Date de publication
Géographie
Langue de la ressource
Texte disponible en version intégrale
Open Access / OK to Reproduce
Évalué par des pairs
L’objectif
People who use drugs (PWUD) face entrenched stigma, which fosters shame, restricts service access, and exacerbates inequalities. The use of mass media in anti-stigma interventions offers an opportunity to challenge stigmatising attitudes at scale. There are, however, inconsistencies in messaging approaches used in mass media anti-stigma interventions, and how authors conceptualise and measure ‘stigma’.
Constatations/points à retenir
From 14,256 records, we included 49 reports about 35 interventions. Intended recipients included the public and/or specified sub-populations, often including healthcare workers. Most interventions were intended to reduce stigma towards people with patterns of drug use perceived to be problematic, as opposed to PWUD in general. PWUD contributed to 22/35 interventions, while professionals working in medical disciplines co-authored 29/35. Intervention content often had a medical focus, describing dependence as a ‘disease’ or medical issue, and emphasised the benefits of recovery. Other interventions, however, criticized medical framings. In some interventions drug use and PWUD were described in markedly negative terms. ‘Stigma’ was often under-theorised, and measurement approaches were inconsistent.
We found inconsistencies in approaches to reduce and measure stigma, potentially reflecting different motivations for intervention development. The primary motivation of many interventions was seemingly to promote drug service engagement and recovery.
La conception ou méthodologie de recherche
This scoping review maps literature on the development and/or evaluation of mass media interventions intended to reduce stigma towards PWUD. We systematically searched seven databases for reports about: (i) PWUD, (ii) stigma, (iii) mass media. We charted data about intervention (i) subjects and recipients, (ii) format, (iii) authors, (iv) content; and (v) conceptualisation and measurement of stigma. We narratively synthesised findings with qualitative content analyses.
