Intersectional inequalities and the U.S. opioid crisis: challenging dominant narratives and revealing heterogeneities

Intersectional inequalities and the U.S. opioid crisis : challenging dominant narratives and revealing heterogeneities

Persmark, Anna (författare): Lund University,Lunds universitet,Socialepidemiologi,Forskargrupper vid Lunds universitet,Social Epidemiology,Lund University Research Groups,Lund University, Sweden

Wemrell, Maria (författare): Lund University,Lunds universitet,Socialepidemiologi,Forskargrupper vid Lunds universitet,Genusvetenskapliga institutionen,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Social Epidemiology,Lund University Research Groups,Department of Gender Studies,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences,Lund University, Sweden

Subramanian, S. V. (författare): Harvard Center for Population and Development Studies, USA,Harvard University

Leckie, George (författare): Lund University,Lunds universitet,Socialepidemiologi,Forskargrupper vid Lunds universitet,Social Epidemiology,Lund University Research Groups,University of Bristol, UK

Merlo, Juan (författare): Lund University,Lunds universitet,Socialepidemiologi,Forskargrupper vid Lunds universitet,Social Epidemiology,Lund University Research Groups,Lund University, Sweden

(creator_code:org_t)

2019-06-19
2019
Engelska.
Ingår i: Critical Public Health. - : Taylor & Francis. - 0958-1596 .- 1469-3682. ; 30:4, s. 398-414

Relaterad länk:: https://research-inf...; visa fler...; http://dx.doi.org/10...; https://urn.kb.se/re...; https://doi.org/10.1...; https://lup.lub.lu.s...; visa färre...

Abstract Ämnesord

Stäng

Dominant narratives of prescription opioid misuse (POM) in the U.S. have portrayed it as an issue primarily affecting White communities. In this study we explore POM as reported in data from the 2015 National Survey on Drug Use and Health, using an intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA). We map the risk of POM through a series of multilevel models with individuals (N = 43,409) nested within strata formed by the intersections of gender, race/ethnicity, income, and age. We find meaningful heterogeneity between and within strata. The ten strata with the greatest risk for POM were comprised of individuals identifying as White, African American, and non-White Hispanic, and included individuals of low, medium, and high income. We uncover intersections of social position with high risk for POM that are often excluded from dominant narratives, including young high-income African American women. Intersectional approaches are essential for advancing our understanding of health inequalities and unfolding epidemics such as that of POM in the U.S.

Av författaren/redakt...: Persmark, Anna; Wemrell, Maria; Evans, Clare R.; Subramanian, S. ...; Leckie, George; Merlo, Juan

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