Funder: None
PI: Sarah Bass; Co-Is: Ariel Hoadley
The objectives of this study are threefold. First, a multidimensional measure of intersectional internalized stigma is developed and evaluated among justice-involved adults with co-occurring OUD and MHD. Next, the study evaluates a recently created measure of intersectional discrimination and estimates health impacts (i.e., psychological distress, active concealment/intentional non-disclosure, and health-related quality of life). Finally, internalized stigma, social support, and recovery capital are investigated as potential mediators and moderators of associations between intersectional discrimination and health impacts. Using a cross-sectional survey design, N=300 participants will be recruited through a combination of strategies (i.e., in-person, flyers, referrals, and targeted social media posts) to complete thirteen modules on sociodemographic characteristics, intersectional stigma and discrimination, personal and interpersonal support mechanisms, and health impacts (i.e., psychological distress, active concealment/intentional non-disclosure, and health-related quality of life). Results will advance the field of intersectional quantitative stigma and discrimination measurement sciences, elucidate the health impacts of intersectional stigma and discrimination among justice-involved people with co-occurring disorders, and investigate opportunities for empowerment-based resources and interventions (i.e., recovery capital and social support) to help mitigate the negative health impacts of intersectional stigma and discrimination.