Clinical medical practice and stigma towards patients with substance use disorder in an Italian sample of healthcare workers.

Alice Valdesalici, Diego Saccon, Elena Boatto, Amalia Manzan, Roberto Manera, Alessandro Pani, Valentina Pavani, Giancarlo Zecchinato, Vito Sava, Giovanni Greco, Sally Paganin, Marco Solmi
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Abstract

Introduction: People with substance use disorder (SUD) face challenges like stigma and discrimination, impacting their healthcare experiences.

Aim: This study aims to: (i) assess physicians' clinical practices and stigma toward SUD patients among healthcare personnel and (ii) explore the relationship among stigma, psychological well-being, and burnout.

Methods: A survey covering sociodemographic data, physicians' clinical practices, stigmatizing attitudes, psychological well-being, and burnout was completed by 1,796 employees of the Veneto's Local Health Units (Italy).

Results: Healthcare professionals reported increased stigma towards SUDs (p-values<0.05). Stigma consistently correlated with variables such as sex, profession, department, and levels of burnout (p-values<0.05). Notably, high burnout levels were associated with increased stigma. Staff in addiction departments displayed lower stigma levels compared to other departments. No significant differences were found in physicians' clinical practices.

Conclusions: Targeted training for healthcare professionals is crucial to reduce stigma, enhance attitudes toward SUDs, and broaden overall knowledge of the condition.

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意大利医护人员的临床医疗实践与对药物使用障碍患者的羞辱。
简介本研究旨在:(i) 评估医生的临床实践和医护人员对 SUD 患者的污名化态度;(ii) 探讨污名化、心理健康和职业倦怠之间的关系:威尼托地方卫生单位(意大利)的 1796 名员工完成了一项调查,内容包括社会人口学数据、医生的临床实践、污名化态度、心理健康和职业倦怠:结果:医护人员对药物依赖性疾病的鄙视程度有所上升(p 值):结论:对医疗保健专业人员进行有针对性的培训对于减少耻辱感、改善对药物依赖性障碍的态度以及扩大对该疾病的总体了解至关重要。
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