The impact of discrimination on substance use disorders among sexual minorities

Autor: Ana Beatriz Balieiro Abrahão, Guilherme Trevizan Kortas, Israel Kanaan Blaas, Gislaine Koch Gimenes, Kae Leopoldo, André Malbergier, Julio Torales, Antonio Ventriglio, João Mauricio Castaldelli-Maia
Rok vydání: 2022
Předmět:
Zdroj: International Review of Psychiatry. 34:423-431
ISSN: 1369-1627
0954-0261
DOI: 10.1080/09540261.2022.2094223
Popis: This paper aimed to review the literature regarding the impact of discrimination on substance use disorders among Sexual Minorities (SM), with a focus on alcohol, opioids, stimulants, polydrug use, chemsex, cannabis and tobacco, as well as inequalities in the access to health care services. It is alarmingly clear that SM report higher rates of morbidity if compared to the general population. Health care delivery inequalities have also been reported in this special population. Also, the lack of data from low- and middle-income countries on substance use among SM is a major concern. Certainly, discrimination play a key-role among leading factors to substance abuse, continued use, disorders, and lower levels of preventive and treatment interventions. However, it may be difficult to estimate the impact of discrimination because of the lack of research data and different methodologies of literature studies. Moreover, SM are differently categorized and defined and evidences may be not comparable between studies. There is an urgent need of strategic guidelines and research investments aimed at prioritizing these populations disproportionately impacted by substance use. Equity-oriented policies and programs can facilitate opportunities and decrease substance use in these vulnerable subgroups, including community- and peer-led initiatives and nonjudgmental and inclusive health services.
Databáze: OpenAIRE
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