compare to state data

• Stigma and Discrimination: Substance use disorder is often seen as a moral failing rather than a health issue, which fuels negative stereotypes. This perception leads to discrimination and marginalization of individuals struggling with substance use.
• Cultural and Social Norms: In smaller or more rural communities like Columbus County, social relationships are tightly knit, and individuals may fear judgment or exclusion from their social circles if they seek treatment.
• Healthcare Provider Bias: In some cases, individuals may encounter stigma within the healthcare system itself, where SUD may not always be treated with the same empathy or urgency as other health conditions. This can deter people from accessing care.
• Lack of Awareness: Misunderstandings about SUD as a chronic illness, rather than a personal choice, may contribute to stigmatizing attitudes in the community.