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Research
Sakiko Yamaguchi
McGill University Department of Psychiatry
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1905-3244
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This work is licensed under a CC BY 4.0 License. Read Full License
Background Alcohol control has garnered attention from the global health community in recent years. This attention is partly prompted by increasing exposure of nefarious alcohol industry practices, coupled with the recognition that many governments have not yet put in place alcohol control policies, leaving populations vulnerable to industry influence. The Peruvian Andean highland has seen the change of the Andean practice of collective drinking in response to the increased availability of alcohol and the experience of political violence. This study seeks to merge the broader political economy with local experience and culture in order to provide a deeper understanding of the dynamic between global processes and local realities.
Methods We conducted focus group interviews (n=19) with community participants, teachers, and health workers, and key informant interviews (n=28). Thematic analysis identified patterns of individual and collective meaning and social, political and economic factors.
Results Local perspectives regarding loss of control over alcohol highlight the complex patterns of power and meaning exerted and experienced by different actors, shaping both understanding and behaviour. Participants’ focus on parents’ lack of control over alcohol use by some “abandoned” children reflects the structural vulnerability of some Andean families struggling with economic hardships. Another focus was on the money spent by men to engage in problem drinking. Participants interpreted alcohol consumption in this context as a way that men demonstrate their masculine identity and symbolic power as the breadwinner who controls the household economy. The third focus is superimposed onto the market economy. Participants expressed that the expansion of the alcohol market and perceived absence of government control coupled with macroeconomic conditions shaped patterns of alcohol consumption.
Conclusion Participants’ perspectives illustrate how problem drinking is shaped not simply by an individual drinker’s lack of self-control but also shaped by an environment that enables the unrestrained marketing of alcohol products and the creation of a culture of consumption. Harmful consumption is mediated by the reshaping of the Andean cultural practice of collective drinking. Attending to local perspectives is essential for policies and interventions that connect structural dynamics with the cultural and experiential aspects of alcohol consumption.
Keywords
alcohol use, Peruvian Andes, control, responsibility, problematization, neoliberalism, ethnography, market
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CURRENT STATUS: Under Review
Version (no preprint)
Posted 16 Jul, 2021
Editorial decision: Major Revision
On 16 Jul, 2021
Review #1 received
Received 15 Jul, 2021
Reviews received
Received 12 Jul, 2021
Reviewers invited
Invitations sent on 12 Jul, 2021
Reviewer #1 agreed
On 11 Jul, 2021
Editor assigned
On 08 Jul, 2021
Submission checks complete
On 07 Jul, 2021
Editor invited
On 07 Jul, 2021
First submitted
On 24 Jun, 2021
This version was not preprinted
Version 2
Posted 15 Feb, 2021
No community comments so far
Editorial decision: Major Revision
On 26 May, 2021
Review #2 received
Received 25 May, 2021
Review #1 received
Received 24 May, 2021
Reviewer #2 agreed
On 14 May, 2021
Reviews received
Received 12 May, 2021
Reviewer #1 agreed
On 11 May, 2021
Reviewers invited
Invitations sent on 03 Mar, 2021
Editor assigned
On 10 Feb, 2021
Submission checks complete
On 10 Feb, 2021
Editor invited
On 10 Feb, 2021
First submitted
On 05 Feb, 2021
No comments provided
Editorial decision: Revise before peer review
On 14 Jan, 2021
First submitted
On 13 Jan, 2021
Editor assigned
On 13 Jan, 2021
Submission checks complete
On 13 Jan, 2021
Editor invited
On 13 Jan, 2021
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Subject Areas
Health Economics & Outcomes Research
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A new preprint design is coming!
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This preprint is under consideration at Globalization and Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Sakiko Yamaguchi
McGill University Department of Psychiatry
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1905-3244
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version (no preprint)
Posted 16 Jul, 2021
Editorial decision: Major Revision
On 16 Jul, 2021
Review #1 received
Received 15 Jul, 2021
Reviews received
Received 12 Jul, 2021
Reviewers invited
Invitations sent on 12 Jul, 2021
Reviewer #1 agreed
On 11 Jul, 2021
Editor assigned
On 08 Jul, 2021
Submission checks complete
On 07 Jul, 2021
Editor invited
On 07 Jul, 2021
First submitted
On 24 Jun, 2021
This version was not preprinted
Version 2
Posted 15 Feb, 2021
No community comments so far
Editorial decision: Major Revision
On 26 May, 2021
Review #2 received
Received 25 May, 2021
Review #1 received
Received 24 May, 2021
Reviewer #2 agreed
On 14 May, 2021
Reviews received
Received 12 May, 2021
Reviewer #1 agreed
On 11 May, 2021
Reviewers invited
Invitations sent on 03 Mar, 2021
Editor assigned
On 10 Feb, 2021
Submission checks complete
On 10 Feb, 2021
Editor invited
On 10 Feb, 2021
First submitted
On 05 Feb, 2021
No comments provided
Editorial decision: Revise before peer review
On 14 Jan, 2021
First submitted
On 13 Jan, 2021
Editor assigned
On 13 Jan, 2021
Submission checks complete
On 13 Jan, 2021
Editor invited
On 13 Jan, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Economics & Outcomes Research
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background Alcohol control has garnered attention from the global health community in recent years. This attention is partly prompted by increasing exposure of nefarious alcohol industry practices, coupled with the recognition that many governments have not yet put in place alcohol control policies, leaving populations vulnerable to industry influence. The Peruvian Andean highland has seen the change of the Andean practice of collective drinking in response to the increased availability of alcohol and the experience of political violence. This study seeks to merge the broader political economy with local experience and culture in order to provide a deeper understanding of the dynamic between global processes and local realities.
Methods We conducted focus group interviews (n=19) with community participants, teachers, and health workers, and key informant interviews (n=28). Thematic analysis identified patterns of individual and collective meaning and social, political and economic factors.
Results Local perspectives regarding loss of control over alcohol highlight the complex patterns of power and meaning exerted and experienced by different actors, shaping both understanding and behaviour. Participants’ focus on parents’ lack of control over alcohol use by some “abandoned” children reflects the structural vulnerability of some Andean families struggling with economic hardships. Another focus was on the money spent by men to engage in problem drinking. Participants interpreted alcohol consumption in this context as a way that men demonstrate their masculine identity and symbolic power as the breadwinner who controls the household economy. The third focus is superimposed onto the market economy. Participants expressed that the expansion of the alcohol market and perceived absence of government control coupled with macroeconomic conditions shaped patterns of alcohol consumption.
Conclusion Participants’ perspectives illustrate how problem drinking is shaped not simply by an individual drinker’s lack of self-control but also shaped by an environment that enables the unrestrained marketing of alcohol products and the creation of a culture of consumption. Harmful consumption is mediated by the reshaping of the Andean cultural practice of collective drinking. Attending to local perspectives is essential for policies and interventions that connect structural dynamics with the cultural and experiential aspects of alcohol consumption.
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