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Prevalence of self-stigma and its association with self-esteem among psychiatric patients in a Nepalese teaching hospital: a cross-sectional study.

Maharjan S, Panthee B.

BMC Psychiatry. 2019 Nov 7;19(1):347. doi: 10.1186/s12888-019-2344-8.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836475/

Moving into an urban drug scene among people who use drugs in Vancouver, Canada: Latent class growth analysis.

Hayashi K, Ti L, Dong H, Bingham B, Day A, Joe R, Barrios R, DeBeck K, Milloy MJ, Kerr T.

PLoS One. 2019 Nov 14;14(11):e0224993. doi: 10.1371/journal.pone.0224993. 

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0224993

Human Rights. UN Common Position on drug policy - Consolidating system-wide coherence

In November 2018, the UN System CEB adopted the ‘UN system common position supporting the implementation of the international drug control policy through effective inter-agency collaboration’, expressing the shared drug policy principles of all UN organisations and committing them to speak with one voice. (IDCP - International Drug Policy Consortium, UK, 03.12.2019)

https://idpc.net/publications/2019/12/un-common-position-on-drug-policy-consolidating-system-wide-coherence

Ambiguous identities of drugs and people: A scoping review of opioid-related stigma.

McCradden MD, Vasileva D, Orchanian-Cheff A, Buchman DZ.

Int J Drug Policy. 2019 Dec;74:205-215. doi: 10.1016/j.drugpo.2019.10.005. 

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31671303

Stigma reduction interventions in people living with HIV to improve health-related quality of life.

Andersson GZ, Reinius M, Eriksson LE, Svedhem V, Esfahani FM, Deuba K, Rao D, Lyatuu GW, Giovenco D, Ekström AM.

Lancet HIV. 2019 Nov 22. pii: S2352-3018(19)30343-1. doi: 10.1016/S2352-3018(19)30343-1. 

https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(19)30343-1/fulltext

Underutilization of medications to treat opioid use disorder: What role does stigma play?

Allen B, Nolan ML, Paone D.

Subst Abus. 2019 Sep 24:1-7. doi: 10.1080/08897077.2019.1640833.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31550201

The Discrimination Against, Health Status and Wellness of People Who Use Drugs in Italian Services: A Survey.

Pelullo CP, Curcio F, Auriemma F, Cefalo G, Fabozzi A, Rossiello R, Spagnoli L, Attena F.

Medicina (Kaunas). 2019 Sep 30;55(10). pii: E662. doi: 10.3390/medicina55100662.

https://www.mdpi.com/1010-660X/55/10/662/htm

Stigma as a fundamental hindrance to the United States opioid overdose crisis response.

Tsai AC, Kiang MV, Barnett ML, Beletsky L, Keyes KM, McGinty EE, et al. (2019) 

PLoS Med 16(11): e1002969. doi.org/10.1371/journal.pmed.1002969

https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002969

Irland. Long-term methadone maintenance treatment: Stigma and social isolation

Mirroring trends throughout Europe, there has been a distinct rise in the age of Ireland’s opiate users who are in treatment. In 2015, 42.5% of treated opiate users nationally were over the age of 35 years compared to 27% in 2009. In the Dublin region, this trend is more pronounced: while 31.5% of individuals treated for opiate use in 2009 were over the age of 35, this proportion increased to 54% by 2015. Yet, very little is known about the lives of individuals who have been accessing methadone maintenance treatment (MMT) for a prolonged period of time and their experiences remain largely invisible. (Merchants Quay, Ireland, Homeless & Drugs Service, Irland, Oktober 2019)

https://mqi.ie/long-term-methadone-maintenance-treatment-stigma-and-social-isolation/

Witnessed Urine Screens in Drug Treatment: Humiliating and Harmful

My heart drummed in time to my racing thoughts, which repeated an increasingly urgent command. Just. Fucking. Pee. But instead of performing, my pelvic area grew numb. Total drought. (…) 

But I would never succeed. Not the next two times with that same peer counselor, nor during my two attempts with a facility nurse⁠—nor a single drop while being watched on two occasions by a social worker who was known for calling child services on her clients.

This happened even when my bladder felt so full it hurt, when I needed to pee so badly that it gushed out as soon as I was alone and not holding a little plastic cup under my crotch. (…)

The condition is called paruresis, or colloquially “shy bladder syndrome,” and described as a form of social anxiety in which the sufferer finds it difficult or impossible to urinate around other people. (Filter, USA, 28.10.2019)

https://filtermag.org/urine-screen-drug-treatment/

Malaysia: Unfair trials, secretive hangings and petty drug convictions reveal ‘cruel injustice’ of the death penalty 

Malaysia must start to fulfil its promise to abolish the death penalty in forthcoming legislation by ending its use for drug-related offences and eliminating the mandatory death sentence, Amnesty International said today, as it launches a new report to mark the World Day Against the Death Penalty.

The report, Fatally flawed: Why Malaysia must abolish the death penalty, reveals the use of torture and other ill-treatment to obtain “confessions”, inadequate access to legal assistance, an opaque pardons process and other serious violations of the right to a fair trial that have put people at risk of execution. (Amnesty International, UK, 10.10.2019)

https://www.amnesty.org/en/latest/news/2019/10/malaysia-unfair-trials-secretive-hangings-petty-drug-convictions-cruel-injustice-death-penalty/

USA. Trump just expanded drug testing to hundreds of thousands of workers - It’s a huge win for the drug testing industry. 

The Trump administration just made it harder for laid-off workers to get government assistance. (Vox, USA, 04.10.2019)

https://www.vox.com/identities/2019/10/4/20893225/trump-unemployment-drug-testing-rule

USA. How the Drug User Became a Junkie

Four years before William Burroughs’ Junkie was published, Norma Lee Browning, a reporter for the Chicago Daily Tribune, described how a middle-aged housewife had gone from a “pretty woman” to “an old time incurable junkie.”[1] Browning’s casual use of “junkie” reflects her mainstream audience’s likely familiarity with the term, whose usage in popular media to describe drug addicts (to use another loaded term) had skyrocketed in the late 1940s and early 1950s. The term was a type of shorthand for inevitable physical and moral devastation. To be a “junkie” or involved in “dope peddling” was to “descend into unimaginable levels of baseness” before death, if she was “unable to break the hold of drugs.”[2] Today, the word has the connotation of a slur, a dehumanizing epithet that paints a person as wild and dangerous. (Points: The Blog of the Alcohol & Drugs History Society, USA, 10.10.2019)

https://pointsadhsblog.wordpress.com/2019/10/10/how-the-drug-user-became-a-junkie/

Factor structure, internal reliability and construct validity of the Methadone Maintenance Treatment Stigma Mechanisms Scale (MMT-SMS).

Smith LR, Mittal ML, Wagner K, Copenhaver MM, Cunningham CO, Earnshaw VA.

Addiction. 2019 Sep 3. doi: 10.1111/add.14799. 

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31478272

United Nations General Assembly: The question of the death penalty

Human Rights Council, Forty-second session, 9–27 September 2019, A/HRC/42/L.37, 23.09.2019

https://undocs.org/A/HRC/42/L.37

#IAmNotDangerous and the politics of stigma

The Lancet Psychiatry, Volume 6, Issue 10, 793 (Editorial)

https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(17)30242-0/fulltext

In their own words: language preferences of individuals who use heroin.

Pivovarova E, Stein MD.

Addiction. 2019 Oct;114(10):1785-1790. doi: 10.1111/add.14699. 

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31140667

A quality improvement approach to the reduction of HIV-related stigma and discrimination in healthcare settings.

Ikeda DJ, Nyblade L, Srithanaviboonchai K, Agins BD.

BMJ Glob Health. 2019 Jun 21;4(3):e001587. doi: 10.1136/bmjgh-2019-001587. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590995/

What to call someone who uses heroin? 

First-ever study to ask people who use heroin what they want to be called finds 'people first' language often best, and language suggesting misuse or dependence generally worst. (Boston University School of Medicine, 16.07.2019)

https://www.eurekalert.org/pub_releases/2019-07/buso-wtc071619.php

Ukraine. The Harm Reductionist Imprisoned by Ukraine Separatists for Carrying Bupe

For 10 months now, a Ukrainian harm reduction activist has been illegally detained by the Luhansk People’s Republic (LPR), an illegitimate Russian-allied occupation “government” in eastern Ukraine, for alleged large-scale drug trafficking. In reality, he was simply carrying his 10-day supply of legally-prescribed buprenorphine, the opioid subsitution therapy medication. (Filter, USA, 26.06.2019)

https://filtermag.org/2019/06/26/the-harm-reductionist-imprisoned-by-ukraine-separatists-for-carrying-bupe/

Stigma towards people who use drugs: A case vignette study in methadone maintenance treatment clinics in China.

Luo S, Lin C, Feng N, Wu Z, Li L.

Int J Drug Policy. 2019 Jun 21;71:73-77. doi: 10.1016/j.drugpo.2019.06.005.

Abstract

https://www.ncbi.nlm.nih.gov/pubmed/31233972

Sri Lanka. Sri Lanka president signs four death warrants to end decades long moratorium 

The Sri Lankan president on Wednesday signed the death warrants of four prisoners jailed on drug-related offenses, to end a 43-year moratorium on the island. (The Telegraph, UK, 26.06.2019)

https://www.telegraph.co.uk/news/2019/06/26/sri-lanka-president-signs-four-death-warrants-end-decades-long/

Perceived stigma among people living with HIV/AIDS in Pokhara, Nepal.

Subedi B, Timilsina BD, Tamrakar N.

HIV AIDS (Auckl). 2019 May 7;11:93-103. doi: 10.2147/HIV.S181231.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510232/

How Much Does it Cost to Criminalise People Who Use Drugs?

The massive criminalization of people who use drugs in the EECA region instead of the declared support of public health and social security imposes a financial and social burden on States. On average, incarceration costs are 2-6 times higher than the expenditures for health and social services.

This is evidenced by the results of a study conducted by the Eurasian Harm Reduction Association (EHRA). The organization collected data on incarceration costs of people who use drugs from countries of the EECA region as well as data on money spent for harm reduction services. (EHRA, 27.05.2019)

https://harmreductioneurasia.org/how-much-does-it-cost-to-criminalize-pwud/

Ethical challenges in global health-related stigma research.

Millum J, Campbell M, Luna F, Malekzadeh A, Karim QA.

BMC Med. 2019 Apr 29;17(1):84. doi: 10.1186/s12916-019-1317-6.

https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-019-1317-6

'Management of a spoiled identity': systematic review of interventions to address self-stigma among people living with and affected by HIV.

Pantelic M, Steinert JI, Park J, Mellors S, Murau F.

BMJ Glob Health. 2019 Mar 19;4(2):e001285. doi: 10.1136/bmjgh-2018-001285. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441299/

Brasilien. Senators in Brazil pass forced rehab for drug users

SAO PAULO — Brazil’s Senate approved a series of drug policy changes designed to toughen penalties for traffickers and require users to undergo rehabilitation at private or religious centres, acting ahead of a Supreme Court decision on the decriminalization of marijuana consumption and possession. (National Post, Kanada, 16.05.2019)

https://nationalpost.com/pmn/news-pmn/senators-in-brazil-pass-forced-rehab-for-drug-users

Iran. Six Men Executed for Drug Offences in Iran, Despite Legal Reform

At least six men have been hanged for drug offences in Iran since late April, raising concerns about a “new wave of drug-related executions” in a country that recently legislated to reduce the punishment. (Talking Drugs, UK, 14.05.2019)

https://www.talkingdrugs.org/six-men-executed-for-drug-offences-in-iran-despite-legal-reform

Drug injection, syringe source, and self-stigma in New York City

People with substance use problems are widely stigmatized, a harmful societal notion reinforced by media depictions of drug use, misguided public policy, and punishments by criminal justice systems. Drug-related stigma is highly present for people who inject drugs (PWID), likely due in part to its association with HIV. On top of this, PWID often feel ashamed of their habits. This “self-stigma” encourages PWID to hide their addiction, avoiding crucial treatment and social support. This week, as part of our Special Series on Stigma and Addiction, we review a study by Alexis Rivera and colleagues that investigated which injection risk behaviors and demographic factors are associated with self-stigma among PWID in New York City. (STASH, Vol. 15(5), 14.05.2019)

https://www.basisonline.org/2019/05/stash-vol-155-drug-injection-self-stigma.html