Addiction has no boundaries. Addiction impacts all groups of people from different socioeconomic status, races, ethnicities, and genders. However, while addiction is not a gender specific disease, it does impact men differently. Statistically men are more likely to be diagnosed with an addiction (Drugabuse.gov, 2016). Men face different health struggles associated with addiction. Along with health struggles relationships can be negatively impacted by addiction. While the factors are unknown as to why men are more likely to be diagnosed with a substance abuse disorder, through treatment, hope is possible.
Men are more likely to use nearly all types of drugs, while women are less likely (Samhsa.gov, 2014). Men tend to engage in risky behavior at younger ages, which in turn could lead to more drug experimentation. At a young age, drug use increases risk for lifelong dependency. While experimentation is not a certainty for lifelong abuse, it does increase the likelihood for addiction. Perhaps, this latter point leads to men being diagnosed more with substance abuse.
The negative impacts of drug and alcohol abuse in men are many, including the impact on health. Men are at greater risk for negative health effects due to addiction; cirrhosis, pancreatitis and depression are frequent diagnoses associated with substance abuse. (Drugabuse.gov. 2016). To add to this, excessive alcohol consumption decreases testosterone levels, which in turn can cause erectile dysfunction, infertility, decreased strength and libido. A man’s mental health is also negatively impacted by substance abuse. Men who struggle with depression and anxiety along with other mental health issues often turn to increased substance use which in turn only exacerbates their mental health issues. Possible factors that impact this cycle are shame, guilt, and a feelings of low self-esteem.
Men can also feel the negative impact of substance abuse on their relationships. In general, those who are abusing substance(s) are more likely to engage in risky sexual behavior. This sexually risky behavior can include infidelity which can lead to STDs, and unwanted pregnancies. To add, the role of father can also be negatively impacted by substance abuse. The lack of emotional availability as a father, the impediment of clear understanding and consciousness, and the distribution of resources towards drugs and alcohol, all negatively impact the family.
While there are many negative aspects to substance abuse in men, there is hope. Men do enter treatment more often, unfortunately often times via the criminal justice system. However, once in treatment there is opportunity to change. Through group treatment, men can find a community of people going through similar life experiences; though individual treatment men can find a confidential source of support and insight into their own addiction. The road to recovery is long and arduous, but it is worth it to not live with the negative consequences of addiction.
Drugabuse.gov. 2016. Sex and Gender Differences in Substance Use. [ONLINE] Available at: https://www.drugabuse.gov/publications/research-reports/substance-use-in-women/sex-gender-differences-in-substance-use. [Accessed 30 March 2018].
Samhsa.gov. 2014. Gender Differences in Primary Substance of Abuse across Age Groups. [ONLINE] Available at:https://www.samhsa.gov/data/sites/default/files/sr077-gender-differences-2014.pdf. [Accessed 30 March 2018].
About the Author: Nicholas Guerrero, M.S.W., LSW, CADC