IDEAS home Printed from https://ideas.repec.org/a/spr/ijphth/v63y2018i5d10.1007_s00038-018-1095-5.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00038-018-1095-5
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s00038-018-1095-5?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Stuber, Jennifer & Meyer, Ilan & Link, Bruce, 2008. "Stigma, prejudice, discrimination and health," Social Science & Medicine, Elsevier, vol. 67(3), pages 351-357, August.
    2. Viruell-Fuentes, Edna A. & Miranda, Patricia Y. & Abdulrahim, Sawsan, 2012. "More than culture: Structural racism, intersectionality theory, and immigrant health," Social Science & Medicine, Elsevier, vol. 75(12), pages 2099-2106.
    3. Priest, Naomi & Paradies, Yin & Trenerry, Brigid & Truong, Mandy & Karlsen, Saffron & Kelly, Yvonne, 2013. "A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people," Social Science & Medicine, Elsevier, vol. 95(C), pages 115-127.
    4. Bauer, Greta R., 2014. "Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity," Social Science & Medicine, Elsevier, vol. 110(C), pages 10-17.
    5. Merline, A.C. & O'Malley, P.M. & Schulenberg, J.E. & Bachman, J.G. & Johnston, L.D., 2004. "Substance Use among Adults 35 Years of Age: Prevalence, Adulthood Predictors, and Impact of Adolescent Substance Use," American Journal of Public Health, American Public Health Association, vol. 94(1), pages 96-102.
    6. Cook, M.C. & Morisky, D.E. & Williams, J.K. & Ford, C.L. & Gee, G.C., 2016. "Sexual risk behaviors and substance use among men sexually victimized by women," American Journal of Public Health, American Public Health Association, vol. 106(7), pages 1263-1269.
    7. Bowleg, L., 2012. "The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1267-1273.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.
    2. 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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Silvia Loi & Peng Li & Mikko Myrskylä, 2022. "At the intersection of adverse life course pathways: the effects on health by nativity," MPIDR Working Papers WP-2022-018, Max Planck Institute for Demographic Research, Rostock, Germany.
    2. Sangaramoorthy, Thurka & Benton, Adia, 2022. "Intersectionality and syndemics: A commentary," Social Science & Medicine, Elsevier, vol. 295(C).
    3. Evans, Clare R. & Erickson, Natasha, 2019. "Intersectionality and depression in adolescence and early adulthood: A MAIHDA analysis of the national longitudinal study of adolescent to adult health, 1995–2008," Social Science & Medicine, Elsevier, vol. 220(C), pages 1-11.
    4. Amy D. Thierry & Kyler Sherman-Wilkins & Marina Armendariz & Allison Sullivan & Heather R. Farmer, 2021. "Perceived Neighborhood Characteristics and Cognitive Functioning among Diverse Older Adults: An Intersectional Approach," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    5. Calzada, Esther J. & Kim, Yeonwoo & O'Gara, Jaimie L., 2019. "Skin color as a predictor of mental health in young Latinx children," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    6. Kline, Nolan, 2022. "Syndemic statuses: Intersectionality and mobilizing for LGBTQ+ Latinx health equity after the Pulse shooting," Social Science & Medicine, Elsevier, vol. 295(C).
    7. Jacques- Aviñó, Constanza & Peralta, Andrés & Carrere, Juli & Marí-Dell'Olmo, Marc & Benach, Joan & López, María-José, 2022. "Qualitative evaluation of an intervention to reduce energy poverty: Effects perceived by participants according to typologies of social vulnerability," Energy Policy, Elsevier, vol. 167(C).
    8. Harari, Lexi & Lee, Chioun, 2021. "Intersectionality in quantitative health disparities research: A systematic review of challenges and limitations in empirical studies," Social Science & Medicine, Elsevier, vol. 277(C).
    9. Alvarez, Camila H. & Evans, Clare Rosenfeld, 2021. "Intersectional environmental justice and population health inequalities: A novel approach," Social Science & Medicine, Elsevier, vol. 269(C).
    10. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    11. Tyler D. Harvey & Ijeoma Opara & Emily A. Wang, 2022. "Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Crimi," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    12. 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.
    13. Evans, Clare R. & Williams, David R. & Onnela, Jukka-Pekka & Subramanian, S.V., 2018. "A multilevel approach to modeling health inequalities at the intersection of multiple social identities," Social Science & Medicine, Elsevier, vol. 203(C), pages 64-73.
    14. Tuyet-Mai H. Hoang & Ainslee Wong, 2022. "Exploring the Application of Intersectionality as a Path toward Equity in Perinatal Health: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-25, December.
    15. Evans, Clare R., 2019. "Adding interactions to models of intersectional health inequalities: Comparing multilevel and conventional methods," Social Science & Medicine, Elsevier, vol. 221(C), pages 95-105.
    16. Scott J. Fitzpatrick & Bronwyn K. Brew & Donna M. Y. Read & Kerry J. Inder & Alan Hayes & David Perkins, 2019. "Rethinking Suicide in Rural Australia: A study Protocol for Examining and Applying Knowledge of the Social Determinants to Improve Prevention in Non-Indigenous Populations," IJERPH, MDPI, vol. 16(16), pages 1-13, August.
    17. Ridgeway, Sadie O. & Denney, Justin T., 2023. "A comprehensive examination of discrimination and the impact on health in young adults," Social Science & Medicine, Elsevier, vol. 320(C).
    18. Beccia, Ariel L. & Agénor, Madina & Baek, Jonggyu & Ding, Eric Y. & Lapane, Kate L. & Austin, S. Bryn, 2024. "Methods for structural sexism and population health research: Introducing a novel analytic framework to capture life-course and intersectional effects," Social Science & Medicine, Elsevier, vol. 351(S1).
    19. Bridget Gorman & Justin Denney & Hilary Dowdy & Rose Medeiros, 2015. "A New Piece of the Puzzle: Sexual Orientation, Gender, and Physical Health Status," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1357-1382, August.
    20. Hicken, Margaret T. & Kravitz-Wirtz, Nicole & Durkee, Myles & Jackson, James S., 2018. "Racial inequalities in health: Framing future research," Social Science & Medicine, Elsevier, vol. 199(C), pages 11-18.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:63:y:2018:i:5:d:10.1007_s00038-018-1095-5. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.