Social Analysis

 For centuries now our society has seen substance abuse and the effects it has on the user, such as homelessness, unemployment, and the end all, death. Substance use disorders (SUDs) have been heavily associated with a number of hindrances that create a marginalization in our communities. Users face medical, psychological, spiritual, economic, family, social and legal problems. Not only does the adult community face these issues, but the youth who more commonly than not abuse substances in secret, do not get the assistance they need to steer away from abuse. Substance abuse tends to be a background factor of most people’s lifelong setbacks, and catalyst for failure.  The key to putting an end to the cycle is preventing the youth from creating an addiction and spreading awareness to those that may still be abusing in adulthood because of their start in childhood.


Social Systems and Social Structures 

This image is a representation of when a pregnant mother is smoking it is almost like the unborn infant is also smoking. 

Prenatal Drug Exposure 

A drug addiction in a child can form even before birth. A woman having a prior issue with drugs or alcohol can unfortunately continue into pregnancy. This exposes a child to extremely harmful substances before they have even seen the world. Substance abuse is so incredibly hard to quit that it is now harming future generations. A study in 2020 showed that about 10% of pregnant women reported current alcohol use, and among them, the use of other substances was also common, compiling about 40% reported current use of one or more other substances. Another study in the same year published, women who continuously used marijuana before conception carried their habit into pregnancy, 74% of marijuana users also smoked cigarettes during pregnancy. The regular regular use of some drugs can cause NAS, which is  neonatal abstinence syndrome, in which the infant goes through withdrawal of substances upon birth. Daa also presents that alcohol usage, barbiturates, benzodiazepines, and caffeine consumption during pregnancy may also cause the infant to show withdrawal symptoms at birth. Therefore, parental exposure to alcohol, marijuana, cigarettes, and illicit drugs, of abuse is also related to the increased risk of an offspring developing a substance use disorder and abusive drug behavior in adolescence and young adulthood.



The mind and drugs

Mental Health 

In regards to cognitive development, stressful circumstances, including familial or social tensions and maltreatment, that occur during critical periods of development in life, can cause an increased reactivity to addictive substances and thus heighten the potential risk for a substance use disorder to occur. The chemical make-up and anatomy of a child’s brain is honestly one of the largest factors of addiction. A child’s underdeveloped brain plays an increased role in addiction. They are more prone to initiate and be involved in risk taking, due to their heightened curiosity, and limited behavior control. This trait can explain the proclivity towards risky behavior, such as substance use, that has been repeatedly shown to exist among adolescents. 

Circling back to a child and their mother, familial risk factors play an important role in the root of adolescent drug addiction. The National Institute on Drug Abuse estimates that 25% of American children grow up in households where substance abuse is present. Children are approximately twice as likely to develop addictive disorders themselves, in homes where one or more adults abuse alcohol or drugs (according to Current Drug Abuse Reviews). Keep in mind, substance abuse is heavily linked to mental health issues. Substance abuse and Addictive disorders is one diagnosis but many others can cause or lead to addiction. Such as impulse control, depression, anxiety…etc. 



The Stigma Around Addiction 

Individuals who fall victim to initiating in illegal substances, often struggle to quit due to long-term usage, dependence, and most importantly the stigma and discrimination surrounding addiction. Stigmatization of drug addicts may be because of inaccurate to unfounded thoughts such as: they are dangerous, incapable of managing treatment, or even at fault for their own condition. This creates barriers to treatment and can even make a person’s condition worse. Those who struggle with a severe substance use disorder often make compulsive and wrong decisions that then criminalizes them. Drugs affect the brain so when there is a chemical imbalance and changes in the brain, people’s behaviors become altered and their logical thinking becomes skewed. They tend to have more aggression, lie or steal to support their drug problem, or themselves because of the lack of money they now have due to drugs, or during withdrawal. This alienates them, thus pushing them even further from friends, family and society, therefore creating room to reinforce negative stereotypes surrounding substance abuse. Regarding stereotypes, commonly used terms such as “junkie” or “addict” feed into the negative biases and dehumanize people, which then pushes them away from recovery. One study mentioned a person who is a “substance abuser” is more worthy of blame and punishment than someone described as “having a substance use disorder”. Even in our own government unions that are intended for our public safety can have a skewed view of addiction. When drug addiction is treated as a criminal activity these stereotypes are almost validated, because people are then able to say they are dangerous and a risk to our society. An important example of what occurs in our United States judicial system, where punitive policies disproportionately affect black people and overall communities of color, who unfortunately enough are more likely to be arrested for illicit drug use. It is found that in 2018, black people were nearly four times more likely to be arrested for the possession of cannabis than white people, even though both groups use the drug at a similar rate.



Socio-Economic Structures 

In relation to societal struggles of substance abuse the role of demographic and socio-emotional distress can heavily impact abuse. Adolescents who were racial/ethnically marginalized at school reported significantly poorer school attendance. Poorer school attached in turn was associated with more depressive symptoms. Those depressive symptoms are connected to higher levels of subsequent marijuana and alcohol.

The importance of socio-economics in context related to drug use has been studied in PubMed Central, highlighting poor living conditions that often have limited access to education and employment, poor neighborhoods and housing, traits which may influence drug-related behaviors. What was studied was the trajectories of each state of childhood poverty, such as ‘moving out of childhood poverty’, ‘never impoverished’, ‘moving into poverty in adolescence’, ‘moving out of poverty in adolescence’ and ‘chronically poor’. The results were drug use disorders were higher among males and females who ‘moved into poverty in adolescence’. Being at a low income level is mostly associated with living in poverty or deprived neighborhoods, which is one possible explanation for a higher risk of criminal convictions in young adults thus a higher exposure to drug activities, drug dealers and users.

Children of lower income appear to be abusing drugs to cope with the lack of resources or turn to substances as an alternative activity. Now, on the contrary, children of wealthy families can experience an increased use of substances. Contributing factors are high expectations of the children to succeed which then stresses them out, and they turn to drugs. Accessibility  to funds, allows those children to purchase expensive drugs and large quantities of alcohol. The absence of parents is also very common which then gives children the freedom to abuse.



Key Takeaway 

In reference to social analysis the most important key takeaway is awareness and prevention. The youth are the future, therefore it is incredibly important to utilize them to almost prevent a negative future. The issue of substance abuse has a complex web of challenges and components that affect an individual's health and societal well-being; from parental exposure of substances pre-birth, mental health issues, social dynamics, socio economic stability and legal justice. Stressing the importance of destigmatizing addiction, recognizing the advantages and disadvantages of economic status and primarily addressing the issue and appraising early prevention leads to change. Overall as a society we should become more aware of the issue that is destroying many people's lives.