Lesch Elmien, Adams Arlene R
Psychology Department, Stellenbosch University, Matieland, Stellenbosch, PB X1, South Africa.
Psychology Department, Stellenbosch University, Matieland, Stellenbosch, PB X1, South Africa.
Soc Sci Med. 2016 May;156:167-74. doi: 10.1016/j.socscimed.2016.03.030. Epub 2016 Mar 23.
Low-income Coloured Western Cape communities in South Africa display high rates of problematic drinking, especially binge-drinking over weekends. Alcohol abuse in these communities is linked to the prevalence of intimate partner violence (IPV), fetal alcohol syndrome and sexual violence against women. Few studies, however, have investigated the social contextual factors that perpetuate alcohol abuse in these communities.
Our study contributes to the need for social contextual knowledge need by providing an understanding of how committed couples, who lived and worked in one low-income historic farm worker community, located in the Cape Winelands of South Africa, constructed alcohol use and abuse in their relationship. Using a social constructionist grounded theory we analysed the consecutive interviews conducted with individual partners.
Three themes shed light on our participants' alcohol use discourses. The first theme highlights participants' apparent lack of identification with the problem of alcohol abuse, despite the omnipresence of alcohol abuse in their accounts. The second theme draws attention to men's and women's explicit and implicit support of gendered norms regarding alcohol consumption. Linked to the previous, the third theme accentuate women's toleration of men's "quiet" weekend binge-drinking.
We point out the limitations of local alcohol policy and intervention efforts to address normative drinking discourses and practices in this research community.
南非西开普省低收入有色人种社区存在高比例的问题饮酒现象，尤其是周末的酗酒行为。这些社区中的酒精滥用与亲密伴侣暴力（IPV）、胎儿酒精综合征以及针对女性的性暴力的普遍存在有关。然而，很少有研究调查这些社区中使酒精滥用持续存在的社会背景因素。
我们的研究通过了解生活和工作在南非开普葡萄酒产区一个低收入历史悠久的农场工人社区的夫妻如何在他们的关系中构建饮酒和酒精滥用，满足了对社会背景知识的需求。我们运用社会建构主义扎根理论分析了对夫妻双方进行的连续访谈。
三个主题揭示了我们研究对象关于饮酒的论述。第一个主题强调，尽管在他们的叙述中酒精滥用无处不在，但研究对象显然并未将自身与酒精滥用问题联系起来。第二个主题提请注意男性和女性对饮酒的性别规范的明确和隐含支持。与前一个主题相关，第三个主题突出了女性对男性“安静的”周末酗酒行为的容忍。
我们指出了当地酒精政策和干预措施在解决本研究社区中规范性饮酒论述和行为方面的局限性。
