Nicholls James, Hunt Geoffrey
Institute for Social Marketing and Health, Faculty of Health and Sports Science, University of Stirling, Stirling, UK.
Centre for Alcohol and Drug Research, Aarhus University, Aarhus, Denmark.
Addiction. 2025 Jun;120(6):1075-1081. doi: 10.1111/add.16747. Epub 2025 Jan 9.
This paper invites discussion on whether pleasure should receive more attention in public health-oriented research on alcohol. While there is a history of sociological and anthropological literature exploring alcohol and pleasure, this is much less common in public health-oriented alcohol research, and associated advocacy.
We propose three broad reasons why more extensive engagement with issues of pleasure may be important for public health-oriented research. The first is epistemological: because overlooking pleasure risks leaving a gap in knowledge of a key component of, and motive for, drinking. The second is ethical: because the prioritisation of long-term health over shorter-term pleasures is not uncontested, and needs to be explicitly justified. The third is pragmatic: because ceding the discourse on pleasure to other actors (including commercial ones) risks undermining effective engagement with target populations.
There is strong case for more attention to pleasure in public health-oriented alcohol research. Key to this is the further development of interdisciplinary perspectives and mixed-methods research. This brings both conceptual and methodological challenges, many of which remain unresolved; however, bringing these issues to the surface may enable greater clarity on both normative principles (including arguments against research engaging with pleasure) and practical questions concerning the design of research and analysis in this area.
本文旨在探讨在以公共卫生为导向的酒精研究中,愉悦感是否应得到更多关注。虽然社会学和人类学文献中有探索酒精与愉悦感的历史,但在以公共卫生为导向的酒精研究及相关倡导中,这种情况却较为少见。
我们提出三个宽泛的理由,说明为何在以公共卫生为导向的研究中,更广泛地探讨愉悦感问题可能至关重要。其一为认识论方面的理由:因为忽视愉悦感可能会在饮酒的一个关键组成部分及动机的认知上留下空白。其二是伦理方面的理由:因为将长期健康置于短期愉悦之上并非毫无争议,需要明确说明其合理性。其三是务实方面的理由:因为将愉悦感的话语权让给其他行为体(包括商业行为体)可能会削弱与目标人群的有效互动。
在以公共卫生为导向的酒精研究中,有充分理由更多地关注愉悦感。关键在于进一步发展跨学科视角和混合方法研究。这带来了概念和方法上的挑战,其中许多仍未得到解决;然而,将这些问题揭示出来可能会使规范原则(包括反对研究涉及愉悦感的论点)以及该领域研究设计和分析的实际问题更加清晰。