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Intersectionality, substance use disorders, and leisure: Implications for conducting research examining social identities

Jason Page, PhD, CTRS, Master CASAC, Stephen Lewis, PhD, CTRS


Objective: The purpose of this conceptual paper is to explore intersectional theory and its relationship with social identity theory. This paper will offer an initial review of intersectionality in the treatment of substance use and mental health disorders, as well as its use in leisure research. This paper will then examine how intersectional theory can be applied to social identity research with individuals in substance use and mental health treatment services and their leisure experiences.

Conclusions: The paper proposes that intersectional theory and social identity theory exist in a state of tension and that this tension should be accounted for when working with marginalized populations, such as those with substance use and mental health disorders.


intersectionality, social identity theory, substance use disorders, mental health, leisure identity

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Crenshaw K: Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanf Law Rev. 1991; 43(6): 1241-1299. DOI: 10.2307/1229039.

Corus C, Saatcioglu B: An intersectionality framework for transformative services research. Serv Ind J. 2015; 35(7): 415-429. DOI: 10.1080/02642069.2015.1015522.

Corlett S, Marvin S: Intersectionality and identity: Shared tenets and future research agendas for gender and identity studies. Gend Manag. 2014; 29(5): 258-276.

Crenshaw K: Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. Fem Leg Theory Readings Law Gend. 1989; 1989(1): 139-167. DOI: 10.4324/9780429500480.

Tajfel H: Human Groups and Social Categories. Cambridge: Cambridge University Press, 1981.

Brah A, Phoenix A: Ain’t I a woman? Revisiting intersectionality. J Int Womens Stud. 2004; 5(3): 75-86. Available at Accessed March 17, 2018.

Cole ER: Intersectionality and research in psychology. Am Psychol. 2009; 64(3): 170-180. DOI: 10.1037/a0014564.

Goffman E: Stigma: Notes on the Management of Spoiled Identity. New York, NY: Simon and Schuster Inc., 1963.

Logie CH, James L, Tharao W, et al.: HIV, gender, race, sexual orientation, and sex work: A qualitative study of intersectional stigma experienced by HIV-positive women in Ontario, Canada. PLoS Med. 2011; 8(11): e1001124. DOI: 10.1371/journal.pmed.1001124.

Stuber J, Meyer I, Link B: Stigma, prejudice, discrimination and health. Soc Sci Med. 2008; 67(3): 351-357. DOI: 10.1016/j.socscimed.2008.03.023.

Phelan JC, Link BG, Dovidio JF: Stigma and prejudice: One animal or two? Soc Sci Med. 2008; 67(3): 358-367. DOI: 10.1016/j.socscimed.2008.03.022.

Warner LR, Shields SA: The intersections of sexuality, gender, and race: Identity research at the crossroads. Sex Roles. 2013; 68(11-12): 803-810. DOI: 10.1007/s11199-013-0281-4.

Yuval-Davis N: Intersectionality and feminist politics. Eur J Women’s Stud. 2006; 13(3): 193-209. DOI: 10.1177/1350506806065752.

Verloo M: Multiple inequalities, intersectionality and the European Union. Eur J Women’s Stud. 2006; 13(3): 211-228. DOI: 10.1177/1350506806065753.

Ludvig A: Differences between women? Intersecting voices in a female narrative. Eur J Women’s Stud. 2006; 13(3): 245-258. DOI: 10.1177/1350506806065755.

Purdie-Vaughns V, Eibach RP: Intersectional invisibility: The distinctive advantages and disadvantages of multiple subordinate-group identities. Sex Roles. 2008; 59(5-6): 377-391. DOI: 10.1007/s11199-008-9424-4.

Grollman EA: Multiple disadvantaged statuses and health: The role of multiple forms of discrimination. J Health Soc Behav. 2014; 55(1): 3-19. DOI: 10.1177/0022146514521215.

Giritli Nygren K, Olofsson A: Intersectional approaches in health-risk research: A critical review. Sociol Compass. 2014; 8(9): 1112-1126. DOI: 10.1111/soc4.12176.

Dworkin SL: Who is epidemiologically fathomable in the HIV/AIDS epidemic? Gender, sexuality, and intersectionality in public health. Cult Heal Sex. 2005; 7(6): 615-623. DOI: 10.1080/13691050500100385.

Griffith DM, Ellis KR, Allen JO: An intersectional approach to social determinants of stress for African American men: Men’s and women’s perspectives. Am J Mens Health. 2013; 7(4 SUPPL): 19S-30S. DOI: 10.1177/1557988313480227.

Collins AB, Boyd J, Cooper HLF, et al.: The intersectional risk environment of people who use drugs. Soc Sci Med. 2019; 234(June): 112384. DOI: 10.1016/j.socscimed.2019.112384.

O’Brien C: Addiction and dependence in DSM-V. Addiction. 2011; 106(5): 1-3. DOI: 10.3174/ajnr.A1256.

Page J, Townsend J: The role of recreation and recreational therapists in developing a recovery-oriented identity for people with substance use disorders. Alcohol Treat Q. 2018; 36(2): 238-254. DOI: 10.1080/07347324.2017.1407225.

Leshner AI: Addiction is a brain disease, and it matters. Science. 1997; 278(5335): 45-47. DOI: 10.1126/science.278.5335.45.

Mereish EH, Bradford JB: Intersecting identities and substance use problems: Sexual orientation, gender, race, and lifetime substance use problems. J Stud Alcohol Drugs. 2014; 75(1): 179-188. DOI: 10.15288/jsad.2014.75.179.

Volkow ND: Collision of the COVID-19 and addiction epidemics. 2020; 173(1): 61-62. DOI: 10.7326/M20-1212.

Melamed OC, Hauck TS, Buckley L, et al.: COVID-19 and persons with substance use disorders: Inequities and mitigation strategies. Subst Abuse. 2020; 41(3): 286-291. DOI: 10.1080/08897077.2020.1784363.

Becker WC, Fiellin DA: When epidemics collide: Coronavirus disease 2019 (COVID-19) and the opioid crisis. Ann Intern Med. 2020; 173(1): 59-60. DOI: 10.7326/M20-1210.

Woolhandler S, Himmelstein DU: Intersecting US Epidemics: COVID-19 and lack of health insurance. Ann Intern Med. 2020; 173(1): 63-64. DOI: 10.7326/M20-1491.

Gunn AJ, Canada KE: Intra-group stigma: Examining peer relationships among women in recovery for addictions. Drugs Educ Prev Policy. 2015; 22(3): 281-292. DOI: 10.3109/09687637.2015.1021241.

Smye V, Browne AJ, Varcoe C, et al.: Harm reduction, methadone maintenance treatment and the root causes of health and social inequities: An intersectional lens in the Canadian context. Harm Reduct J. 2011; 8:17. DOI: 10.1186/1477-7517-8-17.

Carliner H, Delker E, Fink DS, et al.: Racial discrimination, socioeconomic position, and illicit drug use among US blacks. Soc Psychiatry Psychiatr Epidemiol. 2016; 51(4): 551-560. DOI: 10.1007/s00127-016-1174-y.Racial.

Gunn AJ, Sacks TK, Jemal A: “That’s not me anymore”: Resistance strategies for managing intersectional stigmas for women with substance use and incarceration histories. Qual Soc Work. 2018; 17(4): 490-508. DOI: 10.1177/1473325016680282.

Watson B, Scraton SJ: Leisure studies and intersectionality. Leis Stud. 2013; 32(1): 35-47. DOI: 10.1080/02614367.2012.707677.

Watson B, Scraton SJ: Leisure studies and intersectionality. Leis Stud. 2013; 32(1): 35-47. DOI: 10.1080/02614367.2012.707677.

McCall L: The complexity of intersectionality. J Women Cult Soc. 2005; 30(3): 1771-1800. DOI: 10.1086/426800.

Nash JC: Re-thinking intersectionality. Fem Rev. 2008; 89:1-15. Available at Accessed March 25, 2018.

Anglin MD, Hser YI: Drug abuse treatment. In Watson RR (ed.): Drug Abuse Treatment. Totowa, NJ: Humana Press, 1992: 1-36.

Watson B, Ratna A: Bollywood in the park: Thinking intersectionally about public leisure space. Leisure/Loisir. 2011; 35:71-86. DOI: 10.1080/14927713.2011.549198.

Son JS: Marginalization in leisure and health resources in a rural US Town: Social justice issues related to age, race, and class. Int J Sociol Leis. 2018; 1(1): 5-27.

Pavlidis A, Fullagar S: Narrating the multiplicity of “derby grrrl”: exploring intersectionality and the dynamics of affect in roller derby. Leis Sci. 2013; 35(5): 422-437. DOI: 10.1080/01490400.2013.831286.

Valtchanov BL, Parry DC: “I like My peeps”: Diversifying the net generation’s digital leisure. Leis Sci. 2017; 39(4): 336-354. DOI: 10.1080/01490400.2016.1203846.

Gao J, Kerstetter DL: Using an intersectionality perspective to uncover older Chinese female’s perceived travel constraints and negotiation strategies. Tour Manag. 2016; 57:128-138. DOI: 10.1016/j.tourman.2016.06.001.

Layland EK, Stone GA, Mueller JT, et al.: Injustice in mobile leisure: A conceptual exploration of Pokémon go. Leis Sci. 2018; 40(4): 288-306. DOI: 10.1080/01490400.2018.1426064.

Forehand MR, Deshpande R, Reed IIA: Identity salience and the influence of differential activation of the social Self-Schema on advertising response. J Appl Psychol. 2002; 87(6): 1086-1089. DOI: 10.1037//0021-9010.87.6.1086.

Atewologun D: Sites of intersectional identity salience. Gend Manag. 2014; 29(5): 277-290. DOI: 10.1108/GM-12-2013-0140.

Hogg M: Social identity theory. In McKeown S, Haji R, Neill F (eds.): Understanding Peace and Conflict Through Social Identity Theory: Contemporary Global Perspectives. 1st ed. Berlin: Springer International Publishing, 2016: 3-17.

Buckingham SA, Best D: Introducing addiction, behavioral change and social identity. In Buckingham SA, Best D (eds.): Addiction, Behavioral Change and Social Identity: The Path to Resilience and Recovery. 1st ed. London: Routledge, 2017: 1-13.

Hogg M, Terry D, White K: A tale of two theories: A critical comparison of identity theory with social identity theory. Soc Psychol Q. 1995; 58(4): 255-269. DOI: 10.2307/2787127.

Brown R: Agenda 2000 social identity theory: Past achievements, current problems and future challenges. Eur J Soc Psychol. 2000; 30:745-778. Available at Accessed April 11, 2017.

Tajfel H, Turner J: An integrative theory of intergroup conflict. Soc Psychol Intergr Relat. 1979; 33(47): 74-88.

Ellemers N, Spears R, Doosje B: Self and social identity. Annu Rev Psychol. 2002; 53:161-186. DOI: 10.1146/annurev.psych.53.100901.135228.

Coleman JS: Social capital in the creation of human capital. Am J Sociol. 1988; 94(1988): S95-S120.

Glover TD, Hemingway JL: Locating leisure in the social Capital literature. J Leis Res. 2005; 37(4): 387-401. DOI: 10.1080/00222216.2005.11950059.

Glover TD, Parry DC: Friendships developed subsequent to a stressful life event: The interplay of leisure, social Capital, and health. J Leis Res. 2008; 40(2): 208-230. DOI: 10.1080/00222216.2008.11950138.

Alexander-Floyd NG: Disappearing acts: Reclaiming intersectionality in the social sciences in a post-Black feminist era. Feminist Fem Form. 2012; 24(24): 1-25.

Crotty MJ: The Foundations of Social Research: Meaning and Perspective in the Research Process. 1st ed. Thousand Oaks, CA: SAGE Publications Inc., 1988.

Darkins H: Post-structuralist ‘critique’ and how it treats power in global politics. E-Int Relat. 2017. Available at Accessed January 5, 2022.

Pinckney HP, Mowatt RA, Outley C, et al.: Black spaces/white spaces: Black lives, leisure, and life politics. Leis Sci. 2018; 40(4): 267-287. DOI: 10.1080/01490400.2018.1454361.

Powers SL, Lee KJJ, Pitas NA, et al.: Understanding access and use of municipal parks and recreation through an intersectionality perspective. J Leis Res. 2020; 51(4): 377-396. DOI: 10.1080/00222216.2019.1701965.

Knee E: Gay, but not inclusive: Boundary maintenance in an LGBTQ space. Leis Sci. 2019; 41(6): 499-515.

McGovern J: The intersection of class, race, gender and generation in shaping Latinas’ sport experiences. Sociol Spectr. 2021; 41(1): 96-114. DOI: 10.1080/02732173.2020.1850378.

AlShebli BK, Rahwan T, Woon WL: The preeminence of ethnic diversity in scientific collaboration. Nat Commun. 2018; 9:5163. DOI: 10.1038/s41467-018-0763.

Burns JC, Cooke DY, Schweidler C: Schweidler C: A Short Guide to Community Based Participatory Action Research. 2011. Available at Accessed January 5, 2022.

ATRA: Where recreational therapists work—American Therapeutic Recreation Association. 2019. Available at Accessed July 28, 2019.

Michael E, Fuchs G: Does ethnic/cultural dissimilarity affect perceptions of service quality? Serv Mark Q. 2011; 32(2): 113-128. DOI: 10.1080/15332969.2011.557604.

Chen JM, Kim HS, Mojaverian T, et al.: Culture and social support provision: Who gives what and why. Pers Soc Psychol Bull. 2012; 38(1): 3-13. DOI: 10.1177/0146167211427309.

Handtke O, Schilgen B, Mösko M: Culturally competent healthcare—A scoping review of strategies implemented in healthcare organizations and a model of culturally competent healthcare provision. PLoS One. 2019; 14(7): e0219971. DOI: 10.1371/journal.pone.0219971.



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