{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T14:33:15Z","timestamp":1793370795735,"version":"4.5.0"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,19]],"date-time":"2025-01-19T00:00:00Z","timestamp":1737244800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["214607\/Z\/18\/Z"],"award-info":[{"award-number":["214607\/Z\/18\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Sociology Health &amp;amp; Illness"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    This paper explores the connection between stigma and the Inverse Care Law (ICL) by focussing on the idea that people who have the greatest needs often have the least support from healthcare services. Twenty\u2010four semi\u2010structured interviews were undertaken with people who used class A &amp; B illicit drugs, in the northeast of England. Many of the people in this study who used illicit drugs were not able to access quality healthcare in a timely way to meet their needs because of structural and relational stigma. We discuss four themes: (i) pressure on health services and long waiting lists, (ii) sensitivity to compassion fatigue from staff and impacts on engagement, (iii) complex systems that are difficult to navigate and (iv) stigma and drug use. These themes illuminate the harms of stigma and support Tudor Hart's ICL. Stigma is a key contributor to the inverse experience of good quality healthcare and requires greater attention from policymakers and practitioners. The structural and relational aspects of stigma embedded in healthcare are central to the ICL and reproduce inequities in\n                    <jats:italic>access to<\/jats:italic>\n                    and\n                    <jats:italic>experience of<\/jats:italic>\n                    good quality healthcare, which in turn impacts health inequalities.\n                  <\/jats:p>","DOI":"10.1111\/1467-9566.70000","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T02:09:46Z","timestamp":1737338986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Stigma and the Inverse\n                    <i>Care<\/i>\n                    Law: Experiences of \u2018Care\u2019 for People Living in Marginalised Conditions"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8017-8188","authenticated-orcid":false,"given":"Michelle","family":"Addison","sequence":"first","affiliation":[{"name":"Department of Sociology Durham University  Durham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steph","family":"Scott","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Bambra","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Lhussier","sequence":"additional","affiliation":[{"name":"Department of Social Work, Education and Community Wellbeing Northumbria University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/00380261221150080"},{"key":"e_1_2_12_3_1","volume-title":"Mental Health, Crime and Justice","author":"Addison M.","year":"2025"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmqr.2023.100295"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-98286-7"},{"key":"e_1_2_12_6_1","article-title":"Dismantling Disadvantage: Levelling up Public Services for Women With Multiple Unmet Needs","author":"Agenda Alliance","year":"2023","journal-title":"C. 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