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Genes, Gender, and Environment Influence Substance Abuse

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Social integration, including strong family ties, can influence substance abuse, according to a recent study.

Researchers from Indiana University found that genes, gender and environment can protect one's well-being and even reduce the impact high-risk genes have on health. Scientists call this phenomenon a gene-environment interaction. They discovered a three-way interplay of gender, genetics and social integration produced the different outcomes for men and women.

Clinicians and researchers have known for decades that gender shapes the kinds of risks and protections people are exposed to in everyday life, causing men and women to experience different types of health problems. The study by medical sociologist Brea Perry is unique because it adds the genetic dimension.

"It is likely that gene-environment interactions may operate differently for men and women, perhaps because they experience some aspects of the social world in divergent ways," Perry said in a statement. "In families and communities, for example, women often bear more responsibility for developing and maintaining relationships, and do more of the care work that is required in those contexts. We cannot assume that a social environment that is favorable for men, and thus reduces the harmful impact of a risky genotype, is also beneficial for women, or vice versa."

For the study, researchers collected data from 4,307 adults from 1,026 families. Some of the participants had substance dependence, but not all did. She targeted the GABRA2 gene, which is related to increased risk for substance use disorders through sensitivity to stressful or emotionally charged social environments.

They found that social integration can help those who struggle with substance abuse, particularly men who are in need of additional emotional support and strong bonds to keep them from engaging in excessive drinking or drug use. For women, ties to family and community are positive for most, but the demands of relationships may be overwhelming for women with a sensitivity to stress.

Research indicates that social and biological factors interact in very complex ways to shape health and well-being, and gender may complicate this picture even further. However, the potential impact of this kind of research on our understanding of how and why certain groups are more or less susceptible to physical and mental health problems is substantial.

"It is quite likely that any heritable health condition that is influenced by social factors, such as obesity, cardiovascular disease and depression, might exhibit gender-specific gene-environment interactions," Perry said.

The findings were recently presented at the American Sociological Association's annual meeting in San Francisco.

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