Review of Structural Stigma, Racism, and Sexism in Substance Use and Mental Health
Author Information
Author(s): Cunningham James K., Saleh Ahlam A.
Primary Institution: University of Arizona
Hypothesis
What measures and designs are used in studies of structural stigma, racism, and sexism related to substance use and mental health?
Conclusion
The review found that a diverse range of structural determinants correlate with substance use and mental health outcomes across various groups.
Supporting Evidence
- Most studies used passive-observational designs, limiting causal inference.
- Structural determinant measures were diverse and often innovative.
- Statistically significant associations were reported, but practical significance was rarely discussed.
Takeaway
This study looked at how things like laws and community attitudes affect people's mental health and substance use. It found that many different factors can play a role.
Methodology
The authors conducted a narrative review of studies identified through searches in PubMed, PsycINFO, and Scopus, focusing on structural stigma, racism, and sexism.
Potential Biases
Potential bias due to exclusion of gray literature and the focus on specific structural determinants.
Limitations
The review only included studies using objective structural determinant measures and did not consider qualitative analyses or self-reports.
Participant Demographics
The studies included diverse groups such as sexual and gender minorities, racial and ethnic minorities, women, youth, and patients with substance use issues.
Digital Object Identifier (DOI)
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