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It found drug consumption stigma to be salient and pervasive in PWUD health\u2010care encounters, operating through interpersonal interactions and institutionalised policies and practices to shape access to care. Crucially, stigma emerged through disciplinary opioid prescribing and dispensing practices that defined, categorised and marginalised PWUD based on how their drug consumption disrupted normative values of rationality and responsibility. Accounts additionally revealed disengagement from biomedical care and reliance on alternative pain management approaches (e.g. herbal remedies and illegal drugs), which show how structural positions shape the exercise of choice and agency in socially marginalised populations. In conclusion, the study considers the need to improve the health\u2010care experiences of PWUD as a strategy for enhancing health\u2010care engagement and improving health outcomes. It called for interventions to address the structural factors and interactional dynamics that influence stigma in health\u2010care settings as well as for a review of current guidelines and practices to improve access to opioids for chronic non\u2010cancer pain management.<\/jats:p>","DOI":"10.1111\/1467-9566.13718","type":"journal-article","created":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T15:30:27Z","timestamp":1696519827000},"page":"457-472","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Addiction stigma and opioid use in chronic non\u2010cancer pain management in Nigeria"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2555-1824","authenticated-orcid":false,"given":"Ediomo\u2010Ubong E.","family":"Nelson","sequence":"first","affiliation":[{"name":"Global Drug Policy Observatory Swansea University  Swansea UK"},{"name":"Centre for Research and Information on Substance Abuse  Uyo Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"issue":"2","key":"e_1_2_12_2_1","first-page":"146","article-title":"Attitude of nursing students towards psychoactive substance use: Does training matter?","volume":"4","author":"Aggarwal M.","year":"2012","journal-title":"International Journal of Nursing Education"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108684"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2009.10.008"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0230408"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2008.06.002"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.108664"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2019.01.037"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/10497323221083353"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073110517750600"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170363"},{"key":"e_1_2_12_13_1","volume-title":"Bodies that matter","author":"Butler J.","year":"1993"},{"key":"e_1_2_12_14_1","first-page":"1","article-title":"\u201cMaybe if I stop the drugs, then maybe they\u2019d care?\u201d \u2013 Hospital care experiences of people who use drugs","volume":"16","author":"Carusone S. 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