Affordances of home drinking in accounts from light and heavy drinkers

Affordances of home drinking in accounts from light and heavy drinkers
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DOI:
10.1016/j.socscimed.2022.114712
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发表时间:
2022-01-29
影响因子:
5.4
通讯作者:
Callinan, Sarah
Callinan, Sarah
中科院分区:
医学2区
文献类型:
--
作者:
MacLean, Sarah;Room, Robin;Callinan, Sarah

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在家中饮酒会大大增加与饮酒有关的健康危害。借鉴实践理论和新唯物主义,我们认为,饮酒是一种社会实践,允许特定的效果集,或启示,当它发生在一个人的家里。定性访谈进行了电话与40名澳大利亚成年家庭饮酒者,其中20人在指定为低风险的水平和20人在一个水平,使他们暴露于更高的可能性伤害。我们的分析确定了家庭饮酒实践的四个实质性的启示。前两个问题涉及家庭生活的转变。在家喝酒既可以庆祝,也可以平息对家庭关系的不满。通过在家里产生与在其他地方相比微妙不同的情感状态,饮酒实践使家庭环境像家一样:作为舒适和喘息的地方。家庭饮酒的后两个可供性涉及家庭作为一个场所如何在饮酒模式的共同构成中发挥作用。这意味着在其他家庭做法的同时增加酒精消费,并放松对醉酒的限制。对于我们的论点来说,重要的是,对于饮酒量较大的参与者来说,每一项指标的作用强度都比饮酒量适中的参与者大。例如,重度饮酒者表达了改变家庭关系和情感状态的更大必要性,并强调了在家如何为重度饮酒创造机会并消除障碍。我们发现,在我们的研究样本中,家庭饮酒与其他活动和家庭幸福感以及家庭作为澳大利亚人隐私,自主和放松空间的出现有关。理解家庭饮酒深深植根于当代西方家庭生活的构成中,有助于解释这些环境中的大量饮酒。它还支持有必要采取有针对性的公共卫生对策,例如限制将酒精送到家中。
Home drinking contributes substantially to health harms associated with alcohol consumption. Drawing on practice theory and new materialism, we argue that drinking is a social practice that allows particular sets of effects, or affordances, when it takes place in a person's home. Qualitative interviews were conducted by telephone with 40 Australian adult home drinkers, of whom 20 drank at a level designated as low risk and 20 at a level which exposed them to a higher likelihood of harm. Our analyses identified four substantive affordances of home drinking practice. The first two concern transformations of home life. Home drinking allowed both celebration and smoothing of dissatisfaction with domestic relationships. Through producing subtly different affective states at home compared to in other locations, drinking practice rendered domestic settings home-like: as places of comfort and respite. The second two affordances of home drinking concern how home as a place acts in the co-constitution of drinking patterns. This entailed routinising alcohol consumption alongside other home-based practices and loosening constraints on intoxication. Importantly for our argument, each of these operated with greater intensity for participants who drank at a heavier level than for those who drank more moderately. For example, heavy drinkers expressed a greater imperative to alter relationships and affective states at home and emphasised how being at home produced opportunities for, and removed obstacles to, heavy drinking. We show that home drinking is patterned with other activities and entwined in domestic wellbeing and the emergence of home as a space of privacy, autonomy and relaxation for Australians in our study sample. Understanding home drinking as deeply embedded in the constitution of contemporary western domestic life helps to explain heavy alcohol consumption in these settings. It also supports the need for targeted public health responses such as restrictions on home delivery of alcohol.