The sources of stigma and the impacts on Afghan refugees with substance abuse disorders: A qualitative study in Iran

J Ethn Subst Abuse. 2020 Oct-Dec;19(4):610-622. doi: 10.1080/15332640.2018.1556764. Epub 2019 Feb 4.

Abstract

Iran is the fourth refugee-hosting country and Afghanistan is the second refugee-source country in the world. This research is qualitative and conducted with content analysis method. Twenty-seven individuals participated in the study. They were recruited from two midterm residential drug treatment centers in Tehran. Afghan refugees who use drugs felt and experienced stigma in five areas: family, friends, workplace, neighborhood, and treatment center. The consequences include frequent treatment failure, family relationship disruption, superficial conformity with the host society, and self-stigma. It is necessary to design interventions to reduce stigma and discrimination attached to refugees.

Keywords: Refugee; stigma; substance abuse.

MeSH terms

  • Adult
  • Afghanistan / ethnology
  • Female
  • Humans
  • Iran / epidemiology
  • Male
  • Prejudice / statistics & numerical data*
  • Qualitative Research
  • Refugees / statistics & numerical data*
  • Social Stigma*
  • Socioeconomic Factors
  • Substance-Related Disorders / psychology
  • Substance-Related Disorders / rehabilitation*