Research Centre for Public Health, Equity and Human Flourishing, Torrens University Australia, 88 Wakefield Street Adelaide, 5000, South Australia, Australia.
Research Centre for Public Health, Equity and Human Flourishing, Torrens University Australia, 88 Wakefield Street Adelaide, 5000, South Australia, Australia.
Int J Drug Policy. 2024 Aug;130:104510. doi: 10.1016/j.drugpo.2024.104510. Epub 2024 Aug 5.
Drinking alcohol facilitates pleasure for women while also elevating disease risk. Symbolic expectations of what alcohol 'does in' life per lay insight (relax, identity-work, connect) sit in tension with scientific realities about what alcohol 'does to' women's bodies (elevate chronic disease risks such as breast cancer). Policy must work amidst - and despite - these paradoxes to reduce harm(s) to women by attending to the gendered and emergent configurations of both realities. This paper applies a logic of candidacy to explore women's alcohol consumption and pleasure through candidacies of wellness in addition to risk through candidacies of disease (e.g. breast cancer). Using qualitative data collected via 56 interviews with Australian women (n = 48) during early pandemic countermeasures, we explore how risk perceptions attached to alcohol (like breast cancer) co-exist with use-values of alcohol in daily life and elucidate alcohol's paradoxical role in women's heuristics of good/poor health behaviours. Women were aged 25-64 years, experienced varying life circumstances (per a multidimensional measure of social class including economic, social and cultural capital) and living conditions (i.e. partnered/single, un/employed, children/no children). We collated coding structures from data within both projects; used deductive inferences to understand alcohol's paradoxical role in candidacies of wellness and disease; abductively explored women's prioritisation of co-existing candidacies during the pandemic; and retroductively theorised prioritisations per evolving pandemic-inflected constructions of alcohol-related gendered risk/s and pleasure/s. Our analysis illuminates the ways alcohol was configured as a pleasure and form of wellness in relation to stress, productivity and respectability. It also demonstrates how gender was relationally enacted amidst the priorities, discourses and materialities enfolding women's lives during the pandemic. We consider the impact of policy regulation of aggressive alcohol marketing and banal availability of alcohol in pandemic environments and outline gender-responsive, multi-level policy options to reduce alcohol harms to women.
饮酒可以给女性带来愉悦,同时也会增加患病风险。基于日常生活经验(放松、塑造身份、建立联系),人们对酒精的作用有一些象征性的预期,但这些预期与科学事实(酒精会增加女性患乳腺癌等慢性病的风险)存在矛盾。政策制定者必须在这些矛盾中,同时也必须克服这些矛盾,通过关注这两种现实中性别化和新兴的配置,减少女性所受到的伤害。本文应用候选逻辑,通过候选健康(例如乳腺癌)和候选风险(例如疾病)来探索女性的饮酒和愉悦。本研究使用了定性数据,通过在早期大流行防控措施期间对 56 名澳大利亚女性(n = 48)进行的 56 次访谈收集数据,探讨了与酒精相关的风险认知(如乳腺癌)如何与日常生活中酒精的使用价值共存,并阐明了酒精在女性对健康行为的好坏的认知中具有矛盾作用。这些女性年龄在 25 至 64 岁之间,经历着不同的生活环境(根据包括经济、社会和文化资本在内的多维社会阶层衡量标准)和生活条件(即伴侣/单身、有/无工作、有/无子女)。我们从两个项目的数据中整理了编码结构;使用演绎推理来理解酒精在候选健康和候选疾病中的矛盾作用;通过归纳推理探索女性在大流行期间对同时存在的候选方案的优先排序;通过回溯推理,根据不断演变的大流行对与性别相关的风险和愉悦的影响,对优先排序进行理论化。我们的分析揭示了酒精在与压力、生产力和可敬性相关的情况下被配置为一种愉悦和健康的方式。它还展示了在大流行期间,性别是如何在围绕女性生活的优先事项、话语和物质性中表现出来的。我们考虑了在大流行环境下对攻击性酒精营销和酒精普遍可获得性进行政策监管的影响,并概述了减少女性酒精伤害的性别响应性、多层次政策选择。