Substance Abuse

Substance abuse and being a man.

Why men abuse substances is a complex issue intertwined with societal expectations and personal struggles. Many men feel pressured to conform to traditional notions of masculinity, which can lead to unhealthy coping mechanisms such as substance use. Understanding the underlying factors, including emotional vulnerability and the stigma surrounding mental health, is crucial in addressing this challenge and promoting healthier choices.

Darts.

x2 > Women

~20% Unhealthy Alcohol Use

> Hospital Admissions

> Time Off Work

> Divorce Rate

> Domestic Violence

Men and Substance Abuse

What is going on?

Substance abuse is a significant public health issue in Scotland that disproportionately affects men across many demographics and substance types.

While addiction impacts both genders, men tend to exhibit higher rates of illicit drug use, alcohol use, dependence, and related mortality compared to women. It is not a competition, but it is essential to consider this when allocating resources to treatment and campaigning.

In Scotland [><]?

Substance abuse in Scotland represents a severe and long-standing public health crisis, characterised by exceptionally high rates of drug-related deaths and significant alcohol-related harm compared to the rest of the UK and Europe. And again, there are no grants directed at males; 70% to 75% of all recorded drug-related deaths in Scotland are men. Perhaps if we address the differences between the sexes, we could find answers. There is an evident difference.

70% OF DEATHS MALE

The stark reality of male mortality rates due to substance abuse demands our attention. Men make up a staggering 70% of drug-related deaths in Scotland; we must do something. 

HOSPITAL ADMISSIONS

Hospital admissions related to substance abuse among men are alarmingly high, reflecting a critical need for targeted interventions for the unique challenges faced by men in Scotland.

BACK OF THE QUEUE

Men often find themselves at the back of the queue when it comes to accessing support across services. This oversight exacerbates the challenges. It's time to bring men forward in the conversation.

Women Vs Men

While men generally have much higher rates of substance use and dependence overall, women often experience a faster progression to addiction. Yet they do not do it in such numbers. Maybe we should look into this.

Drug-Related Deaths Among Men (Scotland)

  • Gender Disparity: Scottish men account for around 70% to 75% of all recorded drug-related deaths.
  • Mortality Rate: The drug misuse death rate for men is consistently more than double the rate for women.
  • Most Affected Age Group: The average age of drug-related death has increased, now frequently affecting men in their 40s and 50s. This reflects a generation who have been dealing with long-term, chronic substance use issues, often referred to as the "cohort effect."
  • Polysubstance Use: Most deaths are not due to a single drug but involve polysubstance use (the combination of multiple substances). The combination of opioids (like heroin or methadone) with benzodiazepines (like diazepam) and alcohol is particularly lethal.

Factors Specific to Men

Traditional ideas of masculinity often involve emotional suppression and self-reliance. This societal pressure makes men less likely to acknowledge mental health issues (like depression or anxiety) and less willing to seek help from formal support services, leading to self-medication with drugs and alcohol. Men in the most deprived areas are 12 times more likely to die from drug misuse than those in the least deprived areas. Substance abuse acts as a coping mechanism for persistent poverty, unemployment, and poor housing. Men are consistently at the bottom of the queue; until we change this, we will not see improvement.

The Scottish Government has declared the situation a national public health emergency and launched the National Mission on Drugs. But this does not include any male-specific policies. We believe it should.

Alcohol-Related Harm Among Men (Scotland)

  • Consumption: Men generally consume more alcohol per week than women and are more likely to engage in hazardous or harmful drinking patterns, including binge drinking.
  • Mortality: The mortality rate for alcohol-specific deaths is twice as high for men compared to women.
  • Hospitalization: Men make up the majority of hospital admissions for alcohol-related conditions (e.g., alcoholic liver disease, pancreatitis, and intoxication).
  • Minimum Unit Pricing (MUP): While MUP was introduced in Scotland to target cheap, high-strength alcohol, early analysis suggested it had a greater impact on reducing purchases by heavier, lower-income drinkers, but the overall impact on the highest-risk groups remains complex.