性别乐趣、风险和政策:利用候选资格的逻辑,探讨澳大利亚妇女在大流行病早期将酒精作为良好/不良健康行为的矛盾角色。

IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE International Journal of Drug Policy Pub Date : 2024-08-01 DOI:10.1016/j.drugpo.2024.104510
Kristen Foley, Paul R. Ward, Belinda Lunnay
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引用次数: 0

摘要

饮酒为女性带来愉悦的同时,也增加了疾病风险。根据非专业见解,酒精对生活的 "作用"(放松、身份认同、联系)与酒精对女性身体的 "作用"(增加乳腺癌等慢性疾病的风险)的科学现实之间存在着矛盾。政策必须在这些悖论中--尽管如此--通过关注这两种现实的性别和新出现的配置来减少对女性的伤害。本文运用候选资格逻辑,通过健康候选资格和疾病(如乳腺癌)候选资格的风险,探讨女性的酒精消费和愉悦。通过对澳大利亚妇女(48 人)进行 56 次访谈收集到的定性数据,我们探讨了与酒精(如乳腺癌)相关的风险认知如何与日常生活中酒精的使用价值并存,并阐明了酒精在妇女良好/不良健康行为启发式中的矛盾作用。妇女的年龄在 25-64 岁之间,经历了不同的生活环境(根据包括经济、社会和文化资本在内的社会阶层的多维衡量标准)和生活条件(即有伴侣/单身、无业/失业、有子女/无子女)。我们整理了两个项目中的数据编码结构;使用演绎推论来理解酒精在健康和疾病候选资格中的矛盾作用;归纳探讨了大流行期间妇女对并存候选资格的优先考虑;并根据不断演变的大流行反映的酒精相关性别风险/快乐/建构,对优先考虑进行了追溯理论化。我们的分析揭示了酒精作为一种乐趣和健康形式与压力、生产力和体面的关系。我们的分析还展示了在大流行病期间,性别是如何在妇女生活的优先事项、话语和物质环境中发生关系的。我们考虑了在大流行病环境中,政策监管对酒类的积极营销和酒类的平庸供应的影响,并概述了促进性别平等的多层次政策选择,以减少酒精对妇女的伤害。
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Gendered pleasures, risks and policies: Using a logic of candidacy to explore paradoxical roles of alcohol as a good/poor health behaviour for Australian women early during the pandemic

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.

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来源期刊
CiteScore
7.80
自引率
11.40%
发文量
307
审稿时长
62 days
期刊介绍: The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.
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