{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T12:23:55Z","timestamp":1771935835038,"version":"3.50.1"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"\n Introduction<\/jats:title>\n Alcohol and substance use disorders contribute significantly to the global burden of disease, resulting in substantial morbidity and mortality. Meanwhile, stigmatization is a major barrier to treatment and incorporation into community life processes. Given that stigma among health care workers may affect patients\u2019 access to adequate healthcare services, this study aimed to evaluate the stigma patterns regarding alcohol and substance use disorders.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n This descriptive study was conducted at a tertiary health facility. Two identical case vignettes were prepared to evaluate the possible differences in stigma patterns of alcohol and substance use disorders. The target population included physicians, nurses, and other healthcare workers. A total of 396 voluntary participants completed the study.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The proportion of participants who stated that substance use disorder was a more severe illness was significantly higher, while alcohol use disorder was considered to be more associated with socioeconomic problems. Similarly, participants felt that substance use patients should not freely roam in the community, were more aggressive, and cannot make sound decisions in life. Finally, patients with substance use disorders were seen as unable to recover completely.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n To the best of our knowledge, this is the first study to evaluate differences of stigmatization patterns regarding alcohol and substance use disorders among healthcare workers. The study showed that the stigma associated with alcohol and substance use disorders was high, while substance use was also associated with higher levels of unacceptability and greater social distancing. These findings can be used in developing health policies and enhancing educational strategies.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1634817","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T06:54:11Z","timestamp":1771397651000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A comparative appraisal of stigma among healthcare workers towards alcohol and substance use disorders: a case vignette study"],"prefix":"10.3389","volume":"17","author":[{"given":"Onat","family":"Yilmaz","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Okmeydani Education and Research Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alparslan Asil","family":"Budakli","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Bahcesehir University Faculty of Medicine","place":["Kadikoy, Istanbul, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eda","family":"Aslan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Mersin University Faculty of Medicine","place":["Ciftlikkoy, Mersin, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"B1","unstructured":"WHO special initiative for mental health\n \n \n \n 2019"},{"key":"B2","unstructured":"World drug report\n \n \n \n 2019"},{"key":"B3","volume-title":"Stigma: Notes on the management of spoiled identity","author":"Goffman","year":"1963"},{"key":"B4","volume-title":"Ending discrimination against people with mental and substance use disorders: the evidence for stigma change","year":"2017"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.04.042","article-title":"The stigma of mental illness in children and adolescents: A systematic review","volume":"243","author":"Kaushik","year":"2016","journal-title":"Psychiatry Res"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.soc.27.1.363","article-title":"Conceptualizing stigma","volume":"27","author":"Link","year":"2001","journal-title":"Annu Rev Sociol"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000374","article-title":"Opioid addiction, attributions, and stigma: An online vignette experimental study","volume":"7","author":"Ragsdale","year":"2022","journal-title":"Stigma Health"},{"key":"B8","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/j.drugalcdep.2013.02.018","article-title":"Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review","volume":"131","author":"van Boekel","year":"2013","journal-title":"Drug Alcohol Depend"},{"key":"B9","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1037\/14297-004","article-title":"The stigma of alcohol and other substance abuse","volume-title":"The stigma of disease and disability: Understanding causes and overcoming injustices","author":"Schomerus","year":"2014"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.185421","article-title":"Are some of the stigmas of addictions culturally sanctioned","volume":"210","author":"Corrigan","year":"2017","journal-title":"Br J Psychiatry"},{"key":"B11","first-page":"47","article-title":"Which psychiatric label is more stigmatizing? 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