{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:34:58Z","timestamp":1791444898908,"version":"4.3.3"},"reference-count":23,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T00:00:00Z","timestamp":1686096000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006084","name":"Office of AIDS Research","doi-asserted-by":"publisher","award":["HHSN269201400012C"],"award-info":[{"award-number":["HHSN269201400012C"]}],"id":[{"id":"10.13039\/100006084","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stigma surrounding opioid use disorder (OUD) is a barrier to treatment. The use of stigmatizing language may be evidence of negative views toward patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to identify associations between language and clinical outcomes in patients admitted for infectious complications of OUD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Designs<\/jats:title>\n                    <jats:p>We performed a retrospective medical record review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Participants<\/jats:title>\n                    <jats:p>Four U.S. academic health systems. Participants\u00a0were patients with OUD admitted for infectious complications of injection opioid use from January 1, 2018, to December 31, 2018, identified through international classification of diseases, 10th revision\u00a0codes consistent with OUD and acute bacterial\/fungal infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome and Measures<\/jats:title>\n                    <jats:p>Discharge summaries were reviewed for language, specifically: abuse, addiction, dependence, misuse, use disorder, intravenous drug use, and others. Binary outcomes including medication for OUD, planned discharge, naloxone provision, and an OUD treatment plan were evaluated using logistic regressions and admission duration was evaluated using Gamma regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1285 records were reviewed and 328 met inclusion criteria. Of those, 191 (58%) were male, with a median age of 38 years. The most common term was \u201cabuse\u201d (219, 67%), whereas \u201cuse disorder\u201d was recorded in 75 (23%) records. Having \u201cuse disorder\u201d in the discharge summary was associated with increased odds of having a documented plan for ongoing OUD treatment (adjusted odds ratio\u00a0[AOR]: 4.11, 95% confidence interval [CI]: 1.89\u20138.93) and having a documented plan for addiction\u2010specific follow\u2010up care (AOR: 2.31, 95% CI: 1.30\u20134.09).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Stigmatizing language was common in this study of patients hospitalized for infectious complications of OUD. Best\u2010practice language was uncommon, but when used was associated with increased odds of addiction treatment and specialty care referrals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.13146","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:35:54Z","timestamp":1686184554000},"page":"670-676","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Use of nonstigmatizing language is associated with improved outcomes in hospitalized people who inject drugs"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5487-6671","authenticated-orcid":false,"given":"Joseph E.","family":"Carpenter","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Emory University School of Medicine Atlanta Georgia USA"},{"name":"Grady Health System Atlanta Georgia 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P.","family":"Moran","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hana","family":"Akselrod","sequence":"additional","affiliation":[{"name":"Department of Medicine The George Washington School of Medicine and Health Sciences Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greer","family":"Burkholder","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen F.","family":"Eaton","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Milken Institute of Public Health The George Washington University Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Mai","sequence":"additional","affiliation":[{"name":"Department of Medicine The George Washington School of Medicine and Health Sciences Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keanan","family":"McGonigle","sequence":"additional","affiliation":[{"name":"Department of Medicine The George Washington School of Medicine and Health Sciences Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaina","family":"Steck","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Emory University School of Medicine 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