'Why can't I just not drink?' A qualitative study of adults' social experiences of stopping or reducing alcohol consumption

'Why can't I just not drink?' A qualitative study of adults' social experiences of stopping or reducing alcohol consumption
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DOI:
10.1111/dar.12461
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发表时间:
2017-07-01
影响因子:
3.8
通讯作者:
Crabb, Shona
Crabb, Shona
中科院分区:
医学3区
文献类型:
--
作者:
Bartram, Ashlea;Eliott, Jaklin;Crabb, Shona

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引言和目的。酒精在澳大利亚文化中根深蒂固,在许多社交场合都扮演着重要的角色。这使得减少或停止饮酒变得具有挑战性,因为一个人冒着拒绝的风险,不仅是一种饮料,还有饮料所代表的有价值的社会规范。这项研究旨在调查停止或减少饮酒的成年人的社会经历。设计andMethods。研究人员对年龄在25岁以上的人进行了16次半结构化访谈,这些人在过去一年中至少停止或显著减少了饮酒3个月,并对其进行了主题分析。结果。参与者发现,当他们试图停止或减少自己的饮酒时,他们会因为违反人们对饮酒的期望而受到指责。尽管大多数人能够隐藏他们饮酒的变化,或者将其呈现出来,这样就不会挑战饮酒的规范,但这种方法被视为一种临时措施,不适用于与他们经常交往的人。相反,许多参与者试图改变他们与社会群体的互动,将注意力集中在与饮酒没有强烈关联的活动上。讨论和结论。减少或停止饮酒可以对健康产生积极影响,但它也可能带来社会挑战,个人需要应对这些挑战,以维持其社会福祉。这种紧张关系表明,有必要开展健康促进运动,以解决减少酒精消费对社会和健康的影响。
Introduction and Aims. Alcohol is ingrained in Australian culture, playing an important role in many social occasions. This can make reducing or stopping alcohol consumption challenging, as one risks rejecting, not just a drink but also the valued social norms that drink represents. This study aimed to investigate the social experiences of adults who stop or reduce their alcohol consumption. Design andMethods. Sixteen semi-structured interviews were conducted with people aged over 25 years who had stopped or significantly reduced their alcohol consumption for at least 3 months in the past year and were thematically analysed. Results. Participants found themselves stigmatised for violating expectations around alcohol consumption when they tried to stop or reduce their own drinking. Although most were able to either conceal their change in alcohol consumption or present it so that it did not challenge norms around drinking, this approach was seen as a temporary measure and not one to employ with people with whom they socialised regularly. Instead, many participants sought to change their interactions with their social group to focus on activities with which alcohol consumption was not strongly associated. Discussion and Conclusions. Reducing or stopping alcohol consumption can have positive consequences for health, yet it can also raise social challenges that individuals need to negotiate in order to maintain their social well-being. This tension suggests a need for health promotion campaigns to address the social as well as health consequences of reducing alcohol consumption.