Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies

Objectives: This study reviews qualitative research into the sociocultural meanings and subjective experiences that midlife men in the United Kingdom (UK) associate with their drinking. In the UK, average weekly alcohol consumption is highest among midlife men, and they are disproportionately affect...

Full description

Bibliographic Details
Main Authors: Hannah Parke, Monika Michalska, Andrew Russell, Antony C. Moss, Clare Holdsworth, Jonathan Ling, John Larsen
Format: Article
Language:English
Published: Elsevier 2018-12-01
Series:Addictive Behaviors Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S235285321830083X
_version_ 1811236635931574272
author Hannah Parke
Monika Michalska
Andrew Russell
Antony C. Moss
Clare Holdsworth
Jonathan Ling
John Larsen
author_facet Hannah Parke
Monika Michalska
Andrew Russell
Antony C. Moss
Clare Holdsworth
Jonathan Ling
John Larsen
author_sort Hannah Parke
collection DOAJ
description Objectives: This study reviews qualitative research into the sociocultural meanings and subjective experiences that midlife men in the United Kingdom (UK) associate with their drinking. In the UK, average weekly alcohol consumption is highest among midlife men, and they are disproportionately affected by alcohol harm. There is increasing recognition that public health messages to support behaviour change must be based on an in-depth understanding of drinking motivations and experiences. Study design and methods: Systematic literature review of studies exploring motivations for and experiences of drinking among UK men aged 45–60 using qualitative methodology. Medline, PsycINFO and the Social Science Citation Index were used, along with manual searches of key journals, Google searches and a call for evidence. The Critical Appraisal Skills Programme tool was used to quality-assess papers. Thematic synthesis was used to combine and analyse the data. Results: From 5172 titles and abstracts (1995–2018), 11 publications were included, representing 6 unique studies. Five themes were identified: ‘Drinking Motivations’; ‘Drinking Justifications’; ‘Drinking Strategies and Control’; ‘Social Norms and Identity’ and ‘Harm’. Motivations for drinking among midlife men were associated with relaxation, socialising and maintenance of male friendships. They justified drinking as a choice and emphasised their ability to meet responsibilities, which they contrasted with ‘problem drinkers’. Social norms governed drinking behaviours as an expression of masculinity. Conclusion: This review highlights the significance of the meanings and social importance of alcohol consumption among midlife men. Interventions using information and guidance should consider these when aiming to effectively influence the way this group drinks. Keywords: United Kingdom, Systematic review, Thematic synthesis, Alcohol, Midlife men, Experience, Sociocultural meaning
first_indexed 2024-04-12T12:11:14Z
format Article
id doaj.art-70bbe02bc13d46788ab222d8712a7b4f
institution Directory Open Access Journal
issn 2352-8532
language English
last_indexed 2024-04-12T12:11:14Z
publishDate 2018-12-01
publisher Elsevier
record_format Article
series Addictive Behaviors Reports
spelling doaj.art-70bbe02bc13d46788ab222d8712a7b4f2022-12-22T03:33:34ZengElsevierAddictive Behaviors Reports2352-85322018-12-0188594Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studiesHannah Parke0Monika Michalska1Andrew Russell2Antony C. Moss3Clare Holdsworth4Jonathan Ling5John Larsen6Drinkaware, London, United KingdomCentre for Addictive Behaviours Research, London South Bank University, London, United KingdomDrinkaware, London, United KingdomSchool of Applied Sciences, London South Bank University, London, United KingdomSchool of Physical and Geographical Sciences, Keele University, Keele, United KingdomDepartment of Pharmacy, Health and Wellbeing, University of Sunderland, Sunderland, United KingdomDrinkaware, London, United Kingdom; Corresponding author.Objectives: This study reviews qualitative research into the sociocultural meanings and subjective experiences that midlife men in the United Kingdom (UK) associate with their drinking. In the UK, average weekly alcohol consumption is highest among midlife men, and they are disproportionately affected by alcohol harm. There is increasing recognition that public health messages to support behaviour change must be based on an in-depth understanding of drinking motivations and experiences. Study design and methods: Systematic literature review of studies exploring motivations for and experiences of drinking among UK men aged 45–60 using qualitative methodology. Medline, PsycINFO and the Social Science Citation Index were used, along with manual searches of key journals, Google searches and a call for evidence. The Critical Appraisal Skills Programme tool was used to quality-assess papers. Thematic synthesis was used to combine and analyse the data. Results: From 5172 titles and abstracts (1995–2018), 11 publications were included, representing 6 unique studies. Five themes were identified: ‘Drinking Motivations’; ‘Drinking Justifications’; ‘Drinking Strategies and Control’; ‘Social Norms and Identity’ and ‘Harm’. Motivations for drinking among midlife men were associated with relaxation, socialising and maintenance of male friendships. They justified drinking as a choice and emphasised their ability to meet responsibilities, which they contrasted with ‘problem drinkers’. Social norms governed drinking behaviours as an expression of masculinity. Conclusion: This review highlights the significance of the meanings and social importance of alcohol consumption among midlife men. Interventions using information and guidance should consider these when aiming to effectively influence the way this group drinks. Keywords: United Kingdom, Systematic review, Thematic synthesis, Alcohol, Midlife men, Experience, Sociocultural meaninghttp://www.sciencedirect.com/science/article/pii/S235285321830083X
spellingShingle Hannah Parke
Monika Michalska
Andrew Russell
Antony C. Moss
Clare Holdsworth
Jonathan Ling
John Larsen
Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies
Addictive Behaviors Reports
title Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies
title_full Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies
title_fullStr Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies
title_full_unstemmed Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies
title_short Understanding drinking among midlife men in the United Kingdom: A systematic review of qualitative studies
title_sort understanding drinking among midlife men in the united kingdom a systematic review of qualitative studies
url http://www.sciencedirect.com/science/article/pii/S235285321830083X
work_keys_str_mv AT hannahparke understandingdrinkingamongmidlifemenintheunitedkingdomasystematicreviewofqualitativestudies
AT monikamichalska understandingdrinkingamongmidlifemenintheunitedkingdomasystematicreviewofqualitativestudies
AT andrewrussell understandingdrinkingamongmidlifemenintheunitedkingdomasystematicreviewofqualitativestudies
AT antonycmoss understandingdrinkingamongmidlifemenintheunitedkingdomasystematicreviewofqualitativestudies
AT clareholdsworth understandingdrinkingamongmidlifemenintheunitedkingdomasystematicreviewofqualitativestudies
AT jonathanling understandingdrinkingamongmidlifemenintheunitedkingdomasystematicreviewofqualitativestudies
AT johnlarsen understandingdrinkingamongmidlifemenintheunitedkingdomasystematicreviewofqualitativestudies