Using Narratives to Identify Stigma Phenotypes - A Socio-Ecological Approach

使用叙述来识别耻辱表型 - 社会生态学方法

• 批准号: 10508469
• 负责人: Annie Chen
• 金额: $ 26.66万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10508469
• 关键词: Address; Affect; Age; Alcohols; Area; Behavior; Behavioral; Cannabis; Characteristics; Cognitive; Communication; Data; Employment; Future; Gender; Health; Healthcare; Home; Housing; Interdisciplinary Study; Intervention; Label; Lead; Logistic Regressions; Measurable; Medical Education; Medical Students; Mental Health; Modeling; Monkeys; Natural Language Processing; Opioid; Parents; Participant; Performance at work; Personal Satisfaction; Persons; Phenotype; Population; Population Intervention; Positioning Attribute; Process; Protocols documentation; Psyche structure; Public Health; Qualitative Research; Reporting; Research; Research Methodology; Sampling; Schools; Social Alienation; Source; Stereotyping; Students; Substance Use Disorder; Surveys; Target Populations; Techniques; Training; Twitter; Work; contextual factors; design; experience; farmer; health goals; improved; innovation; insight; internalized stigma; multiple data sources; physical conditioning; professional atmosphere; recruit; social; social media; social relationships; social stigma; substance use; trustworthiness; web site; working group

Project Summary/Abstract Stigma associated with substance use disorders (SUDs) can have severe negative consequences for physical and mental health; affect employment, housing, and social relationships; result in social alienation; and serve as a barrier to obtaining treatment. Existing stigma reduction interventions have largely focused on structural stigma (e.g. education of medical students or professional groups that work with persons with SUDs), but stigma can occur at multiple levels and in different contexts. In particular, there is a need for more stigma reduction interventions targeting those affected by self-stigma. We propose to address this gap by characterizing stigma in different substance use contexts through narratives collected from two different sources, social media and survey data. The long-term objective of this proposal is to derive insights concerning stigma phenotypes – characterized by setting (e.g., work, home, school), actors (persons involved in the stigma-related experience), and situations in which stigma reduction interventions are needed, as well as intervention mechanisms that are appropriate for their target populations. The significance of this proposal is that it focuses on stigma as it directly affects the persons who experience stigma – an area in which stigma reduction interventions are lacking. We focus on stigma relating to three substances: alcohol, cannabis, and opioids. Our three aims are: 1) we will integrate natural language processing and qualitative research methods to identify stigma processes, their contextual factors, and barriers and facilitators of stigma reduction in a social media corpus; 2) we will administer a survey to elicit narratives from persons with SUDs about how they have dealt with stigma in different contexts; and 3) we will triangulate the findings from Aims 1 and 2 to identify settings, target populations, and intervention mechanisms for future stigma reduction interventions. Our multidisciplinary research team possesses expertise in multiple areas relating to this proposal, including NLP, qualitative research, and substance use, and are ideally positioned to conduct the research.

项目概要/摘要 与物质使用障碍 (SUD) 相关的耻辱会对身体产生严重的负面影响 和心理健康；影响就业、住房和社会关系； 作为获得治疗的障碍，现有的减少耻辱干预措施主要集中在结构性方面。 耻辱（例如，对医学生或与 SUD 患者一起工作的专业团体进行教育），但是 耻辱可以发生在多个层面和不同的背景下，特别是需要更多的耻辱。 我们建议通过针对受自我耻辱影响的人采取减少干预措施来解决这一差距。 通过从两个不同的地方收集的叙述来描述不同物质使用背景下的耻辱 该提案的长期目标是获得有关来源、社交媒体和调查数据的见解。 耻辱表型——以环境（例如工作、家庭、学校）、参与者（参与活动的人）为特征 与耻辱相关的经历），以及需要减少耻​​辱干预的情况，以及 适合其目标人群的干预机制 该提案的意义在于。 它关注的是耻辱，因为它直接影响到遭受耻辱的人——这是耻辱的一个领域 缺乏减少干预措施，我们重点关注与三种物质有关的耻辱：酒精、大麻和大麻。 我们的三个目标是：1）我们将整合自然语言处理和定性研究方法。 确定社会污名化过程、其背景因素以及减少污名化的障碍和促进因素 媒体语料库；2) 我们将进行一项调查，以获取 SUD 患者的叙述，了解他们的经历 处理不同背景下的耻辱；3）我们将对目标 1 和 2 的调查结果进行三角测量，以确定 未来减少耻辱干预措施的环境、目标人群和干预机制。 多学科研究团队拥有与该提案相关的多个领域的专业知识，包括 NLP、 定性研究和物质使用，并且处于进行研究的理想位置。