed and ideologically constrained nations, and (c) on average predicts left-wing economic attitudes but does so more weakly among people high in political engagement, within ideologically constrained nations, and within non-Eastern European nations. These findings challenge the prevailing view that needs for security and certainty organically yield a broad right-wing ideology and that exposure to political discourse better equips people to select the broad ideology that is most need satisfying. Rather, these findings suggest that needs for security and certainty generally yield culturally conservative but economically left-wing preferences and that exposure to political discourse generally weakens the latter relation. We consider implications for the interactive influence of personality characteristics and social context on political attitudes and discuss the importance of assessing multiple attitude domains, assessing political engagement, and considering national characteristics when studying the psychological origins of political attitudes.
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              The Burden of Stigma on Health and Well-Being: A Taxonomy of Concealment, Course, Disruptiveness, Aesthetics, Origin, and Peril Across 93 Stigmas.

              Most individuals are stigmatized at some point. However, research often examines stigmas separately, thus underestimating the overall impact of stigma and precluding comparisons across stigmatized identities and conditions. In their classic text, Social Stigma: The Psychology of Marked Relationships, Edward Jones and colleagues laid the groundwork for unifying the study of different stigmas by considering the shared dimensional features of stigmas: aesthetics, concealability, course, disruptiveness, origin, peril. Despite the prominence of this framework, no study has documented the extent to which stigmas differ along these dimensions, and the implications of this variation for health and well-being. We reinvigorated this framework to spur a comprehensive account of stigma's impact by classifying 93 stigmas along these dimensions. With the input of expert and general public raters, we then located these stigmas in a six-dimensional space and created discrete clusters organized around these dimensions. Next, we linked this taxonomy to health and stigma-related mechanisms. This quantitative taxonomy offers parsimonious insights into the relationship among the numerous qualities of numerous stigmas and health.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: Project administrationRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Writing – review & editing
                Role: InvestigationRole: Writing – review & editing
                Role: InvestigationRole: Writing – review & editing
                Role: Funding acquisitionRole: SupervisionRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                27 April 2020
                2020
                : 15
                : 4
                : e0232218
                Affiliations
                [001]Centre for Social Research in Health, UNSW Sydney, Sydney, Australia
                University of California San Diego, UNITED STATES
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                http://orcid.org/0000-0002-4341-1868
                http://orcid.org/0000-0002-8230-0386
                Article
                PONE-D-19-32657
                10.1371/journal.pone.0232218
                7185717
                32339212
                939a5c2a-7cad-4c1c-85bd-f75b48affbe4
                © 2020 Broady et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 25 November 2019
                : 9 April 2020
                Page count
                Figures: 1, Tables: 6, Pages: 13
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/501100003921, Department of Health, Australian Government;
                The Centre for Social Research in Health receives funding from the Australian Government Department of Health.
                Categories
                Research Article
                Social Sciences
                Political Science
                Governments
                Political Parties
                Biology and Life Sciences
                Microbiology
                Medical Microbiology
                Microbial Pathogens
                Viral Pathogens
                Immunodeficiency Viruses
                HIV
                Medicine and Health Sciences
                Pathology and Laboratory Medicine
                Pathogens
                Microbial Pathogens
                Viral Pathogens
                Immunodeficiency Viruses
                HIV
                Biology and Life Sciences
                Organisms
                Viruses
                Viral Pathogens
                Immunodeficiency Viruses
                HIV
                Biology and Life Sciences
                Organisms
                Viruses
                Immunodeficiency Viruses
                HIV
                Biology and life sciences
                Organisms
                Viruses
                RNA viruses
                Retroviruses
                Lentivirus
                HIV
                Biology and Life Sciences
                Microbiology
                Medical Microbiology
                Microbial Pathogens
                Viral Pathogens
                Retroviruses
                Lentivirus
                HIV
                Medicine and Health Sciences
                Pathology and Laboratory Medicine
                Pathogens
                Microbial Pathogens
                Viral Pathogens
                Retroviruses
                Lentivirus
                HIV
                Biology and Life Sciences
                Organisms
                Viruses
                Viral Pathogens
                Retroviruses
                Lentivirus
                HIV
                Medicine and Health Sciences
                Public and Occupational Health
                Behavioral and Social Aspects of Health
                Social Sciences
                Sociology
                Social Discrimination
                Social Sciences
                Political Science
                Elections
                Medicine and Health Sciences
                Mental Health and Psychiatry
                Social Sciences
                Economics
                Labor Economics
                Employment
                People and Places
                Geographical Locations
                Oceania
                Australia
                Custom metadata
                Data are available to the public on the Australian Data Archive AuSSA 2017 Dataverse (see https://dataverse.ada.edu.au/dataset.xhtml?persistentId=doi:10.26193/JZKRD8).

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