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A Qualitative Study of Gender-Based Pathways to Problem Drinking in Dublin, Ireland

Published online by Cambridge University Press:  13 June 2014

Joanne Cunningham*
Affiliation:
Quinnipiac University, Department of Psychology 275 Mount Carmel Avenue, Hamden, CT 06518, Connecticut, USA
*
Correspondence Email: jocunn@umich.edu

Abstract

Objective: High rates of alcohol-related harm have been reported in the European Union, including Ireland, for more than 20 years. This article's goal is to contextualise such rates by examining gender-based pathways to alcohol use disorders from the perspective of those self-identifying as in recovery using data collected midway through this 20-year trend.

Methods: Sixteen informants (nine men and seven women) were interviewed between 1998 and 1999 in Dublin, Ireland. Using qualitative methods, informants were asked to reflect upon their experiences of problem drinking and recovery.

Results: Drinking expectancies, pub-based socialising, social anxiety and perceived social expectations to drink were cited as common pathways to problem drinking by informants, highlighting contradictions in drinking practices and the symbolic functions of alcohol. Drinking contexts identified by informants were public pub-based drinking for men and home-based drinking for women. Primary barriers to problem acceptance centered on pub-based socialising norms and gender-based shame. Benefits of support group membership included establishing new social networks and learning alternative ways to cope with negative emotions.

Conclusion: Consideration of drinking expectancies, the social contexts in which problematic drinking occurs, gender ideologies, the cultural meanings of drinking behaviours, and attention to feelings of isolation or loneliness experienced by those exhibiting problematic consumption behaviours might further understandings of potentially harmful drinking, especially in periods of economic uncertainty.

Type
Original Paper
Copyright
Copyright © Cambridge University Press 2012

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References

1.Anderson, P, Baumberg, B. Alcohol in Europe: a public health perspective. Institute of Alcohol Studies, London, 2006.Google Scholar
2.Ramstedt, M, Hope, A. The Irish drinking habits of 2002: Drinking and drinking-related harm in a European comparative perspective. Journal of Substance Use. 2005; 10(5):273–83.CrossRefGoogle Scholar
3.Butler, S. Tipping the balance? An Irish perspective on Anderson and Baumberg. Drugs: Education, Prevention and Policy. 2006; 13(6):493–7.Google Scholar
4. Strategic Task Force on Alcohol: Second Report. Dublin: Health Promotion Unit, Dept of Health & Children 2004.Google Scholar
5.TNS Opinion & Social. EU citizens' attitudes towards alcohol. Special Eurobarometer 331, Brussels: European Commission 2010.Google Scholar
6.Mongan, D, Hope, A, Nelson, M. Social consequences of harmful use of alcohol in Ireland. HRB Overview Series 9. Dublin: Health Research Board, 2009.Google Scholar
7.Kuntsche, E, Rehm, J, Gmel, G. Characteristics of binge drinkers in Europe. Soc. Sci. Med. 2004; 59(1):113–27.CrossRefGoogle ScholarPubMed
8.Kelleher, CC, Friel, S, Nic Gabhainn, S, Tay, JB. Socio-demographic predictors of self-rated health in the Republic of Ireland: findings from the National Survey on Lifestyle, Attitudes and Nutrition, SLÁN. 2003; 57(3):477–86.Google ScholarPubMed
9.Emslie, C, Lewars, H, Batty, GD, Hunt, K. Are there gender differences in levels of heavy, binge and problem drinking? Evidence from three generations in the west of Scotland. Public Health. 2009; 123(1):1214.CrossRefGoogle ScholarPubMed
10.Morgan, K, McGee, H, Dicker, P, Brugha, R, Ward, M, Shelley, E, et al.SLÁN 2007: Survey of lifestyle, attitudes, and nutrition in Ireland. Alcohol in Ireland: A profile of drinking patterns and alcohol-related harm from SLÁN 2007. Department of Health and Children. Dublin: The Stationery Office. 2009.Google Scholar
11.Bush, K, Kivlahan, DR, McDonell, M, Fihn, S, Bradley, K. The AUDIT Alcohol Consumption Questions (AUDIT-C): An Effective Brief Screening Test for Problem Drinking. Arch. Intern. Med. 1998; 158(16):1789–95.CrossRefGoogle ScholarPubMed
12.Strategic Task Force on Alcohol. Interim Report. Dublin: Department of Health and Children. 05, 2002.Google Scholar
13.Schuckit, MA. Alcohol-use disorders. Lancet. 2009; 373(9662):492501.CrossRefGoogle ScholarPubMed
14.Moos, R, Finney, J, Cronkite, R. Alcoholism Treatment: Context, Process, and Outcome. New York: Oxford University Press. 1990.Google Scholar
15.Leigh, B, Stacy, A. Alcohol expectancies and drinking in different age groups. Addiction. 2004; 99(2):215–27.CrossRefGoogle ScholarPubMed
16.Heath, DB. Drinking occasions: Comparative perspectives on alcohol and culture. Philadelphia: Psychology Press; 2000.Google Scholar
17.Willenbring, M, Massey, S, Gardner, M. Helping patients who drink too much: an evidence-based guide for primary care physicians. Am Fam Physician. 2009; 80(1):4450.Google Scholar
18.National Institute on Alcohol Abuse and Alcoholism. Systems Biology: The Solution to Understanding Alcohol-Induced Disorders? Bethesda, MD: National Institutes of Health, 2008 04. Report No. 75.Google Scholar
19.National Institute on Alcohol Abuse and Alcoholism. New Advances in the Treatment of Alcoholism. Bethesda, MD: National Insititues of Health, 2000, 10. Report No. 49.Google Scholar
20.Cain, C. Personal stories: Identity acquisition and self-understanding in Alcoholics Anonymous. Ethos. 1991; 19:210–53.CrossRefGoogle Scholar
21.Cunningham, J, Sirey, J, Bruce, M. Matching Services to Patients' Beliefs About Depression in Dublin, Ireland. Psychiatr. Serv. 2007; 58(5):696–99.CrossRefGoogle ScholarPubMed
22.Patton, MQ. Qualitative evaluation and research methods. 2nd ed. Newbury Park, CA: Sage Publications; 1990.Google Scholar
23.Strauss, A, Corbin, J. Grounded theory in practice. 2nd ed. Thousand Oaks, CA: Sage; 1998.Google Scholar
24.Guest, G, Bunce, A, Johnson, L. How Many Interviews Are Enough? An Experiment with Data Saturation and Variability. Field Methods 2006; 18(1):5982.CrossRefGoogle Scholar
25.Glaser, BG. The Constant Comparative Method of Qualitative Analysis. Soc. Probl. 1965; 12(4):436–45.CrossRefGoogle Scholar
26.Boeije, H. A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality & Quantity 2002; 36(4):391409.CrossRefGoogle Scholar
27.Corrigan, E, Butler, S. Irish alcoholic women in treatment: Early findings. Int. J. Addict. 1991; 26(3):281–92.CrossRefGoogle ScholarPubMed
28.Women and Substance Misuse: Alcohol and Women's Health in Ireland. Dublin: Women's Health Council 2009.Google Scholar
29.Inglis, T. Global Ireland: Same Difference. New York: Routledge; 2008.Google Scholar
30.Tovey, H, Share, P. A Sociology of Ireland. 2nd ed. Dublin: Gill & Macmillan; 2003.Google Scholar
31.Tilki, M. The social contexts of drinking among Irish men in London. Drugs: Education, Prevention & Policy. 2006; 13(3):247–61.Google Scholar
32.Smith, L, Foxcroft, D. Drinking in the UK. An exploration of trends. York: Joseph Rountree Foundation, 2009Google Scholar
33.Lyons, A, Willott, S. Alcohol Consumption, Gender Identities and Women's Changing Social Positions. Sex Roles. 2008; 59(9):694712.CrossRefGoogle Scholar
34.Bargh, JA, Williams, EL. The Automaticity of Social Life. Current Directions in Psychological Science. 2006; 15(1):14.CrossRefGoogle ScholarPubMed
35.Niemann, Y. Stereotypes about Chicanas and Chicanos. The Counseling Psychologist. 2001; 29(1):5590.CrossRefGoogle Scholar
36.Peralta, R. College Alcohol Use and the Embodiment of Hegemonic Masculinity among European American Men. Sex Roles. 2007; 56(11):741–56.CrossRefGoogle Scholar
37.De Visser, RO, Smith, JA. Alcohol consumption and masculine identity among young men. Psychology & Health. 2007; 22(5):595614.CrossRefGoogle Scholar
38.Gmel, G, Bloomfield, K, Ahlström, S, Choquet, M, Lecomte, T. Women's Roles and Women's Drinking: A Comparative Study in Four European Countries. Substance Abuse. 2000; 21(4):249–64.CrossRefGoogle ScholarPubMed
39.O'Connor, J, Daly, M. The smoking habit. Dublin: Health Education Bureau. 1985.Google Scholar
40.Women & substance misuse in Ireland: Overview. Dublin: Women's Health Council 2009.Google Scholar
41.Dee, TS. Alcohol abuse and economic conditions: Evidence from repeated cross-sections of individual-level data. Health Econ. 2001; 10(3):257–70.CrossRefGoogle ScholarPubMed
42.Luoto, R, Poikolainen, K, Uutela, A. Unemployment, sociodemographic background and consumption of alcohol before and during the economic recession of the 1990s in Finland. Int. J. Epidemiol. 1998; 27(4):623–9.CrossRefGoogle ScholarPubMed
43.Hope, A. Alcohol Consumption In Ireland 1986-2006: Report for the Health Service Executive Alcohol Implementation Group. Dublin: Health Service Executive 2007.Google Scholar
44.Hope, A, Butler, S. Changes in consumption and harms, yet little progress. Trends in alcohol consumption, harms and policy: Ireland 1990-2010. Nordic Studies on Alcohol and Drugs. 2010; 27(5):479–95.CrossRefGoogle Scholar
45.Hope, A, Mongan, D. A profile of self-reported alcohol-related violence in Ireland. Contemporary Drug Problems. 2011; 38(2):237–58.CrossRefGoogle Scholar
46.Report of the Government Advisory Group. Dublin: Department of Justice, Equality and Law Reform, 2008.Google Scholar
47.Cleary, S. The new female wine culture. Irish Independent. 2009 12 20.Google Scholar
48.Lader, D, Steel, S. Office for National Statistics. Opinions survey report no 42. Drinking: adults' behaviour and knowledge in 2009. London: Stationary Office; 2010.Google Scholar
49.Jarvinen, M, Room, R. Youth drinking cultures: European experiences. Jarvinen, M, Room, R, editors. Aldershot: Ashgate; 2007.Google Scholar
50.Lyvers, M, Hasking, P, Hani, R, Rhodes, M, Trew, E. Drinking motives, drinking restraint and drinking behaviour among young adults. Addict. Behav. 2010; 35(2):116–22.CrossRefGoogle ScholarPubMed
51.Hope, A. Alcohol-related harm in Ireland. Health Service Executive - Alcohol Implementation Group. 2008.Google Scholar
52.McCrady, BS. To Have But One True Friend: Implications for Practice of Research on Alcohol Use Disorders and Social Networks. Psychology of Addictive Behaviors 2004; 18(2):113–21.CrossRefGoogle Scholar