Abstract
BackgroundIn the last thirty years there has been a rise in harmful alcohol use amongst White British women. Approaches to alcohol harm reduction typically position drinking as an individual behaviour, with an emphasis on people to make changes to and by themselves. Moving away from an individual approach, this paper works with a relational framework to develop understanding of non-dependent women’s drinking in the context of their everyday lives. It draws on Feminist Ethics of Care theory, to consider the importance of care in women’s lives and alcohol as an element of their ‘practices of care’ in different relationships.MethodsThe study adopted an interpretive approach and drew on feminist principles of practice. Qualitative one-to-one face-to-face interviews were undertaken with twenty-six White women living in the North East of England. Participants were aged between 24 and 67 years. Thematic analysis of the data was carried out.ResultsParticipants’ relationships came through the analysis as central to understanding the way alcohol did and not feature in care practices. In couple relationships drinking offered a way of doing ‘care’ together, yet when it was used too often it no longer became appropriate as a form of care. In non-family relationships alcohol enabled care giving and receiving, while disguising that care was being received. In relationships with mothers the use of alcohol was relatively absent in the care practices described. Participants’ relationship to alcohol as a form of care of self, particularly when drinking alone, was closely related to their roles and responsibilities to others.ConclusionsOverall the data suggests that interventions targeting women’s drinking should start from a position that women are relational. Moreover that when care by others is lacking or unavailable, alcohol can increasingly be introduced into care practices, and the reproduction of these practices may be leading to an increase in heavy drinking. By seeing alcohol use in the context of wider familial and non-familial relationships, this work has important implications for future interventions.
Highlights
In the last thirty years there has been a rise in harmful alcohol use amongst White British women
Alcohol statistics show that White British women are the least likely ethnic group of women to be abstainers, and the most likely to drink above the recommended safe alcohol guidelines in a week [8]
By using Feminist Ethics of Care to understand the findings, it can be argued that limitations in the range of care practices available to women in their personal relationships, have led to alcohol having a stronger presence in their practices of self-care
Summary
In the last thirty years there has been a rise in harmful alcohol use amongst White British women. Moving away from an individual approach, this paper works with a relational framework to develop understanding of non-dependent women’s drinking in the context of their everyday lives. It draws on Feminist Ethics of Care theory, to consider the importance of care in women’s lives and alcohol as an element of their ‘practices of care’ in different relationships. Alcohol use in ethnic minority groups of women in Britain warrants further research, as alcohol consumption may be increasing in some ethnic groups of women [7], the focus of this article is White British women who are currently most at risk of health and social harms from their alcohol consumption. While not all White British women are involved in drinking practices that are considered risky to their health, the increasing pattern of consumption amongst some needs to be engaged through sensitive and appropriate evidence-based intervention approaches
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