Psychiatry Investig.  2023 Jul;20(7):671-680. 10.30773/pi.2023.0065.

Social Stigma and Discrimination Toward People With Drug Addiction: A National Survey in Korea

Affiliations
  • 1Mind-Neuromodulation Laboratory, Hallym University College of Medicine, Chuncheon, Republic of Korea
  • 2Department of Psychiatry, Catholic University College of Medicine, Seoul, Republic of Korea
  • 3Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea
  • 4Division of Pediatric Neurology, Department of Pediatrics, Severance Children’s Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
  • 5Department of Psychiatry, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Republic of Korea
  • 6Department of Psychiatry and Institute of Behavioural Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea

Abstract


Objective
This study aims to understand the attitudes, stigma, and discrimination of the general adult population toward drug addiction.
Methods
We conducted a cross-sectional nationwide survey with 1,020 Korean adults using an Internet web-based panel. Self-reported data were collected on demographics, experience with substance abuse, perceptions of narcotic analgesic use, beliefs about the legalization of cannabis use, coping with substance abuse and addiction, and perceptions of drug risks. All statistical analysis in this study utilized the IBM SPSS Statistics 26 program.
Results
In this study, 1.6% of the participants reported abuse of opioid analgesics, 88.0% reported negative perceptions of drug addiction, and 76.9% reported agreeing to unfair treatment of drug addicts. Logistic regression analysis found that perceived stigma was more prevalent among women (odd ratio [OR]=2.087, p<0.01), old adults (OR=1.939, p<0.01), those with no personal experience of opioid misuse (OR=8.172, p<0.05), and those who were non-smoking (OR=2.011, p<0.01). In addition, the discriminatory attitude was more prevalent among participants with higher income (OR=1.989, p<0.001) and those who are non-smoking (OR=1.608, p<0.05).
Conclusion
This study provides information and guidelines for public intervention in drug addiction by identifying factors influencing social stigma and discriminatory behaviors toward drug addiction. The findings suggest that education on drug addiction prevention for the general adult population is necessary, and this education should include knowledge on coping with drug addiction and reducing stigma and discrimination toward drug addicts.

Keyword

Stigma; Discrimination; Drug abuse; Drug addiction; Substance abuse
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