Stigma related to screening, brief intervention, and referral intervention for behavioral health risk factors in healthcare settings: A systematic review
Introduction This systematic review aimed to synthesize existing studies on stigma (patient or provider’s perspective) related to screening, brief intervention, and referral (SBIR) for tobacco use, alcohol use, and insufficient physical activity Methods We conducted a systematic review in accordanc...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2024-05-01
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| Series: | Population Medicine |
| Subjects: | |
| Online Access: | https://www.populationmedicine.eu/Stigma-related-to-screening-brief-intervention-and-referral-intervention-for-behavioral,189377,0,2.html |
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| Summary: | Introduction
This systematic review aimed to synthesize
existing studies on stigma (patient or provider’s perspective)
related to screening, brief intervention, and referral (SBIR)
for tobacco use, alcohol use, and insufficient physical activity
Methods
We conducted a systematic review in accordance
with the Preferred Reporting Items for Systematic Reviews
and Meta-Analyses (PRISMA). We systematically searched
articles in MEDLINE, CINAHL, EMBASE, and Web of Science
databases using predetermined keywords. We reviewed
both the title/abstract and full text using an a priori set
of inclusion and exclusion criteria to identify the eligible
studies. We appraised study quality, extracted data, and
summarized the characteristics of intervention design and
study findings from the included studies.
Results
No published studies were found pertaining to SBIR
related to stigma for tobacco use or insufficient physical
activity. Five studies were included in the review; all focused
on SBIR-related stigma for alcohol use. The studies reported
that patients perceive stigma in accessing treatment for
alcohol use in healthcare settings. Our review identified
that patients who consume alcohol fear being judged or
stigmatized by their provider, which may lead patients
to provide dishonest answers and hide their alcohol use
status. We identified that patients are concerned about the
confidentiality of the information collected on alcohol use
and its impacts on their employment and housing.
Conclusions
Patients’ fear of being judged or stigmatized
prevents them from getting treatment for alcohol use and
reduces providers’ ability to engage and support patients.
More studies are needed to explore stigma related to SBIR
for risk factors (including tobacco use and physical activity)
using standardized stigma measurement tools. |
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| ISSN: | 2654-1459 |