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Ethnicity and Race in Drug and Alcohol Research
Michael Morrissey
Northern NSW University Department of Rural Health, Newcastle, NSW
Abstract
This article reviews the (predominantly American) research literature on the ethnic and 'racial' aspects of drug and alcohol use over the last thirty years. The main conclusion to emerge from this review is a substantial disjuncture between theory and practice. Over the last twenty years there has been a sustained theoretical critique of approaches which utilize broad ethnic and 'racial' categories as the basis of epidemiological comparison, and this critique has apparently been effective in the sense that few, if any, researchers would dispute its essential arguments. Nevertheless, the dominant empirical mode of research in the field is one which continues to employ these (theoretically) discredited categories.
Two arguments are offered to explain this contradiction. The first is that the critique of what I label 'categorical positivism' in this field has itself been impoverished by inadequate theoretical approaches to the concepts of ethnicity and race. Secondly, the USA is a deeply racialised society and the 'war on drugs' reflects this in very fundamental ways. It is not surprising that the social epidemiology of drug and alcohol use is deeply affected by the racialisation of the society which produces it.
Keywords
sociology, drugs, ethnicity, race, racism, enforcement
Article Text
This paper argues that there is a pervasive contradiction at the heart of research into the ethnic aspects of alcohol and other drug use and provides an explanation for its persistence. This will be accomplished by exclusive reference to literature originating in the United States since the volume of research and publishing from this source both dwarfs, and profoundly influences, research on ethnicity, alcohol and other drugs in the rest of the world.
The contradiction is that over the last twenty years a sustained critique has been made of those epidemiological approaches whose method is to utilise broad ethnic and 'race' categories as the basis for quantitative examination of differences in such indicators as alcohol abuse between these categories. In spite of widespread acceptance of this critique by an impressive number of researchers however, the object of this critique remains the dominant empirical method of researching and publicising the rôle of ethnicity in relation to alcohol and other drug use. So deep is this contradiction, in fact, that it is possible to find eminent researchers (empirically) utilising in one publication the very methods they have (theoretically) repudiated in others (see for example, Caetano et al 1997, 1998).
The explanation of this continuing contradiction operates at two levels. Most obviously, as I shall argue, there are powerful historical and political influences which maintain the prevalence of the ethnic/race categories in question, wherever the flow of academic opinion might be going at any given time: in particular, in the United States. However, there is a less obvious, though equally far-reaching, strand of explanation: namely that the critique of what I might call categorical positivism in the field of ethnicity and drug studies has itself been theoretically impoverished due to its general failure to incorporate some of the most important theoretical insights of 'race' and ethnic studies.
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References
Adrian M (2002) A critical perspective on cross-cultural contexts for addiction and multiculturalism: their meanings and implications in the substance use field, Substance Use and Misuse 37(8-10): 853-900.
Babor T (ed) (1986) Alcohol and Culture: Comparative Perspectives from Europe and America, The New York Academy of Sciences: New York.
Banton M (1987) Racial Theories, Cambridge University Press: Cambridge.
Beauvais F (1998) Cultural identification and substance use in North America: an annotated bibliography, Substance Use and Misuse 33(6): 1315-1336.
Bennett L (1988) Alcohol in Context: Anthropological Perspectives, Haworth Press: Binghamton NY.
Bhopal R (2000) Race and ethnicity as epidemiological variables: centrality of purpose and context, in Macbeth H (ed) Ethnicity and Health, Taylor and Francis: London, pp.21-40.
Buchanan J and Young L (2000) The war on drugs ... a war on drug users? Drugs Education Prevention and Policy 7(4): 409-423.
Caetano R and Clark C (1999) Trends in alcohol consumption patterns among Whites, Blacks and Hispanics: 1984 and 1995, The Journal of the American Medical Association Jan 20, 281(3): 216-226.
Caetano R, Clark C and Tam T (1998) Alcohol consumption among racial/ethnic minorities: theory and research, Alcohol Health and Research World Fall 22(4): 233-242.
Coleman S (1979) Cross-cultural approaches to addict families, Journal of Drug Education 9(4): 293-9.
Cuellar J (ed) (1982) Drugs and Latinos: Summaries of Contemporary Research, San Diego State University: California.
Dawson D (2000) Beyond Black, White and Hispanic, Journal of Substance Abuse 10(4): 321-339.
Editorial (1999) Ending the war on drugs, The Economist (US) 350(8100): 71-77.
Ensminger M, Brown C and Kellam S (1982) Sex differences in the antecedents of substance abuse among adolescents, Journal of Social Issues 38: 25-42.
Falco M (1996) US drug policy; addicted to failure, Foreign Policy 102: 120-134.
Gordon AJ (1981) The cultural context of drinking and indigenous therapy for alcohol problems in three migrant cultures, Journal of Studies on Alcohol Supplement 9: 217-40.
Griswold-Ezekoye S (1985) The multicultural model in chemical abuse prevention and intervention, Journal of Children in Contemporary Society 18: 203-229.
Haralambos M, van Kreiken R, Smith P and Holborn M (1996) Sociology: Themes and Perspectives, Longman: South Melbourne.
Hall R (1986) Alcohol treatment in American Indian population: An indigenous treatment modality compared with traditional approaches, in T Babor (ed) Alcohol and Culture: Comparative Perspectives from Europe and America, The New York Academy of Sciences: New York.
Hall S, Hobson O, Lowe A and Willis P (eds) (1984) Culture, Media and Language, Hutchinson and Company: London.
Iber F (1986) Treatment and recovery in alcoholism: contrasts between results in white men and those in special populations, in Babor T (ed) Alcohol and Culture: Comparative Perspectives from Europe and America, The New York Academy of Sciences: New York.
Kandel D (1978) Convergences in prospective longitudinal surveys of drug use in normal populations, in Kandel E (ed) Theories on Drug Abuse: Selected Contemporary Perspectives, Wiley: New York.
Kreiger N, Rowley D and Hermann A (1993) Racism, sexism and social class: implications for studies of health, disease and wellbeing, American Journal of Preventive Medicine 9: 82-122.
La Veist T (1996) Why we should continue to study race but do a better job: an essay on race, racism and health, Ethnicity and Disease 6: 21-29.
La Veist T (1994) Beyond dummy variables and sample selection: what health service researchers ought to know about race as a variable, Health Services Research 29: 1-16.
Muntaner C, Nieto J and O'Campo P (1996) The Bell curve: on race, social class and epidemiological research, American Journal of Epidemiology 144: 531-536.
Paltrow L (2002) The war on drugs and the war on abortion: some initial thoughts on the connections, intersections and effects, Reproductive Health Matters 10(19): 162-171.
Rattansi A (1994) Racism, Modernity and Identity: on the Western Front, Polity Press: Cambridge.
Sollors W (1996) Theories of Ethnicity: A Classical Reader, Macmillan: London.
Tucker MB (1985) US ethnic minorities and drug abuse: An assessment of the science and practice, The International Journal of the Addictions 20(6): 1021-1047.
Weber M (1922) The Theory of Social and Religious Organisation, Oxford University Press: New York.
Westermeyer J (1981) Research on treatment of drinking problems: importance of cultural factors, Journal of Studies on Alcohol Supplement 9: 44-59.
Westermeyer J (1984) The role of ethnicity in substance abuse, Advances in Alcohol and Substance Abuse 4(1): 9-18.
Williams D and Williams-Morris R (2000) Racism and mental health: the African American experience, Ethnicity and Health 5(3-4): 243-269.
Williams D (1999) The monitoring of racial/ethnic status in the USA: data quality issues, Ethnicity and Health 4(3): 121-137.
Wirth L (1928) The Ghetto University of Chicago, Press: Chicago.
Witzig R (1996) The medicalisation of race: scientific legitimation of a flawed social construction, Annals of Internal Medicine 125: 675-679.
Wodak A (2000) News and views, Drug and Alcohol Review 19(1): 115-120.
Zuberi T (2000) Deracialising social statistics: problems in the quantification of race, Annals AAPSS 568: 172-185.
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