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

© 2018 Swiss School of Public Health (SSPH+) 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 an...

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Main Authors: Demant, D., Oviedo-Trespalacios, O., Carroll, J., Ferris, J., Maier, L., Barratt, Monica, Winstock, A.
Format: Journal Article
Published: Birkhaeuser Science 2018
Online Access:http://hdl.handle.net/20.500.11937/66832
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author Demant, D.
Oviedo-Trespalacios, O.
Carroll, J.
Ferris, J.
Maier, L.
Barratt, Monica
Winstock, A.
author_facet Demant, D.
Oviedo-Trespalacios, O.
Carroll, J.
Ferris, J.
Maier, L.
Barratt, Monica
Winstock, A.
author_sort Demant, D.
building Curtin Institutional Repository
collection Online Access
description © 2018 Swiss School of Public Health (SSPH+) 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.
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institution Curtin University Malaysia
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spelling curtin-20.500.11937-668322018-05-18T08:07:10Z Do people with intersecting identities report more high-risk alcohol use and lifetime substance use? Demant, D. Oviedo-Trespalacios, O. Carroll, J. Ferris, J. Maier, L. Barratt, Monica Winstock, A. © 2018 Swiss School of Public Health (SSPH+) 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. 2018 Journal Article http://hdl.handle.net/20.500.11937/66832 10.1007/s00038-018-1095-5 Birkhaeuser Science restricted
spellingShingle Demant, D.
Oviedo-Trespalacios, O.
Carroll, J.
Ferris, J.
Maier, L.
Barratt, Monica
Winstock, A.
Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?
title Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?
title_full Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?
title_fullStr Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?
title_full_unstemmed Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?
title_short Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?
title_sort do people with intersecting identities report more high-risk alcohol use and lifetime substance use?
url http://hdl.handle.net/20.500.11937/66832