This study examines whether characteristics of people who use drugs (PWUD) influence public perceptions of substance use disorder (SUD) and punitiveness. Using a full-factorial vignette experiment, a nationwide sample (N = 448), and a series of regression models, I estimate the causal effect of characteristics of PWUD on substance use evaluations and punitiveness. Results reveal that drug type and prior criminal drug record affected both SUD and punitive judgements, implying a prosocial punitiveness, where punishments are intended to rehabilitate. Demographics of PWUD (e.g., race, sex, etc.) mattered little. However, racial resentment moderated the relationship between SUD and punitiveness, suggesting aggressive punitiveness. These findings imply that SUD evaluations and punitiveness are linked in the public mind, suggesting that citizens may see punishments as a way to address SUD by helping PWUD recover. This is not true for racially resentful respondents, who appear to want to punish PWUD for punishment's sake.
AlexanderC. S.BeckerH. J. (1978). The use of vignettes in survey research. Public Opinion Quarterly, 42(1), 93–104. https://doi.org/10.1086/268432
3.
AlexanderM. (2010). The new Jim Crow: Mass incarceration in the age of colorblindness. The New Press.
4.
ApplegateB. K. (1997). Specifying public support for rehabilitation: A factorial survey approach [Doctoral dissertation, University of Cincinnati].
5.
ApplegateB. K.DavisR. K. (2006). Public views on sentencing juvenile murderers: The impact of offender, offense, and perceived maturity. Youth Violence and Juvenile Justice, 4(1), 55–74. https://doi.org/10.1177/1541204005282312
6.
AtzmüllerC.SteinerP. M. (2010). Experimental vignette studies in survey research. Methodology: European Journal of Research Methods for the Behavioral and Social Sciences, 6(3), 128–138. https://doi.org/10.1027/1614-2241/a000014
AuspurgK.HinzT.LiebigS.SauerC. (2014). The factorial survey as a method for measuring sensitive issues. EngelU.JannB.LynnP.ScherpenzeelA.Sturgis.P. In Improving Survey Methods: Lessons from Recent Research, 137–149. Routledge.
9.
BaderC. D.DesmondS. A.Carson MenckenF.JohnsonB. R. (2010). Divine justice: The relationship between images of God and attitudes toward criminal punishment. Criminal Justice Review, 35(1), 90–106. https://doi.org/10.1177/0734016809360329
10.
BandaraS. N.McGintyE. E.BarryC. L. (2020). Message framing to reduce stigma and increase support for policies to improve the wellbeing of people with prior drug convictions. International Journal of Drug Policy, 76, 102643. https://doi.org/10.1016/j.drugpo.2019.102643
11.
BarryC. L.McGintyE. E.PescosolidoB. A.GoldmanH. H. (2014). Stigma, discrimination, treatment effectiveness, and policy: Public views about drug addiction and mental illness. Psychiatric Services, 65(10), 1269–1272. https://doi.org/10.1176/appi.ps.201400140
12.
BeckerH. S. (1963). Outsiders. Simon and Schuster.
13.
BeckettK. (1997). Making crime pay: Law and order in contemporary American politics. Oxford University Press.
14.
BeckettK.Brydolf-HorwitzM. (2020). A kinder, gentler drug war? Race, drugs, and punishment in 21st century America. Punishment & Society, 22(4), 509–533. https://doi.org/10.1177/1462474520925145
15.
BerinskyA. J.HuberG. A.LenzG. S. (2012). Evaluating online labor markets for experimental research: Amazon. com’s Mechanical Turk. Political Analysis, 20(3), 351–368. https://doi.org/10.1093/pan/mpr057
16.
BerinskyA. J.MargolisM. F.SancesM. W. (2014). Separating the shirkers from the workers? Making sure respondents pay attention on self-administered surveys. American Journal of Political Science, 58(3), 739–753. https://doi.org/10.1111/ajps.12081
17.
BoboL. D.JohnsonD. (2004). A taste for punishment: Black and white Americans’ views on the death penalty and the war on drugs. Du Bois Review: Social Science Research on Race, 1(1), 151–180. https://doi.org/10.1017/S1742058X04040081
18.
BoboL. D.ThompsonV. (2006). Unfair by design: The war on drugs, race, and the legitimacy of the criminal justice system. Social Research: An International Quarterly, 73(2), 445–472. https://doi.org/10.1353/sor.2006.0010
BoydS. (2002). Media constructions of illegal drugs, users, and sellers: A closer look at traffic. International Journal of Drug Policy, 13(5), 397–407. https://doi.org/10.1016/S0955-3959(02)00079-8
21.
BrownE. K.SociaK. M. (2017). Twenty-first century punitiveness: Social sources of punitive American views reconsidered. Journal of Quantitative Criminology, 33(4), 935–959. https://doi.org/10.1007/s10940-016-9319-4
22.
CaseA.DeatonA. (2020). Deaths of despair and the future of capitalism. Princeton University Press.
23.
ChambersC. L. (2011). Drug laws and institutional racism: The story told by the congressional record. LFB Scholarly Publishing LLC.
24.
ChristieN. C.HsuE.IskiwitchC.IyerR.GrahamJ.SchwartzB.MonterossoJ. R. (2019). The moral foundations of needle exchange attitudes. Social Cognition, 37(3), 229–246. https://doi.org/10.1521/soco.2019.37.3.229
25.
CochranJ. K.BootsD. P.HeideK. M. (2003). Attribution styles and attitudes toward capital punishment for juveniles, the mentally incompetent, and the mentally retarded. Justice Quarterly, 20(1), 65–93. https://doi.org/10.1080/07418820300095461
26.
CoppockA. (2019). Generalizing from survey experiments conducted on Mechanical Turk: A replication approach. Political Science Research and Methods, 7(3), 613–628. https://doi.org/10.1017/psrm.2018.10
27.
CorriganP. W.KuwabaraS. A.O’ShaughnessyJ. (2009). The public stigma of mental illness and drug addiction: Findings from a stratified random sample. Journal of Social Work, 9(2), 139–147. https://doi.org/10.1177/1468017308101818
28.
CourtwrightD. T. (1982). Dark paradise. Harvard University Press.
29.
Des JarlaisD. C. (2000). Prospects for a public health perspective on psychoactive drug use. American Journal of Public Health, 90, 335–337. https://doi.org/10.2105/AJPH.90.3.335
30.
DrakeJ.CharlesC.BourgeoisJ. W.DanielE. S.KwendeM. (2020). Exploring the impact of the opioid epidemic in Black and Hispanic communities in the United States. Drug Science, Policy and Law, 6, 2050324520940428. https://doi.org/10.1177/2050324520940428
31.
DurkheimE. (1984). The division of labor in society. Free Press.
32.
EarnshawV.SmithL.CopenhaverM. (2013). Drug addiction stigma in the context of methadone maintenance therapy: An investigation into understudied sources of stigma. International Journal of Mental Health and Addiction, 11(1), 110–122. https://doi.org/10.1007/s11469-012-9402-5
33.
GarlandD. (1990). Frameworks of inquiry in the sociology of punishment. British Journal of Sociology, 1–15. https://doi.org/10.2307/591014
34.
GilensM. (1996). “Race coding” and white opposition to welfare. American Political Science Review, 90(3), 593–604. https://doi.org/10.2307/2082611
35.
GilensM. (1999). Why Americans hate welfare: Race, media, and the politics of antipoverty policy. University of Chicago Press.
GoffmanE. (1963). Stigma: Notes on the management of spoiled identity. Simon and Schuster.
38.
GoodyearK.Haass-KofflerC. L.ChavanneD. (2018). Opioid use and stigma: The role of gender, language and precipitating events. Drug and Alcohol Dependence, 185, 339–346. https://doi.org/10.1016/j.drugalcdep.2017.12.037
39.
GottschalkM. (2016). Caught: The prison state and the lockdown of American politics. Princeton University Press.
40.
GrahamJ.NosekB. A.HaidtJ.IyerR.KolevaS.DittoP. H. (2011). Mapping the moral domain. Journal of Personality and Social Psychology, 101(2), 366. https://doi.org/10.1037/a0021847
HancockA. M. (2004). The politics of disgust: The public identity of the welfare queen. New York University Press.
44.
HansenH. B.NetherlandJ. (2016). Is the prescription opioid epidemic a white problem?American Journal of Public Health, 106(12), 2127–2129. https://doi.org/10.2105/AJPH.2016.303483
45.
HartC. L. (2021). Drug use for grown-ups: Chasing liberty in the land of fear. Penguin.
46.
HasinD. S.O’BrienC. P.AuriacombeM.BorgesG.BucholzK.BudneyA.ComptonW.CrowleyT.LingW.PetryN.SchuckitM.GrantB. F. (2013). DSM-5 criteria for substance use disorders: Recommendations and rationale. American Journal of Psychiatry, 170(8), 834–851. https://doi.org/10.1176/appi.ajp.2013.12060782
47.
HatemiP. K.CrabtreeC.SmithK. B. (2019). Ideology justifies morality: Political beliefs predict moral foundations. American Journal of Political Science, 63(4), 788–806. https://doi.org/10.1111/ajps.12448
48.
HauserD. J.SchwarzN. (2016). Attentive Turkers: MTurk participants perform better on online attention checks than do subject pool participants. Behavior Research Methods, 48(1), 400–407. https://doi.org/10.3758/s13428-015-0578-z
HedegaardH.MiniñoA. M.WarnerM. (2020). Drug overdose deaths in the United States, 1999–2018. NCHS data brief, no 356. National Center for Health Statistics.
KellyJ. F.WesterhoffC. M. (2010). Does it matter how we refer to individuals with substance-related conditions? A randomized study of two commonly used terms. International Journal of Drug Policy, 21(3), 202–207. https://doi.org/10.1016/j.drugpo.2009.10.010
55.
Kennedy-HendricksA.BarryC. L.GollustS. E.EnsmingerM. E.ChisolmM. S.McGintyE. E. (2017). Social stigma toward persons with prescription opioid use disorder: Associations with public support for punitive and public health–oriented policies. Psychiatric Services, 68(5), 462–469. https://doi.org/10.1176/appi.ps.201600056
56.
Kennedy-HendricksA.McGintyE. E.BarryC. L. (2016). Effects of competing narratives on public perceptions of opioid pain reliever addiction during pregnancy. Journal of Health Politics, Policy and Law, 41(5), 873–916. https://doi.org/10.1215/03616878-3632230
57.
KolodnyA.CourtwrightD. T.HwangC. S.KreinerP.EadieJ. L.ClarkT. W.AlexanderG. C. (2015). The prescription opioid and heroin crisis: A public health approach to an epidemic of addiction. Annual Review of Public Health, 36, 559–574. https://doi.org/10.1146/annurev-publhealth-031914-122957
KuleszaM.TeachmanB. A.WerntzA. J.GasserM. L.LindgrenK. P. (2015). Correlates of public support toward federal funding for harm reduction strategies. Substance Abuse Treatment, Prevention, and Policy, 10(1), 1–8. https://doi.org/10.1186/s13011-015-0022-5
60.
LangB.RosenbergH. (2017). Public perceptions of behavioral and substance addictions. Psychology of Addictive Behaviors, 31(1), 79. https://doi.org/10.1037/adb0000228
LeeR. D.RasinskiK. A. (2006). Five grams of coke: Racism, moralism and White public opinion on sanctions for first time possession. International Journal of Drug Policy, 17(3), 183–191. https://doi.org/10.1016/j.drugpo.2006.02.001
63.
LewisM. (2018). Brain change in addiction as learning, not disease. New England Journal of Medicine, 379(16), 1551–1560. https://doi.org/10.1056/NEJMra1602872
64.
LivingstonJ. D.MilneT.FangM. L.AmariE. (2012). The effectiveness of interventions for reducing stigma related to substance use disorders: A systematic review. Addiction, 107(1), 39–50. https://doi.org/10.1111/j.1360-0443.2011.03601.x
65.
LockE. D.TimberlakeJ. M.RasinskiK. A. (2002). Battle fatigue: Is public support waning for “war”-centered drug control strategies?Crime & Delinquency, 48(3), 380–398. https://doi.org/10.1177/0011128702048003002
66.
MateG. (2011). In the realm of hungry ghosts: Close encounters with addiction. North Atlantic Books.
67.
MathesonC.JaffrayM.RyanM.BondC. M.FraserK.KirkM.LiddellD. (2014). Public opinion of drug treatment policy: Exploring the public’s attitudes, knowledge, experience and willingness to pay for drug treatment strategies. International Journal of Drug Policy, 25(3), 407–415. https://doi.org/10.1016/j.drugpo.2013.11.001
68.
MattsonC. L.TanzL. J.QuinnK.KariisaM.PatelP.DavisN. L. (2021). Trends and geographic patterns in drug and synthetic opioid overdose deaths—United States, 2013–2019. Morbidity and Mortality Weekly Report, 70(6), 202. https://doi.org/10.15585/mmwr.mm7006a4
69.
McGintyE. E.BarryC. L. (2020). Stigma reduction to combat the addiction crisis—developing an evidence base. The New England Journal of Medicine, 382(14), 1291–1292. https://doi.org/10.1056/NEJMp2000227
70.
McGintyE. E.GoldmanH. H.PescosolidoB.BarryC. L. (2015). Portraying mental illness and drug addiction as treatable health conditions: Effects of a randomized experiment on stigma and discrimination. Social Science & Medicine, 126, 73–85. https://doi.org/10.1016/j.socscimed.2014.12.010
71.
MearsD. P.ManciniC.GertzM.BrattonJ. (2008). Sex crimes, children, and pornography: Public views and public policy. Crime & Delinquency, 54(4), 532–559. https://doi.org/10.1177/0011128707308160
72.
MeierK. J. (1992). The politics of drug abuse: Laws, implementation, and consequences. Western Political Quarterly, 45(1), 41–69. https://doi.org/10.1177/106591299204500105
MuhammadK. G. (2010). The condemnation of blackness: Race, crime, and the making of modern urban America, with a new preface. Harvard University Press.
75.
MullinixK. J.LeeperT. J.DruckmanJ. N.FreeseJ. (2015). The generalizability of survey experiments. Journal of Experimental Political Science, 2(2), 109–138. https://doi.org/10.1017/XPS.2015.19
76.
MurakawaN. (2011). Toothless: The methamphetamine “epidemic”, “meth mouth”, and the racial construction of drug scares. Du Bois Review: Social Science Research on Race, 8(1), 219–228. https://doi.org/10.1017/S1742058X11000208
77.
NetherlandJ.HansenH. (2017). White opioids: Pharmaceutical race and the war on drugs that wasn’t. BioSocieties, 12(2), 217–238. https://doi.org/10.1057/biosoc.2015.46
78.
NicosiaN.MacDonaldJ. M.ArkesJ. (2013). Disparities in criminal court referrals to drug treatment and prison for minority men. American Journal of Public Health, 103(6), 77–84. https://doi.org/10.2105/AJPH.2013.301222
79.
NielsenA. L. (2010). Americans’ attitudes toward drug-related issues from 1975–2006: The roles of period and cohort effects. Journal of Drug Issues, 40(2), 461–493. https://doi.org/10.1177/002204261004000209
80.
NielsenA. L.BonnS.WilsonG. (2010). Racial prejudice and spending on drug rehabilitation: The role of attitudes toward blacks and Latinos. Race and Social Problems, 2(3–4), 149–163. https://doi.org/10.1007/s12552-010-9035-x
81.
PayneB. K.GaineyR. R.TriplettR. A.DannerM. J. (2004). What drives punitive beliefs?: Demographic characteristics and justifications for sentencing. Journal of Criminal Justice, 32(3), 195–206. https://doi.org/10.1016/j.jcrimjus.2004.02.007
RaudenbushS.BrykA. (2002). Hierarchical linear models: Applications and data analysis methods. Sage.
87.
ReinarmanC. (1994). The Social Construction of Drug Scares. P. A.AdlerP. Adler. In Constructions of Deviance: Social Power, Context, and Interaction, 92–105,Wadsworth Publishing.
88.
ReinarmanC.LevineH. G. (2004). Crack in the rearview mirror: Deconstructing drug war mythology. Social Justice, 31(1–2), 182–199. http://www.jstor.org/stable/29768248
89.
RossiP. H.BerkR. A. (1997). Just punishments: Federal guidelines and public views compared. Transaction Publishers.
90.
SalonerB.McGintyE. E.BeletskyL.BluthenthalR.BeyrerC.BotticelliM.ShermanS. G. (2018). A public health strategy for the opioid crisis. Public Health Reports, 133(1_suppl), 24S–34S. https://doi.org/10.1177/0033354918793627
91.
SamuelssonE.WallanderL. (2014). Disentangling practitioners’ perceptions of substance use severity: A factorial survey. Addiction Research & Theory, 22(4), 348–360. https://doi.org/10.3109/16066359.2013.856887
92.
SattlerS.EscandeA.RacineE.GöritzA. S. (2017). Public stigma toward people with drug addiction: A factorial survey. Journal of Studies on Alcohol and Drugs, 78(3), 415–425. https://doi.org/10.15288/jsad.2017.78.415
93.
SattlerS.ZolalaF.BaneshiM. R.GhasemiJ.Amirzadeh GooghariS. (2021). Public stigma toward female and male opium and heroin users. An experimental test of attribution theory and the familiarity hypothesis. Frontiers in Public Health, 9, 341. https://doi.org/10.3389/fpubh.2021.652876
94.
SchuttenN. M.PickettJ. T.BurtonA. L.CullenF. T.JonsonC. L.BurtonV. S.Jr. (2020). Punishing rampage: Public opinion on sanctions for school shooters. Justice Quarterly, 39(2), 1–24. https://doi.org/10.1080/07418825.2019.1707857
95.
SilverJ. R. (2017). Moral foundations, intuitions of justice, and the intricacies of punitive sentiment. Law & Society Review, 51(2), 413–450. https://doi.org/10.1111/lasr.12264
96.
SilverJ. R.SilverE. (2021). The nature and role of morality in offending: A moral foundations approach. Journal of Research in Crime and Delinquency, 58(3), 343–380. https://doi.org/10.1177/0022427820960201
97.
SlavovaS.RockP.BushH. M.QuesinberryD.WalshS. L. (2020). Signal of increased opioid overdose during COVID-19 from emergency medical services data. Drug and Alcohol Dependence, 214, 108176. https://doi.org/10.1016/j.drugalcdep.2020.108176
98.
SnowbergE.YarivL. (2021). Testing the waters: Behavior across participant pools. American Economic Review, 111(2), 687–719. https://doi.org/10.1257/aer.20181065
ThomasK. A.CliffordS. (2017). Validity and Mechanical Turk: An assessment of exclusion methods and interactive experiments. Computers in Human Behavior, 77, 184–197. https://doi.org/10.1016/j.chb.2017.08.038
103.
ThompsonH. A. (2019). The racial history of criminal justice in America. Du Bois Review: Social Science Research on Race, 16(1), 221–241. https://doi.org/10.1017/S1742058X19000183
104.
TimberlakeJ. M.RasinskiK. A.LockE. D. (2001). Effects of conservative sociopolitical attitudes on public support for drug rehabilitation spending. Social Science Quarterly, 82(1), 184–196. https://doi.org/10.1111/0038-4941.00016
105.
TonryM. H. (2011). Punishing race: A continuing American dilemma. Oxford University Press.
106.
UnneverJ. D.CullenF. T. (2007). Reassessing the racial divide in support for capital punishment: The continuing significance of race. Journal of Research in Crime and Delinquency, 44, 124–158. https://doi.org/10.1177/0022427806295837
WeaverV. M. (2007). Frontlash: Race and the development of punitive crime policy. Studies in American Political Development, 21(2), 230–265. https://doi.org/10.1017/S0898588X07000211
WelchK. (2007). Black criminal stereotypes and racial profiling. Journal of Contemporary Criminal Justice, 23(3), 276–288. https://doi.org/10.1177/1043986207306870
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