Currently, the drug addiction literature is replete with micro-level t
heories of addiction that offer important insights into individual and
small-group processes leading to addiction. However, few offer much c
onsideration of macro-level matters (e.g., social structural and cultu
ral). Macro theories of addiction are even more scarce. This inattenti
on to macro-level factors may ultimately impede the ability to reduce
addiction and related social problems. The purpose of this article is
to offer preliminary formulations for a macro theory of drug addiction
. A critique of leading micro-oriented theories, coupled with Hall and
Jefferson's (1976) Cultural Studies school, helps facilitate this eff
ort. The discussion centers on drug subcultures instead of individual
addicts and brings macro-level matters (e.g., economic and social ineq
uality and cultural norms and values) to the center of the debate. Fur
thermore, the new theoretical formulations offer important insights in
to rates of addiction among population subgroups and their potentially
diverse etiologies. The article concludes with a call for theoretical
refinement and empirical assessment.