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Moral Foundations, Opioid Use Disorder Stigma, and Attitudes Toward Methadone Clinics: A Vignette Experimental Survey Design
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DOI：10.1037/sah0000639.png)
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Abstract
En 中文
Moral values play an important role in understanding stigma toward people with opioid use disorder (OUD) and attitudes toward related treatment modalities, given the moralized nature of substance use disorders in the United States. This study explored how moral values, attributions about OUD, and demographic factors influence stigma and attitudes toward methadone clinics. Using structural equation modeling (SEM), this study analyzed data from a 2 x 2 between-subjects factorial survey design (n = 248). Participants, recruited via the online survey platform Prolific, were demographically diverse but predominantly White. Measures included the Moral Foundations Questionnaire and scales assessing attributions, stigma, and attitudes toward a hypothetical methadone clinic. Endorsement of care and fairness values was generally associated with reduced stigma and favorable attitudes toward the methadone clinic, both directly and mediated by making less attributions of OUD to irreligiosity and character flaws. In contrast, values of purity, loyalty, and authority were generally linked to heightened stigma indirectly through more attributions of OUD to irreligiosity and character flaws. Methadone clinic proximity effects revealed stronger negative attitudes among middle- to upper class participants when the clinic was described as closer to home compared to lower class participants. Recognizing the influence of moral values and demographic characteristics in advocacy and education efforts, potentially reframing perceptions of OUD and its treatments.
Keywords:
moral foundations
opioid use disorder
stigma
attributions
methadone
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