Using Person-First Language to Destigmatize OUD

Opioid use disorder (OUD) is a serious medical condition that has been on the rise in recent decades. Unfortunately, the stigma associated with OUD makes it hard for people to seek help.¹

Stigma refers to negative stereotypes or discrimination against a group of people or condition. When it comes to OUD, the words we use to talk about it can either increase stigma or help reduce it. Using person-first language is one way to show respect and understanding for those living with opioid use disorder.^1,2

What is person-first language?

Person-first language focuses on the person, not the condition. Instead of labeling someone as an “addict,” we can say “a person with opioid use disorder.” This simple change highlights that the person is more than their diagnosis. It separates their identity from their condition.^1,2

This approach is already common for other health issues. For example, people often say “a person with diabetes” instead of “a diabetic.” Using similar language for OUD can help reduce negative stereotypes.^1,2

Why does language matter?

Words can shape how we think and feel about people. Studies show that negative labels, like “junkie” or “abuser,” increase stigma. Stigma can make people feel ashamed and like their addiction is their fault. This can stop them from getting the help they need.^1,2

Addiction is a treatable medical condition. Using words that reflect this understanding helps reduce judgment. It encourages more people to view OUD as a health issue, not a personal choice or a moral failing.^1,2

Terms to avoid and terms to use

Here are some examples of terms to avoid and some better alternatives:^1,2

• Instead of “abuser” or “addict,” say “a person with opioid use disorder”
• Instead of “clean” or “dirty,” say “testing negative” or “testing positive” for substances
• Instead of “drug habit” say “addiction”
• Instead of “former addict,” say “a person in recovery”

These changes may seem small. But they have a big impact. Research shows that using person-first language greatly reduces stigma. This type of language shows respect and helps remove shame and blame.^1,2

The impact of stigma

Stigma can have serious consequences. It can prevent people from talking openly about their struggles. It can also make it harder for them to get the treatment they need.^1-3

Experts have found that the stigma around addiction is much higher than it is for other health conditions. This makes people with OUD:^1-3

• More likely to struggle to find support
• More likely to struggle with mental health challenges (such as depression)
• More likely to isolate themselves
• More likely to delay or avoid seeking medical care

Stigma can also affect the way healthcare providers treat people living with OUD. Providers may unconsciously judge their patients based on language used about them. Using person-first language helps create a more compassionate and effective healthcare environment.^1-3

How to support change

Reducing stigma requires everyone’s help – healthcare providers, loved ones, allies, and the general public. Here are some ways you can make a difference:⁴

• Be mindful of your words – Use person-first language when talking about opioid use disorder.
• Educate others – Share what you know about the importance of language when someone refers to OUD.
• Challenge stigma – Speak up when you hear harmful terms or stereotypes.
• Support policies – Advocate for policies and initiatives that treat OUD as a health issue, not a crime.

Changing how we talk about opioid use disorder can help reduce stigma. Person-first language shows respect and compassion. It reminds us that those with OUD are people who deserve care and understanding. These small changes can help create a more supportive environment for everyone affected by this condition.