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Our ‘drinking culture’ explored 

 


By Emma Saleeba, Manager - Alcohol & Tobacco, VicHealth

Contact: esaleeba@vichealth.vic.gov.au

 

Have you ever wondered exactly what the term ‘drinking culture’ means?

Some may argue that its meaning is self-evident, but for us public health folk, we need to have a clear understanding of what our ‘drinking culture’ is, before we can design and evaluate public health projects that target alcohol-related issues.

The media, academics, governments and alcohol industry already use the term ‘drinking culture’ in its broader sense. In developing VicHealth’s Alcohol Cultures Framework, our goal was to build a shared public health understanding that could guide our research and efforts to build evidence-based strategies for alcohol-harm reduction.

Here, we discuss the developmental research, the Framework itself and its early application in Victoria to inspire social change in different subcultures and settings.

Developmental research

In 2015, The Victorian Health Promotion Foundation (VicHealth) partnered with Latrobe University’s Centre for Alcohol Policy Research (CAPR) to undertake a literature review to better understand the meaning of ‘drinking culture’, clearly define it and examine how health promotion practice could influence change.

We were surprised to find that the literature offered very little in terms of its meaning. However, searching the single term of ‘culture’ resulted in 164 different definitions – with little consensus. 

The interesting thing about drinking cultures is that whilst the concept is ill-defined, we’re all incredibly interested in them. Since the early 2000s, the number of academic journal articles that contain the term has steadily increased (see Figure 1).

Figure 1.  Journal articles in the SCOPUS database containing the term 'drinking culture/s' between 1967 and 2014.

Figure 1.  Journal articles in the SCOPUS database containing the term "drinking culture/s" between 1967 and 2014.

To answer this, our team of researchers drew upon all of the evidence and posed an academic working definition, available here.

Defining ‘drinking culture’ isn’t straightforward.  

  • The concept requires a shift from thinking about individual behavior or alcohol as a product to focus on the norms – or the cultural rules of a group or society that affect behavior.
  • Norms can operate at different levels, they are context specific and can impact the way people drink differently. For example a norm could be buying a round of drinks followed by reciprocation.
  • The sanction of norms can be formal such as laws or policy (identification required to purchase liquor) or codes of conduct (in the workplace). Or they can be informal sanctions such as a raised eyebrow or a disapproving look from a friend.
  • Norms aren’t static or homogenous, they are complex, multiple and moving and are part of a network of other interacting factors that influence the way people drink alcohol. For example: gender, age, social class, social networks, masculinity, policy, marketing etc. The degree and nature of the influence that drinking cultures have on individuals is not inevitable but will depend on the combined effect of all these factors in any given situation.

Our working definition provided an understanding of what drinking culture is, but we needed to be able to practically apply this concept and gain buy-in from our partners.

The Alcohol Cultures Framework

To inform the Framework, VicHealth, CAPR and the Alcohol and Drug Foundation joined forces to collaborate on an extensive consultation with our partners to seek the opinions of alcohol prevention and harm reduction sector experts and refine the approach for health promotion purposes.

In mid-2016 we published our findings as the Alcohol Cultures Framework.

Its purpose is to be used as a planning tool for public health workers and others with an interest in shifting drinking cultures to reduce harm. The Framework defines alcohol cultures and provides a lens for designing and implementing programs.

We agreed upon a shorter and more practical definition, we define drinking cultures as…

“the way people drink including the formal rules, social norms, attitudes and beliefs around what is and what is not socially acceptable for a group of people before, during and after drinking”.

VicHealth’s vision is simple: we would like to see people supporting each another so that less risky choices are made when they’re drinking. 

Such a culture can be described as:

  • a supportive policy, physical and social environment where people do not feel pressure to drink
  • when alcohol is consumed it is done at levels of low risk
  • social pressure supports low risk drinking and discourages high risk drinking
  • occurrences of drinking are reduced
  • intoxication is socially rejected.

We identified four ‘frames’ for intervention: societal, setting, subculture and family-individual. The Framework outlines examples of factors that influence the way people drink across the frames and suggests critical questions to consider when planning health promotion strategies.

The Alcohol Culture Change Initiative

VicHealth has invested AUD $3.1 million – over 24 months - to test the application of the Framework in practice across of nine projects that target different drinking cultures across Victoria, Australia.

For more about the projects, click here.

The Initiative is being rigorously evaluated by LaTrobe Universities’ Australian Institute for Primary Care and Aging and includes the development of a set of common indicators to measure alcohol culture change. The indicators measure the following domains: drinking frequency with group, risk of short-term harm with group, very high risk of short-term harm with group, acceptance of not drinking with group, influence to drink more with group, influence to drink less with group, initiation of conversation about alcohol, recognition of visible drunken behaviour, alcohol culture – comfort with getting drunk, social customs – pre-loading, and social customs – round buying.

Indicators will be used across each project (where relevant) to measure change.

For further information and enquiries please email alcohol@vichealth.vic.gov.au

The Initiative team at the first Community of Practice, June 2017

The Initiative team at the first Community of Practice, June 2017

 


About the author

Emma Saleeba

Emma Saleeba is the Manager of Alcohol & Tobacco at VicHealth. 

Emma is responsible for VicHealth’s programs and investments in relation to preventing tobacco use and harm from alcohol. Emma holds a Masters degree in Public Health and has considerable experience across health promotion policy and program development, project implementation and advocacy.