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Research on Alcohol Culture and Health Behavior

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Behavior, Chronic Disease and Health Promotion".

Deadline for manuscript submissions: closed (5 May 2023) | Viewed by 28139

Special Issue Editor


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Guest Editor
The Center for Addiction Science Specialties, Sahmyook University, Seoul, Korea
Interests: alcohol and culture; national alcohol policy; alcohol use; unwanted sexual behavior

Special Issue Information

Dear Colleagues,

The Special Issue of this journal attempts to view and analyze drinking behavior from a social perspective. Health policies consistently hold that the exercise of sobriety is urgent because people in many countries drink too much alcohol, which, in turn, negatively affects their health in the long term. In other words, in the health care community, drinking alcohol is regarded only as a health risk, and therefore it is argued that it is necessary to stop drinking. Nevertheless, although the argument that soberness is necessary because of the health hazards of drinking is a logical conclusion, it is difficult to say that it is socially valid. It is well known that drinking a lot of alcohol is harmful to health, but people still drink a lot because the socio-cultural motives recommending alcohol are very strong.

Therefore, simply emphasizing the health risks of drinking will not help an alcohol-free policy succeed easily. However, in the health care field, there is a very passive understanding of social and cultural factors when considering policy. In this Special Issue, I would like to anticipate the creation of a more effective alcohol control policy by revealing the social and cultural characteristics of drinking beyond these academic boundaries.

This Special Issue intends to recruit articles on the following three aspects.

First, we examine the characteristics of drinking culture from a comparative socio-cultural perspective.

Second, this issue characterizes drinking behavior based on major demographic factors such as gender, generation, and occupation and identifies factors that cause excessive drinking. In particular, it seeks to find demographic groups in which heavy drinking is prominent and to understand their drinking behavior and social values and norms related to drinking. In other words, drinking behavior has social norms and values that rationalize it. For example, the belief that drinking is essential for maintaining social relationships or that drinking is comforting when we are stressed are factors that encourage drinking. A drinking prevention campaign can be carried out more effectively by informing people that these worldly beliefs are wrong, rather than by simply warning of the health risks of drinking. In other words, it may be more efficient to establish prevention strategies that focus on drinking motives or values, rather than on the alcoholic effects of alcohol consumption.

Third, the relationship between socioeconomic structure and drinking could be examined. One example is that the effect of sharing the news of a drinking party with friends on social media may be that it encourages others to host drinking parties, creating a competitive atmosphere around drinking.

While the focus will be on empirical articles, articles with an editorial style or those that propose methodological innovations will also be considered.

Prof. Dr. Aeree Sohn
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • alcohol
  • culture
  • motives
  • attitudes
  • alcohol marketing

Published Papers (11 papers)

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Research

17 pages, 643 KiB  
Article
Sober Curiosity: A Qualitative Study Exploring Women’s Preparedness to Reduce Alcohol by Social Class
by Belinda Lunnay, Emily Nicholls, Amy Pennay, Sarah MacLean, Carlene Wilson, Samantha B. Meyer, Kristen Foley, Megan Warin, Ian Olver and Paul R. Ward
Int. J. Environ. Res. Public Health 2022, 19(22), 14788; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph192214788 - 10 Nov 2022
Cited by 4 | Viewed by 2714
Abstract
Background: Urgent action is required to identify socially acceptable alcohol reduction options for heavy-drinking midlife Australian women. This study represents innovation in public health research to explore how current trends in popular wellness culture toward ‘sober curiosity’ (i.e., an interest in what reducing [...] Read more.
Background: Urgent action is required to identify socially acceptable alcohol reduction options for heavy-drinking midlife Australian women. This study represents innovation in public health research to explore how current trends in popular wellness culture toward ‘sober curiosity’ (i.e., an interest in what reducing alcohol consumption would or could be like) and normalising non-drinking could increase women’s preparedness to reduce alcohol consumption. Methods: Qualitative interviews were undertaken with 27 midlife Australian women (aged 45–64) living in Adelaide, Melbourne and Sydney in different social class groups (working, middle and affluent-class) to explore their perceptions of sober curiosity. Results: Women were unequally distributed across social-classes and accordingly the social-class analysis considered proportionally the volume of data at particular codes. Regardless, social-class patterns in women’s preparedness to reduce alcohol consumption were generated through data analysis. Affluent women’s preparedness to reduce alcohol consumption stemmed from a desire for self-regulation and to retain control; middle-class women’s preparedness to reduce alcohol was part of performing civility and respectability and working-class women’s preparedness to reduce alcohol was highly challenging. Options are provided for alcohol reduction targeting the social contexts of consumption (the things that lead midlife women to feel prepared to reduce drinking) according to levels of disadvantage. Conclusion: Our findings reinstate the importance of recognising social class in public health disease prevention; validating that socially determined factors which shape daily living also shape health outcomes and this results in inequities for women in the lowest class positions to reduce alcohol and related risks. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
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12 pages, 371 KiB  
Article
The Association of Gender Role Attitudes and Risky Drinking: Changes in the Relationship between Masculinity and Drinking in Korean Young Men
by Joon-Yong Yang and Aeree Sohn
Int. J. Environ. Res. Public Health 2022, 19(21), 14271; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph192114271 - 01 Nov 2022
Cited by 3 | Viewed by 1401
Abstract
Recently, younger men in Korean society tend not to view drinking as a proud feature of men who work. The relationship between gender role attitudes and high-risk drinking is expected to change accordingly. An online survey was conducted in January–February 2022, and the [...] Read more.
Recently, younger men in Korean society tend not to view drinking as a proud feature of men who work. The relationship between gender role attitudes and high-risk drinking is expected to change accordingly. An online survey was conducted in January–February 2022, and the frequency of drinking, the amount of drinking, and traditional gender role attitudes, such as “men should be independent and women should take care of the children”, were measured. Participants were 786 men aged between 19 and 69 years. When comparing men in their 20s and 30s with those in their 40s to 60s, the younger men reported drinking relatively high amounts of alcohol in one place, and older men had a relatively high frequency of drinking. High-risk drinking was significantly higher in the older group. Gender role attitudes were more traditional in the older group and were a predictor of high-risk drinking in older men, but there was no significant relationship between the two variables in the younger age group. The results indicate that different generations have different perceptions of how men should drink. In addition to more detailed qualitative research on drinking motivation by generation, research on whether similar changes are occurring in other countries is needed. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
11 pages, 353 KiB  
Article
The Impact of Social Supports on the Excessive Alcohol Use of the Middle-Aged Adults in South Korea: Do All Types of Social Supports Have Positive Effects on Excessive Alcohol Users?
by Seong-Jun Maeng, Kwang-Hyun Kim and Jun-Hyeok Kang
Int. J. Environ. Res. Public Health 2022, 19(19), 12624; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191912624 - 03 Oct 2022
Cited by 1 | Viewed by 1674
Abstract
The purpose of the study is to discuss the necessity of interventions on excessive alcohol use among middle-aged adult Koreans and attempt to investigate the effect of social supports including family support and friend support on excessive alcohol use. To achieve these goals, [...] Read more.
The purpose of the study is to discuss the necessity of interventions on excessive alcohol use among middle-aged adult Koreans and attempt to investigate the effect of social supports including family support and friend support on excessive alcohol use. To achieve these goals, a self-administered online survey was conducted on middle-aged adult Koreans from 40 to 59 years old sampled through the convenience allocation extraction method, with responses of a total of 767 samples analyzed. The results from the analysis was that the support of the family reduced excessive alcohol use, whereas the support of friends provoked excessive alcohol use. Based on these results, the necessity of a distinction in the different types of social supports for interventions in excessive alcohol use was revealed. In addition, several practical and political implications for the alleviation of excessive alcohol use among middle-aged adults are recommended. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
13 pages, 349 KiB  
Article
Do Drinking Norms, Motives, and Drinking Behaviors Differ by Age Group among Korean Women?
by Aeree Sohn and Sarang Jang
Int. J. Environ. Res. Public Health 2022, 19(6), 3345; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19063345 - 11 Mar 2022
Cited by 4 | Viewed by 2025
Abstract
Background: Drinking norms and motives accumulate with drinking experience; thus, it is likely that related drinking behaviors will differ with age. This study aimed to predict drinking behaviors by age based on drinking norms and motives in a sample of Korean women. Methods: [...] Read more.
Background: Drinking norms and motives accumulate with drinking experience; thus, it is likely that related drinking behaviors will differ with age. This study aimed to predict drinking behaviors by age based on drinking norms and motives in a sample of Korean women. Methods: This exploratory study used a nationwide demographically stratified sample including 1057 women aged 19–59 years. Self-report questionnaires assessed participants’ general drinking frequency and quantity, two drinking norms, and five dimensional motives. The data were analyzed using Spss 26. Results: Descriptive and injunctive norms were the predictors that accounted for the greatest variance in drinking frequency, quantity, binge drinking, and high-risk drinking across all age groups (p < 0.001). Descriptive norms predicted all drinking behavior better than injunctive norms and all five motives for all age groups. The effects of each of the five motives differed with age. The enhancement motive was the strongest predictor of the motives for drinking frequency, binge drinking, and high-risk drinking across all age groups. Social and conformity motives predicted only binge drinking. Conclusions: These results suggest that descriptive norms, injunctive norms, and enhancement motives predict drinking behaviors across all age groups, although the relative predictive strength of those variables differed by age. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
15 pages, 674 KiB  
Article
Job Satisfaction and Alcohol Consumption: Empirical Evidence from China
by Yuna Ma, Jiafeng Gu and Ruixi Lv
Int. J. Environ. Res. Public Health 2022, 19(2), 933; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19020933 - 14 Jan 2022
Cited by 1 | Viewed by 2377
Abstract
Despite growing attention to job satisfaction as a social determinant of alcohol-related behaviors, few studies focus on its diverse impacts on alcohol consumption. Using data from the China Family Panel Study in 2018, this study uses logistic regression analysis to examine how job [...] Read more.
Despite growing attention to job satisfaction as a social determinant of alcohol-related behaviors, few studies focus on its diverse impacts on alcohol consumption. Using data from the China Family Panel Study in 2018, this study uses logistic regression analysis to examine how job satisfaction affects alcohol consumption in China, finding that people who were satisfied with their jobs were more likely to be regularly drinking. Employed people who were satisfied with their working environment and working hours were more likely to regularly drink, but those who were satisfied with their wages and working security were less likely to be regularly drinking. Findings suggest that the link between job satisfaction and alcohol consumption is dynamic. Employment policies, working wellbeing improvement programs, and alcohol policy improvement should, therefore, be designed on the basis of a comprehensive account of entire job-related attitudes. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
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14 pages, 690 KiB  
Article
Alcohol Use in China: Unrecorded and Recorded Bai Jiu in Three Rural Regions
by Lanyan Ding, Baoping Song, Chengli Wu, Ian M. Newman, Lok-Wa Yuen, Ling Qian, Botao Wang, Wenjuan Zhang and Ping Wei
Int. J. Environ. Res. Public Health 2022, 19(1), 405; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19010405 - 30 Dec 2021
Cited by 4 | Viewed by 2049
Abstract
In China, approximately 70% of beverage alcohol is consumed in the form of spirits. An estimated 25% of all alcohol consumed is unrecorded, mostly spirits (bai jiu), produced outside regulatory systems in small neighborhood distilleries, mostly in rural areas. Unrecorded bai jiu drinkers [...] Read more.
In China, approximately 70% of beverage alcohol is consumed in the form of spirits. An estimated 25% of all alcohol consumed is unrecorded, mostly spirits (bai jiu), produced outside regulatory systems in small neighborhood distilleries, mostly in rural areas. Unrecorded bai jiu drinkers are generally older, male, prefer higher-strength bai jiu, and drink daily and mostly at home. To explore possible regional differences, researchers used interview data from 2919 bai jiu drinkers in rural areas in Hebei, Anhui, and Hubei provinces in China. Results confirmed that patterns varied by province. The sample in Hubei preferred unrecorded bai jiu with a more stable preference to alcohol type, tended to drink less frequently, and reported experiencing less drinking pressure, suggesting lower-risk drinking patterns in this region. The Hebei and Anhui sample reported higher frequency and greater amount of alcohol consumption, were more likely to experience drinking pressure, indicating higher-risk patterns in alcohol use in these two regions. The results provide needed details about regional differences in unrecorded bai jiu drinking patterns that are not evident in aggregated data and suggest variations in drinking patterns that may reflect local geography, local values, traditions, and ethnic differences. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
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16 pages, 2018 KiB  
Article
Drinking Trajectories and Factors in Koreans
by Yun-Young Kim, Hyung-Joo Park and Mee-Sook Kim
Int. J. Environ. Res. Public Health 2021, 18(16), 8890; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18168890 - 23 Aug 2021
Cited by 5 | Viewed by 2495
Abstract
This study aimed to explore the drinking culture in Korea by sex, age, household type, occupation, and income level to identify demographic groups with prominent drinking behaviors and factors affecting their drinking. Furthermore, we evaluated recent changes, including those due to COVID-19, in [...] Read more.
This study aimed to explore the drinking culture in Korea by sex, age, household type, occupation, and income level to identify demographic groups with prominent drinking behaviors and factors affecting their drinking. Furthermore, we evaluated recent changes, including those due to COVID-19, in drinking behavior, using data from the Korea Welfare Panel Study from 2010 to 2020. Panel analysis was performed to reveal the effects of material deprivation, depression, and sociodemographic factors on drinking behavior. We used the AUDIT 3 scale including frequency of drinking, average amount of drinking, and frequency of excessive drinking. The two characteristics of Korean drinking are consistent with the claim of the ecological system theory that humans, as social beings, drink to facilitate social communication or promote problematic drinking when social communication is difficult. Drinking among Koreans is characterized by a pattern that alternates between social drinking and problem drinking. Our study recognizes drinking as a social problem that should be managed at social as well as national levels. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
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13 pages, 301 KiB  
Article
First Drinking Experiences during Adolescence in South Korea: A Qualitative Study Focusing on the Internal and External Factors
by Seong-Jun Maeng, Dong-Jun Lee and Jun-Hyeok Kang
Int. J. Environ. Res. Public Health 2021, 18(15), 8200; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18158200 - 03 Aug 2021
Cited by 4 | Viewed by 2846
Abstract
This study explored the internal and external factors affecting the first drinking experience during Korean adolescence. To achieve this, we collected 34 cases revealing specific drinking experiences during adolescence in Alcoholic Anonymous (A.A.), Korea. The collected data were analyzed using a qualitative case [...] Read more.
This study explored the internal and external factors affecting the first drinking experience during Korean adolescence. To achieve this, we collected 34 cases revealing specific drinking experiences during adolescence in Alcoholic Anonymous (A.A.), Korea. The collected data were analyzed using a qualitative case study method, and the analysis focused on the internal and external factors influencing drinking in adolescence. As per the results, internal factors that influenced drinking in adolescence were “curiosity” and “elevated mood and stress relief”, and external factors were “family”, “friends”, “older friends at school”, “neighbors”, “Korean tradition of alcohol making”, “workplaces that encourage alcohol consumption”, and “a generous drinking culture.” Based on these findings, we suggested several practical alternatives, such as a stringent alcohol punishment system, government-led campaigns to overcome the generous alcohol culture, monitoring the drinking status of working and intern youths, and using local crime prevention guards to curb youth drinking. In future research, it is necessary to quantitatively verify the results of this study to develop theories related to adolescent drinking behavior. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
14 pages, 1326 KiB  
Article
Binge Drinking and Obesity-Related Eating: The Moderating Roles of the Eating Broadcast Viewing Experience among Korean Adults
by Jiye Kim, Saegyeol Choi, Hyekyeong Kim and Soontae An
Int. J. Environ. Res. Public Health 2021, 18(15), 8066; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18158066 - 30 Jul 2021
Cited by 6 | Viewed by 3035
Abstract
Recently, there has been a notable rise in binge drinking and in the popularity of eating broadcasts via TV and online platforms, especially in Korea. This study analyzed the moderating effect of the eating broadcast viewing experience on the relationship between binge drinking [...] Read more.
Recently, there has been a notable rise in binge drinking and in the popularity of eating broadcasts via TV and online platforms, especially in Korea. This study analyzed the moderating effect of the eating broadcast viewing experience on the relationship between binge drinking and obesity-related eating behaviors. Cross-sectional self-reported online survey data were collected from 1125 Korean adults. Moderation models for restrained, emotional, and external eating behaviors were tested using moderation analyses with Hayes’s PROCESS version 3.5 compatible with SPSS. As a result, the eating broadcast viewing experience moderated the relationship between binge drinking frequency and external eating (Fchange = 2.686, p = 0.045). More frequent binge drinking was associated with a higher level of external eating in participants who only watched online eating broadcasts, especially among women. Participants in their twenties showed the same above association; additionally, those who only watched TV eating broadcasts showed an inverse association, indicating that more frequent binge drinking was associated with a lower level of external eating. Consequently, an eating broadcast viewing experience was one of the environmental factors associated with binge drinking that influences obesity-related eating behaviors. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
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9 pages, 681 KiB  
Article
The Double Mediating Effect of Social Isolation and Emotional Support on Feelings of Entrapment and Motivation for Recovery among Korean Alcoholic Inpatients
by Joo-Young Lee, Jae-Sun An and Kyung-Hyun Suh
Int. J. Environ. Res. Public Health 2021, 18(9), 4710; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18094710 - 28 Apr 2021
Cited by 2 | Viewed by 2472
Abstract
This study identified the relationship between feeling of entrapment and motivation for change among hospitalized alcoholic patients and examined the double mediating effect model of social isolation and emotional support on this relationship. The study participants were 101 male and female alcoholic patients [...] Read more.
This study identified the relationship between feeling of entrapment and motivation for change among hospitalized alcoholic patients and examined the double mediating effect model of social isolation and emotional support on this relationship. The study participants were 101 male and female alcoholic patients hospitalized at C hospital, which specializes in alcohol treatment at I city in Korea. PROCESS Macro 3.5 Model 6 was used for analyses of double mediating effects. The results revealed that entrapment and social isolation were negatively correlated with motivation for recovery of alcoholic inpatients, whereas emotional support was positively correlated with it. In a sequential double mediation model for motivation to change in alcoholic inpatients, the direct effects of social isolation and entrapment were not significant. However, the sequential indirect effect of social isolation and emotional support on entrapment and motivation for recovery among alcoholic inpatients was significant. These results suggest that making alcoholic inpatients not feel socially isolated by providing them with emotional support or through other means of assistance by practitioners or family members is important for their recovery from alcohol use disorder. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
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13 pages, 896 KiB  
Article
Functional-Belief-Based Alcohol Use Questionnaire (FBAQ) as a Pre-Screening Tool for High-Risk Drinking Behaviors among Young Adults: A Northern Thai Cross-Sectional Survey Analysis
by Nalinee Yingchankul, Wichuda Jiraporncharoen, Chanapat Pateekhum, Surin Jiraniramai, Kanittha Thaikla, Chaisiri Angkurawaranon and Phichayut Phinyo
Int. J. Environ. Res. Public Health 2021, 18(4), 1536; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041536 - 05 Feb 2021
Cited by 1 | Viewed by 2918
Abstract
Background: an alcohol-use disorders identification test (AUDIT) is a standard screening tool for high-risk drinking behavior. Standard drink calculation is difficult to comprehend and may lead to inaccurate estimates. This study intended to develop a practical pre-screening tool for the identification of high-risk [...] Read more.
Background: an alcohol-use disorders identification test (AUDIT) is a standard screening tool for high-risk drinking behavior. Standard drink calculation is difficult to comprehend and may lead to inaccurate estimates. This study intended to develop a practical pre-screening tool for the identification of high-risk drinkers among young adults. Methods: a cross-sectional survey was conducted in Northern Thailand from July 2016 to December 2016. Data was collected on relevant characteristics and health beliefs about drinking. The 12-month AUDIT was used as the reference standard. Logistic regression was used for the score derivation. The discriminative ability was measured with an area under the receiver operating characteristic curve (AuROC). Result: a total of 1401 young adults were included. Of these, 791 people (56.5%) were current drinkers. Three functional-belief items were identified as independent predictors of high-risk drinking and were used to develop the functional-belief-based alcohol-use questionnaire (FBAQ). The FBAQ demonstrated an acceptable discriminative ability—AuROC 0.74 (95% confidence interval (CI) 0.70, 0.77). Conclusion: The FBAQ contains only three simple belief questions and does not require unintelligible standard drink calculation. Implementing the FBAQ score and the AUDIT in a serial manner might be a more effective method in a mass-screening program for alcohol-use disorder in young adults. Full article
(This article belongs to the Special Issue Research on Alcohol Culture and Health Behavior)
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