Constructing a ‘target population’: A critical analysis of public health discourse on substance use among gay and bisexual men, 2000–2020

Lit review
by
Schroeder, S.E. et al

Release Date

2022

Geography

Australia

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

Gay and bisexual men (GBM) have higher substance use prevalences than general population samples – often attributed to stigmatisation of sexual minority identities. We examined how influential public health research on substance use among GBM interprets this behaviour and what GBM-specific identities emerge through the discourses employed.

Findings/Key points

Expert discourses position GBM who use drugs as deficient and socially irresponsible. Gay communities are problematised as promoting avoidance coping through drug use. Counterdiscourses relativise drug use, focusing on self-determination and pleasure. In discussing GBM's drug use scholars must take care to avoid ‘othering’ discourses.

Design/methods

60 papers included in a language analysis

Keywords

2SLGBTQI+
About PWUD
Stigma