Daniel Demant1,2, Oscar Oviedo-Trespalacios3,4, Julie-Anne Carroll5, Jason A Ferris6, Larissa Maier7, Monica J Barratt8,9,10, Adam R Winstock11,12. 1. Faculty of Health, University of Technology Sydney, 235 Jones Street, Ultimo, NSW, 2007, Australia. daniel.demant@uts.edu.au. 2. School of Public Health and Social Work and Institute of Health and Biomedical Innovation (IHBI), Faculty of Health, Queensland University of Technology (QUT), Brisbane, Australia. daniel.demant@uts.edu.au. 3. Centre for Accident Research and Road Safety-Queensland (CARRS-Q) and Institute of Health and Biomedical Innovation (IHBI), Queensland University of Technology (QUT), Brisbane, Australia. 4. Industrial Engineering Department, Engineering Faculty, Universidad del Norte, Barranquilla, Colombia. 5. School of Public Health and Social Work and Institute of Health and Biomedical Innovation (IHBI), Faculty of Health, Queensland University of Technology (QUT), Brisbane, Australia. 6. Institute for Social Science Research, University of Queensland, Brisbane, Australia. 7. University of Zurich, Zurich, Switzerland. 8. Drug Policy Modelling Program, National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia. 9. Faculty of Health Sciences, National Drug Research Institute, Curtin University, Perth, Australia. 10. Behaviours and Health Risks Program, Burnet Institute, Melbourne, Australia. 11. University College London, London, UK. 12. Global Drug Survey Ltd, London, UK.
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.
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.
Entities:
Keywords:
Alcohol use; Health inequality; Intersectionality; Minority health; Substance use
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