Patterns of Felt Stigma Among Rural-Dwelling People Who Use Drugs: A Latent Class Analysis
Rural people who use drugs experience substance use stigma in distinct severity-based patterns, with four classes ranging from low to high stigma across all dimensions. A fifth, smaller class reports high internalized stigma despite low perceived stigma from others, potentially suggesting non-disclosure of substance use. These distinct profiles and their correlates offer targets for tailored stigma interventions.
Authors
- Caroline M. Barry (ORCID: https://orcid.org/0000-0001-8071-1483)
- David W. Seal (ORCID: https://orcid.org/0000-0002-5802-7148)
- Jessica J. Wyse (ORCID: https://orcid.org/0000-0003-4789-4390)
- Ryan Cook (ORCID: https://orcid.org/0000-0001-8754-995X)
- Gordon S. Smith (ORCID: https://orcid.org/0000-0002-2911-3071)
- Judith Feinberg (ORCID: https://orcid.org/0000-0003-4206-7214)
- Dalia Khoury
- Rachel E. Gicquelais (ORCID: https://orcid.org/0000-0002-7022-6385)
- Wiley D. Jenkins (ORCID: https://orcid.org/0000-0002-6389-0421)
- Peter D. Friedmann (ORCID: https://orcid.org/0000-0003-3585-3604)
- L. Sarah Mixson (ORCID: https://orcid.org/0009-0006-5149-8859)
- Nisha C. Gottfredson (ORCID: https://orcid.org/0000-0002-4765-7179)
- Vivian F. Go (ORCID: https://orcid.org/0000-0003-4828-6880)
- William C. Miller (ORCID: https://orcid.org/0000-0002-1934-7827)
- Kathryn Elizabeth Muessig (ORCID: https://orcid.org/0000-0002-8522-3240)
- Judith I. Tsui (ORCID: https://orcid.org/0000-0003-0877-5399)
- Seth M. Noar (ORCID: https://orcid.org/0000-0002-3453-5391)
- April M. Young (ORCID: https://orcid.org/0000-0003-3969-3249)
- Adams L. Sibley (ORCID: https://orcid.org/0000-0001-5073-8677)
Institutions
- Florida State University (US)
- University of North Carolina at Chapel Hill (US)
- Tulane University (US)
- West Virginia University (US)
- Portland State University (US)
- Baystate Medical Center (US)
- University of Wisconsin–Madison (US)
- University of Kentucky (US)
- Emory University (US)
- Oregon Health & Science University (US)
- University of Massachusetts Chan Medical School (US)
- RTI International (US)
- University of Washington (US)
- Institute for Learning Innovation (US)
- Baystate Health (US)
- Clemson University (US)
Publication Details
- Journal
- Substance Use & Misuse
- Published
- 2025-12-08
- DOI
- https://doi.org/10.1080/10826084.2025.2597459
- Primary Topic
- Substance Abuse Treatment and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00