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Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?

Author

Listed:
  • Daniel Demant

    (University of Technology Sydney
    Queensland University of Technology (QUT))

  • Oscar Oviedo-Trespalacios

    (Queensland University of Technology (QUT)
    Universidad del Norte)

  • Julie-Anne Carroll

    (Queensland University of Technology (QUT))

  • Jason A. Ferris

    (University of Queensland)

  • Larissa Maier

    (University of Zurich)

  • Monica J. Barratt

    (UNSW Sydney
    Curtin University
    Burnet Institute)

  • Adam R. Winstock

    (University College London
    Global Drug Survey Ltd)

Abstract

Objectives We examined protective and non-protective effects of disadvantaged social identities and their intersections on lifetime substance use and risky alcohol consumption. Methods Data from 90,941 participants of the Global Drug Survey 2015 were analysed. Multivariable logistic regressions were used to calculate adjusted odds ratios for lifetime use of nine psychoactive substances, as well as high-risk/harmful alcohol use. Disadvantaged identities from three categories (ethnicity, sexual identity, gender), and interactions between these were compared. Results Findings indicate that participants with disadvantaged ethnic and sexual minority identities are more likely to use psychoactive substances compared to their counterparts. The intersecting identity ‘disadvantaged ethnic identity and sexual minority’ appears to be protective compared to those with just one of these identities. While female gender appears to be highly protective in general, it is not protective among females with disadvantaged social identities. Conclusions Stark disparities in substance use between different social identities and their intersections emphasise the importance of intersectionality theories in public health research intervention design. Future research on health equity, particularly substance use, should target individuals with intersecting identities.

Suggested Citation

  • Daniel Demant & Oscar Oviedo-Trespalacios & Julie-Anne Carroll & Jason A. Ferris & Larissa Maier & Monica J. Barratt & Adam R. Winstock, 2018. "Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 621-630, June.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:5:d:10.1007_s00038-018-1095-5
    DOI: 10.1007/s00038-018-1095-5
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    References listed on IDEAS

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    Cited by:

    1. Liam Spencer & Hayley Alderson & Steph Scott & Eileen Kaner & Jonathan Ling, 2023. "‘The Addiction Was Making Things Harder for My Mental Health’: A Qualitative Exploration of the Views of Adults and Adolescents Accessing a Substance Misuse Treatment Service," IJERPH, MDPI, vol. 20(11), pages 1-16, May.
    2. Cassandra Carels & Maria Florence & Sabirah Adams & Deborah Louise Sinclair & Shazly Savahl, 2022. "Youths’ Perceptions Of The Relation Between Alcohol Consumption And Risky Sexual Behaviour in the Western Cape, South Africa: A Qualitative Study," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(4), pages 1269-1293, August.

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