2S/LGBTQ+ youth substance use and pathways to homelessness: A photovoice study.

Homelessness Qualitative Sexual and gender minorities Substance use Transitions Youth

Journal

The International journal on drug policy
ISSN: 1873-4758
Titre abrégé: Int J Drug Policy
Pays: Netherlands
ID NLM: 9014759

Informations de publication

Date de publication:
19 Oct 2024
Historique:
received: 04 06 2024
revised: 26 09 2024
accepted: 10 10 2024
medline: 21 10 2024
pubmed: 21 10 2024
entrez: 20 10 2024
Statut: aheadofprint

Résumé

Studies have posited that substance use is associated with, or contributes to, homelessness for 2S/LGBTQ+ youth. However, interconnections between these issues are poorly articulated. This community-based photovoice study describes the narratives used by 2S/LGBTQ+ youth about how substance use featured in their pathways to homelessness. Employing constructionist narrative analysis, two storylines were inductively derived from participant-produced photographs and photovoice interviews with 32 2S/LGBTQ+ youth in Vancouver, Canada. Taking refuge narratives centered on 2S/LGBTQ+ youths' use of substances to cope with intersecting hardships and minority stressors they had faced growing up, and when transitioning to homelessness. From playing into precarity narratives focused on the shifting possibilities and tensions of what sexualized crystal methamphetamine use can surface for 2S/LGBTQ+ youth in terms of facilitating connection and release and simultaneously invoking discomforts, including eviction from their family home. These narratives can usefully be anticipated and recognized to better understand and address the social contexts in which 2S/LGBTQ+ youth experience substance use and associated harms, especially homelessness. They affirm the need for tailored supports for 2S/LGBTQ+ youth who use drugs in the lead-up to and after becoming homeless, including the provision of care that better recognizes youths' pursuits of becoming and belonging in the context of marginalization, and that takes a harm reduction approach to addressing the role of substance use in these pursuits.

Sections du résumé

BACKGROUND BACKGROUND
Studies have posited that substance use is associated with, or contributes to, homelessness for 2S/LGBTQ+ youth. However, interconnections between these issues are poorly articulated.
METHODS METHODS
This community-based photovoice study describes the narratives used by 2S/LGBTQ+ youth about how substance use featured in their pathways to homelessness. Employing constructionist narrative analysis, two storylines were inductively derived from participant-produced photographs and photovoice interviews with 32 2S/LGBTQ+ youth in Vancouver, Canada.
RESULTS RESULTS
Taking refuge narratives centered on 2S/LGBTQ+ youths' use of substances to cope with intersecting hardships and minority stressors they had faced growing up, and when transitioning to homelessness. From playing into precarity narratives focused on the shifting possibilities and tensions of what sexualized crystal methamphetamine use can surface for 2S/LGBTQ+ youth in terms of facilitating connection and release and simultaneously invoking discomforts, including eviction from their family home.
CONCLUSIONS CONCLUSIONS
These narratives can usefully be anticipated and recognized to better understand and address the social contexts in which 2S/LGBTQ+ youth experience substance use and associated harms, especially homelessness. They affirm the need for tailored supports for 2S/LGBTQ+ youth who use drugs in the lead-up to and after becoming homeless, including the provision of care that better recognizes youths' pursuits of becoming and belonging in the context of marginalization, and that takes a harm reduction approach to addressing the role of substance use in these pursuits.

Identifiants

pubmed: 39427371
pii: S0955-3959(24)00305-0
doi: 10.1016/j.drugpo.2024.104621
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

104621

Informations de copyright

Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Trevor Goodyear (T)

School of Nursing, University of British Columbia, Vancouver, Canada; British Columbia Centre on Substance Use, Vancouver, Canada; Wellstream: The Canadian Centre for Innovation in Child and Youth Mental Health, Canada. Electronic address: trevor.goodyear@ubc.ca.

Emily Jenkins (E)

School of Nursing, University of British Columbia, Vancouver, Canada; Wellstream: The Canadian Centre for Innovation in Child and Youth Mental Health, Canada.

John L Oliffe (JL)

School of Nursing, University of British Columbia, Vancouver, Canada; Department of Nursing, University of Melbourne, Parkville, Victoria, Australia.

Danya Fast (D)

British Columbia Centre on Substance Use, Vancouver, Canada; Department of Medicine, University of British Columbia, Vancouver, Canada.

Hannah Kia (H)

School of Social Work, University of British Columbia, Vancouver, Canada.

Rod Knight (R)

British Columbia Centre on Substance Use, Vancouver, Canada; École de Santé Publique, Université de Montréal, Montréal, Canada; Centre de Recherche en Santé Publique (CReSP), Montréal, Canada.

Classifications MeSH