关键词: Alcohol COVID-19 Candidacy Pandemic Pleasure Policy Risk Wellness Women

Mesh : Humans Female Australia / epidemiology Adult Alcohol Drinking / epidemiology psychology Middle Aged COVID-19 / epidemiology prevention & control Health Behavior Health Policy Qualitative Research Women's Health

来  源:   DOI:10.1016/j.drugpo.2024.104510

Abstract:
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.
摘要:
饮酒有助于女性获得快乐,同时也会增加疾病风险。对酒精在生活中做什么的象征性期望,每个外行的洞察力(放松,身份工作,连接)与科学现实有关酒精对女性身体的影响(提高乳腺癌等慢性疾病的风险)。政策必须在这些悖论中发挥作用,通过关注两种现实的性别和紧急配置来减少对妇女的伤害。本文运用候选人资格的逻辑,通过健康候选人以及通过疾病候选人(例如乳腺癌)的风险来探索女性的饮酒和愉悦。使用在早期大流行对策期间通过对澳大利亚妇女(n=48)的56次访谈收集的定性数据,我们探讨了与酒精(如乳腺癌)相关的风险认知如何与酒精在日常生活中的使用价值共存,并阐明了酒精在女性良好/不良健康行为启发法中的矛盾作用.女性年龄在25-64岁之间,经历了不同的生活环境(根据社会阶层的多维衡量标准,包括经济,社会和文化资本)和生活条件(即伙伴/单身,联合国/受雇,儿童/无儿童)。我们从两个项目中的数据中整理了编码结构;使用演绎推理来了解酒精在健康和疾病候选中的矛盾作用;在大流行期间,对妇女在共存候选中的优先顺序进行了探索;并根据与酒精相关的性别风险和愉悦的不断发展的大流行变化的结构,对优先顺序进行了逆向理论分析。我们的分析阐明了酒精被配置为与压力相关的快乐和健康形式的方式,生产力和体面。它还展示了性别是如何在优先事项中相互关联地制定的,大流行期间妇女生活的话语和物质。我们考虑了在大流行环境中积极的酒精营销和平庸的酒精供应的政策监管的影响,并概述了性别敏感,多层次的政策选择,以减少酒精对妇女的伤害。
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