Abstract

BackgroundThere has been media coverage surrounding the dangers of heavy drinking and benefits of moderation, with TV and radio presenter, Adrian Chiles, documenting his experience of moderating alcohol consumption in an online article for the Guardian. By analysing the comments in response to Chiles’ article, this study aimed to explore (i) posters’ (someone who has posted a comment in response to the article) attitudes or beliefs toward moderating alcohol and (ii) posters’ experiences of moderating or abstaining from alcohol.MethodA secondary qualitative analysis of online comments in response to an article about moderating alcohol consumption. Main outcome measures: Comments (n = 784) in response to a United Kingdom online news article about moderating alcohol consumption were extracted and inductive thematic analysis was used.ResultsFor aim one, two themes were developed; “general attitudes toward drinking” and “general attitudes toward reducing consumption”. These themes reflect negative perceptions of alcohol and issues around changing attitudes. For aim two, three themes were developed: “moderation vs. abstention”, “reflection on past drinking behaviours”, and “current drinking behaviours”. These themes represent posters’ experiences and implications changing their drinking habits.ConclusionOur analysis provides a novel insight into perceptions and experiences of moderating or abstaining from alcohol. Alcohol is embedded within United Kingdom culture, creating difficulties for those who choose to moderate or abstain from alcohol. Our analysis highlights the need for public health to focus on shifting the current drinking culture, through clearer drinking guidelines and a wider availability of alcohol-free alternatives.

Highlights

  • According to a recent United Kingdom (UK) survey of adult drinking behaviour, 28% of males and 14% of females reported drinking at hazardous or harmful levels (NHS Digital, 2018)

  • Hazardous drinking refers to a quantity or pattern of consumption that places you at risk of adverse events, and harmful drinking refers to consumption that results in adverse events (Department of Health and Social Care, 2016)

  • Our findings provide a novel insight into reasons why individuals in the United Kingdom may reduce their consumption, in the absence of a diagnosed alcohol problem, which could be used to motivate others to reduce their consumption

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Summary

Introduction

According to a recent United Kingdom (UK) survey of adult drinking behaviour, 28% of males and 14% of females reported drinking at hazardous or harmful levels (NHS Digital, 2018). Alcohol-attributable harm appears to be rising at a population-level, as seen through increased alcoholrelated hospital admissions (Orchard, 2015; Holmes et al, 2019). This may reflect a national drinking culture in the United Kingdom whereby alcohol is integral to many practices, social practices, as outlined by theories of practices (Ally et al, 2016; Meier et al, 2018). Understanding the attitudes toward, and experiences of, moderating consumption or abstinence plays a critical role in changing this heavy drinking culture. By analysing the comments in response to Chiles’ article, this study aimed to explore (i) posters’ (someone who has posted a comment in response to the article) attitudes or beliefs toward moderating alcohol and (ii) posters’ experiences of moderating or abstaining from alcohol

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