Mechanisms and processes involved in women's pathways into alcohol dependence and towards recovery: a qualitative meta-synthesis

Journal article


Kougiali, Z., Pytlik, A. and Soar, K. (2021). Mechanisms and processes involved in women's pathways into alcohol dependence and towards recovery: a qualitative meta-synthesis. Drugs, Education, Prevention and Policy. 28 (5), pp. 437-453. https://doi.org/10.1080/09687637.2021.1904836
AuthorsKougiali, Z., Pytlik, A. and Soar, K.
Abstract

Women's heavy drinking is often rooted in trauma and histories of abuse, while socio-cultural factors affect both the initiation of use as well as pathways to recovery. Research has largely focused on the epidemiology of alcohol use, and considerably fewer studies have examined the elements that facilitate recovery and the socio-cultural specificities that affect women's lives. To address this gap, we conducted a qualitative meta-synthesis in which we employed a holistic approach to exploring women's pathways into alcohol dependence and towards recovery. Twenty-three qualitative studies from 1998 to 2018 were identified from relevant databases and synthesized to delineate the mechanisms that led to dependence and how these affected recovery processes. Results highlight the complex interplay between adverse childhood experiences, sense of 'self', and wider dynamics of power. Alcohol was initially used as a corrective agent and as a tool of temporary empowerment, regulating structural and familial imbalances. However, drinking became progressively compulsive and overpowered every aspect of life. Initiation of recovery was often hindered by shame and stigma and facilitated by belonging to and being accepted by recovery groups and a revision of ‘the self' within wider social structures. Implications for treatment, policy, and practice are discussed.

KeywordsHealth (social science); Medicine (miscellaneous)
Year2021
JournalDrugs, Education, Prevention and Policy
Journal citation28 (5), pp. 437-453
PublisherInforma UK Limited
ISSN0968-7637
1465-3370
Digital Object Identifier (DOI)https://doi.org/10.1080/09687637.2021.1904836
Publication dates
Online25 May 2021
Print03 Sep 2021
Publication process dates
Accepted11 Mar 2021
Deposited28 Oct 2021
Accepted author manuscript
License
File Access Level
Open
Additional information

This is an Accepted Manuscript of an article published by Taylor & Francis in Drugs: Education, Prevention, and Policy on 25 May 2021, available online: http://www.tandfonline.com/10.1080/09687637.2021.1904836

Permalink -

https://openresearch.lsbu.ac.uk/item/8y840

  • 84
    total views
  • 90
    total downloads
  • 3
    views this month
  • 3
    downloads this month

Export as

Related outputs

Square Pegs, Round Holes: Issues and considerations from running a cluster Randomised Control Trial in people who smoke and experience homelessness
Soar, K., Mair, C., Cox, S. and Dawkins, L. (2023). Square Pegs, Round Holes: Issues and considerations from running a cluster Randomised Control Trial in people who smoke and experience homelessness. Society for Research on Nicotine and Tobacco. Oslo 17 - 21 Sep 2019
Lessons learnt from Project SCeTCH: a multi-centre cluster randomised controlled trial evaluating the effectiveness of e-cigarettes compared with usual care for smoking cessation in those accessing homeless services
Soar, K., Cox, S. and Dawkins, L. (2023). Lessons learnt from Project SCeTCH: a multi-centre cluster randomised controlled trial evaluating the effectiveness of e-cigarettes compared with usual care for smoking cessation in those accessing homeless services . Smoking Cessation and Health. Manchester 14 - 14 Sep 2023
Smoking cessation in those experiencing homelessness in GB: e-cigarette provision versus usual care.
Soar, K., Brierley, J., Gardner, B. and Mair, C. (2023). Smoking cessation in those experiencing homelessness in GB: e-cigarette provision versus usual care. South London Clinical Research Network Forum. London 21 - 21 Feb 2023 National Institute for Health Research.
Effects of e-cigarettes vs usual care for smoking cessation when offered at homeless centres: protocol for a cluster randomised controlled trial.
Soar, K., Mair, C., Dawkins, L., Bauld, L., Brown, R., Lennon, J, Ford, A., McMillan, L, Hajek, P., Li, J., Parrott, S., Notley, C., Ward, E' Varley, A, Robson, D., Pesola, F., Tyler, A., Carlisle, M and Dr Sharon Cox (2022). Effects of e-cigarettes vs usual care for smoking cessation when offered at homeless centres: protocol for a cluster randomised controlled trial. London Network of Nurses and Midwives Homelessness Annual Conference. St Martins in the Field, London 01 - 01 Apr 2022
The effects of offering a disposable EC versus NRT on smoking cessation outcomes: a retrospective community pharmacy study.
Soar, K., Doshi,J and Cameron, J. (2022). The effects of offering a disposable EC versus NRT on smoking cessation outcomes: a retrospective community pharmacy study. International Scientific Conference on E-cigarette: Institut National Du Cancer. Paris 05 - 06 Dec 2022 Institut National Du Cancer.
Toward an ontology of identity‐related constructs in addiction, with examples from nicotine and tobacco research
Notley, C., West, R., Soar, K., Hastings, Janna and Cox, S. (2022). Toward an ontology of identity‐related constructs in addiction, with examples from nicotine and tobacco research. Addiction (Abingdon, England). 118 (3), pp. 548-557. https://doi.org/10.1111/add.16079
Toward an ontology of tobacco, nicotine and vaping products.
Cox, S., West, R., Notley, C., Soar, K. and Hastings, J. (2022). Toward an ontology of tobacco, nicotine and vaping products. Addiction (Abingdon, England). 118 (1), pp. 177-188. https://doi.org/10.1111/add.16010
Evaluating the effectiveness of e‐cigarettes compared with usual care for smoking cessation when offered to smokers at homeless centres: Protocol for a multi‐centre cluster randomised controlled trial in Great Britain
Cox, S., Bauld, Linda, Brown, R., Carlise, M., Ford, A., Hajek, P., Li, J., Notley, C., Parrott, S., Pesola, F., Robson, D., Soar, K., Tyler, A., Ward, E. and Dawkins, L. (2022). Evaluating the effectiveness of e‐cigarettes compared with usual care for smoking cessation when offered to smokers at homeless centres: Protocol for a multi‐centre cluster randomised controlled trial in Great Britain. Addiction (Abingdon, England). https://doi.org/10.1111/add.15851
A multi-centre cluster randomised controlled trial evaluating the effectiveness of e-cigarettes compared with usual care for smoking cessation when offered to smokers accessing homeless services: methodological challenges and experiences of collaboration.
Soar, K., Cox, S. and Dawkins, L. (2018). A multi-centre cluster randomised controlled trial evaluating the effectiveness of e-cigarettes compared with usual care for smoking cessation when offered to smokers accessing homeless services: methodological challenges and experiences of collaboration. SSA Annual Conference, Society for the Study of Addiction. Newcastle 07 - 08 Nov 2018 Society for the Study of Addiction.