Oldham Melissa, Yang Jiexi, Okpako Tosan, Kale Dimitra, Morris James, Garnett Claire, Finn Sara Wallhed, Naughton Felix, Brown Jamie
Department of Behavioural Science and Health, University College London, London, UK.
Centre for Addictive Behaviours Research, London South Bank University, London, UK.
Br J Health Psychol. 2025 Sep;30(3):e70008. doi: 10.1111/bjhp.70008.
To explore whether people 'other' when making judgements about 'harmful' drinking and the drinking contexts (e.g., pub with friends) and features of drinking contexts (e.g., location, company) perceived as being indicative of harmful drinking.
Focus group design with arts-based methods.
Risky drinkers (AUDIT-C ≥ 5; n = 20) in four focus groups, drew and discussed contexts and features of contexts they thought indicated harmful drinking. Reflexive thematic analysis was conducted alongside content analysis of drawings informed by themes and prior research.
There are three deductive themes. The first theme semblance of control referred to people's tendency to differentiate their own drinking practices as controlled and safe in relation to the out-of-control behaviours of a harmful drinker. This was seen in the content analysis of drawings where participants tended to draw drinking contexts which were different to those they drank in. The drinking practices perceived as being indicative of harmful drinking were further explored in the second theme harmful drinking contexts. This theme was made up of four subthemes: mental harms, physical harms, social harms and societal harms which were discussed as being differentially associated with different types of drinking contexts. The final theme, features which make drinking 'harmful', focused on the features of drinking contexts which participants felt were more indicative of harm. There were seven subthemes: alone, home, amount, drink type, having responsibilities, reason for drinking and timing/pattern.
Drinking contexts fed into the construction of othering narratives among risky drinkers. This has implications for alcohol harm reduction campaigns.
探讨人们在判断“有害”饮酒以及被视为有害饮酒迹象的饮酒环境（如与朋友在酒吧）和饮酒环境特征（如地点、同伴）时是否会“区别对待他人”。
采用基于艺术方法的焦点小组设计。
四个焦点小组中的高风险饮酒者（酒精使用障碍识别测试-消费版≥5；n = 20）绘制并讨论了他们认为表明有害饮酒的环境和环境特征。在对绘画进行内容分析的同时，结合主题和先前研究进行反思性主题分析。
有三个演绎主题。第一个主题“控制的表象”指的是人们倾向于将自己的饮酒行为与有害饮酒者失控的行为区分开来，认为自己的饮酒行为是可控且安全的。这在绘画的内容分析中可以看出，参与者倾向于绘制与他们实际饮酒环境不同的饮酒环境。在第二个主题“有害饮酒环境”中，进一步探讨了被视为有害饮酒迹象的饮酒行为。这个主题由四个子主题组成：精神伤害、身体伤害、社会伤害和社会危害，讨论了它们与不同类型饮酒环境的不同关联。最后一个主题“使饮酒‘有害’的特征”，关注参与者认为更能表明危害的饮酒环境特征。有七个子主题：独自一人、在家、饮酒量、酒的类型、有责任、饮酒原因和时间/模式。
饮酒环境在高风险饮酒者的“区别对待他人”叙事构建中起到了作用。这对减少酒精危害运动具有启示意义。
