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November 3, 2025JAMIA OpenOpen Access

Proportion of alcohol use disorder diagnoses in electronic health records documented with stigmatized descriptors: a comparison across race, ethnicity, and sex

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Authors

RERobert L. EllisKHKevin A. HallgrenEWEmily C. Williams

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Overview

Cross-sectional study finds high stigma in alcohol use disorder descriptors in EHRs, indicating disparities across race and sex.

Key Points

  • To assess the prevalence of stigmatized descriptors in alcohol use disorder diagnoses and their variation across demographic subgroups.
  • Cross-sectional study using electronic health records from a regional health system.
  • Analysis included 61,886 alcohol use disorder diagnoses for adult primary care patients.
  • Descriptors were classified as stigmatizing or highly stigmatizing by four researchers.
  • 88.5% of diagnoses used stigmatizing descriptors.
  • 18.6% of diagnoses included highly stigmatizing terms.
  • Minimal differences in descriptor use across racial and ethnic subgroups.

Cite This Study

Ellis et al. (2025) studied this question.

synapsesocial.com/papers/69253a39c0ce034ddc357eb1https://doi.org/10.1093/jamiaopen/ooaf150
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence of alcohol use disorders documented in electronic health records in primary care across intersections of race or ethnicity, sex, and socioeconomic status2024 · 2 citations
  2. 2Stigmatism among physicians and nurses towards patients with alcohol use disorder: a systematic review2026 · 1 citations
  3. 3Identifying Patterns of Stigmatizing Language Use in the Safety Net2026
  4. 4Racial and ethnic disparities in receipt of specialty treatment across risk profiles of adults with heavy alcohol use2024
  5. 5Disparities in Alcohol Treatment Use at the Intersection of Race, Ethnicity, Gender, and Insurance2024 · 8 citations