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: Adetola Aboyeji, Sharon Mah, Gary Teare, Kamala Adhikari
Format: Article
Language:English
Published: European Publishing 2024-05-01
Series:Population Medicine
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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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author Adetola Aboyeji
Sharon Mah
Gary Teare
Kamala Adhikari
author_facet Adetola Aboyeji
Sharon Mah
Gary Teare
Kamala Adhikari
author_sort Adetola Aboyeji
collection DOAJ
description 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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spelling doaj-art-78fddc2ccce64ec1996f0c36edfae34c2025-08-20T02:41:46ZengEuropean PublishingPopulation Medicine2654-14592024-05-016May1910.18332/popmed/189377189377Stigma related to screening, brief intervention, and referral intervention for behavioral health risk factors in healthcare settings: A systematic reviewAdetola Aboyeji0Sharon Mah1Gary Teare2Kamala Adhikari3Cancer Prevention and Screening Innovation, Provincial Population and Public Health, Alberta Health Services, Calgary, CanadaCancer Prevention and Screening Innovation, Provincial Population and Public Health, Alberta Health Services, Calgary, CanadaCancer Prevention and Screening Innovation, Provincial Population and Public Health, Alberta Health Services, Calgary, CanadaCancer Prevention and Screening Innovation, Provincial Population and Public Health, Alberta Health Services, Calgary, CanadaIntroduction 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.https://www.populationmedicine.eu/Stigma-related-to-screening-brief-intervention-and-referral-intervention-for-behavioral,189377,0,2.htmlstigmascreeningbrief intervention and referralsbirtobacco usealcohol useinsufficient physical activity
spellingShingle Adetola Aboyeji
Sharon Mah
Gary Teare
Kamala Adhikari
Stigma related to screening, brief intervention, and referral intervention for behavioral health risk factors in healthcare settings: A systematic review
Population Medicine
stigma
screening
brief intervention and referral
sbir
tobacco use
alcohol use
insufficient physical activity
title Stigma related to screening, brief intervention, and referral intervention for behavioral health risk factors in healthcare settings: A systematic review
title_full Stigma related to screening, brief intervention, and referral intervention for behavioral health risk factors in healthcare settings: A systematic review
title_fullStr Stigma related to screening, brief intervention, and referral intervention for behavioral health risk factors in healthcare settings: A systematic review
title_full_unstemmed Stigma related to screening, brief intervention, and referral intervention for behavioral health risk factors in healthcare settings: A systematic review
title_short Stigma related to screening, brief intervention, and referral intervention for behavioral health risk factors in healthcare settings: A systematic review
title_sort stigma related to screening brief intervention and referral intervention for behavioral health risk factors in healthcare settings a systematic review
topic stigma
screening
brief intervention and referral
sbir
tobacco use
alcohol use
insufficient physical activity
url https://www.populationmedicine.eu/Stigma-related-to-screening-brief-intervention-and-referral-intervention-for-behavioral,189377,0,2.html
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