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Stress drinking has a gender divide

Gender differences in these linkages were examined and possible bidirectional relationships between stress and alcohol misuse were explored. Understanding the processes that contribute to young adult alcohol misuse is crucial for reducing these negative health outcomes. Theory and empirical findings have linked stress exposure to young adult alcohol misuse, but the processes underlying this association have not been fully investigated. In conclusion, addressing the gender divide in stress drinking requires a multifaceted approach that takes into account biological, psychological, and sociocultural factors. Encouraging the development of healthy coping mechanisms and stress management techniques that don’t rely on alcohol. Challenging societal norms and expectations that contribute to unhealthy drinking behaviors in both men and women.

The model accounted for 33% of the variance in negative consequences of drinking and 40% of the variance in binge drinking for men. For men, greater occupational stress was significantly related to stronger endorsement of coping and social motives, partially supporting Hypothesis 1 (see Figure 1). Furthermore, the longitudinal associations between adolescent heavy drinking and young adult occupational and relationship stress were explored based on the notion that heavy drinking in adolescence limits opportunities for satisfying employment and relationships in adulthood. Although the stress-exposure model of alcohol misuse posits that the experience of stress leads to alcohol misuse, it is also possible that alcohol misuse increases subsequent stress exposure. In contrast, social motives are viewed as externally directed—individuals drink alcohol to enhance social interactions, perhaps based on expectations that alcohol increases social disinhibition and acts as a social lubricant (Cooper, 1994; Kuntsche, Weirs, Janssen, & Gmel, 2010). These nuanced findings suggest that a differentiated approach is needed in order to determine which kinds of stressors predict different kinds of alcohol misuse for particular groups of individuals.

Preliminary Analyses

Men reported more exposure to peers‘ drinking and workplace problems and were more likely to report drinking reactivity to social influences and stressors. Respondents indicated whether they had experienced particular social influences and stressors during adulthood (exposure) and, if so, whether they had increased alcohol consumption in response (reactivity). The critical role stress reactivity and negative affect play in initiating and maintaining alcohol use in women is addressed, and the available evidence for sex differences in drinking for negative reinforcement as it relates to brain stress systems is presented. Longitudinal research across early adulthood is needed to test systematically for bidirectional effects and to determine the predictive value of life stress and drinking motives for subsequent alcohol misuse. The present findings confirm this pathway but also support the role of social drinking motives as a mediator of the stress–alcohol misuse association for both genders. There were significant indirect effects from occupational stress to binge drinking and negative consequences through stronger endorsement of both social and coping motives, partially supporting Hypothesis 2 (see Table 2).

Further research, especially qualitative studies that probe the meanings behind drinking to socialize and studies that illuminate the processes that encourage binge drinking at social gatherings, would help to elucidate the reasons for these gender-specific pathways. Taken together, the findings indicate that because of their distinct priorities, young men may be more likely to misuse alcohol in the context of work-related stressors whereas young women may be more likely to do so in response to problems in romantic relationships. The results also showed that distinct pathways from stress to alcohol misuse were significant for men and women, with occupational stress playing a prominent role for men and relationship stress for women. The findings indicate that young adults who are under stress are likely to endorse using alcohol to enhance social interaction as well as to alleviate negative internal states.

Participants

Starting in the ’90s, alcohol companies launched products like Smirnoff Ice that were meant to appeal to young women. Though the blockbuster antidepressant was marketed toward both genders, “there were some explicitly gendered Prozac ads that had to do with pitching Prozac to help women handle the double workday. Younger women are driving an increase in deaths from alcoholic liver disease.

Sociocultural Influences on Stress Drinking Patterns

Compared with problem-drinking men, problem-drinking women were more likely to use alcohol to cope with stressors (Timko et al., 2005) and to use alcohol in response to marital problems (Olenick and Chalmers, 1991). With respect to reactivity to stressors, some research suggests that problem-drinking women may have greater drinking reactivity than men. In one study, social motives for drinking were stronger among men than among women (Olenick and Chalmers, 1991); this factor might contribute to men being more reactive to peer influences to increase drinking. More generally, gender differences in experiences that place upward pressure on drinking may be different among problem drinkers than those identified in general samples.

Chronic relationship stress

Still, many people use drinking to erase a stressful day and ease into the evening. But this finding suggests that women are so much more sensitive to stress that it alone can prompt them to drink. They were nudged into drinking by a combination of stress and those first few, researcher-provided cocktails. Then, the participants were randomized to have either three alcoholic drinks or three placebo drinks that tasted like they might contain alcohol. Problem drinking has risen fastest among women in their 30s and 40s, the age at which many are squeezed between careers, motherhood, and aging parents. During the first year of the pandemic, women increased their “heavy drinking” days—days on which they had four or more drinks—by 41 percent, compared with 7 percent among men.

Developmental theory and evidence suggest that maladaptive patterns of behavior in earlier phases of development influence functioning and life chances in subsequent phases (Caspi, Bem, & Elder, 1989; Rutter, 2013). For example, individuals might drink to facilitate interactions with friends or at parties. Instead of focusing on specific stressful events (major or minor), some researchers have used general measures of perceived stress (e.g., Cohen, Karmarck, & Mermelstein, 1983) which assess subjective distress or feelings of being unable to control one’s circumstances and manage difficulties. In contrast, daily hassles are minor events that arise in the course of daily life, such as misplacing one’s cell phone or house key. Stressful life events such as divorce, death of a loved one, or job loss can be defined as “discrete, observable events that are thought to be threatening because they represent change” (Wheaton, 1990, p. 210).

The Prevalence of Stress Drinking Across Genders

  • Some have suggested that women’s drinking may be more “interdependent,” that is, more responsive than men’s to the needs and wishes of others (e.g., Leonard and Mudar, 2003).
  • We found that women and children in poorer countries suffer the worst from the effects of men’s drinking because they have fewer resources.
  • Four items from the Turner et al. (1995) stress measure formed a second factor (see Appendix) reflecting romantic relationship stress during the past six months.
  • A multiple group analysis was conducted to examine possible gender differences in the model.
  • In summarizing the literature on gender differences in drinking, Nolen-Hoeksema (2004) noted that “predictors of heavy drinking and alcohol use disorders are more similar than different in women and men, but women may be less likely than men to carry certain of these risk factors” (p. 982).

Gender differences in exposure to social influences and stressors generally do not help explain men’s higher problem-drinking prevalence, but men’s overall greater drinking reactivity corresponds with their propensity to develop problem drinking. The findings suggest that, with prior alcohol use taken into account, young adult alcohol misuse is sensitive to normative developmental stressors of early adulthood, which operate in part by influencing drinking motives in ways that differ for young men and women. Finally, this study only measured coping and social motives, and other drinking motives need to be examined in future research to more fully understand the relationships among normative stress, coping motives, and alcohol misuse. The current study focused on one underlying process, the mediating role of drinking motives, in the relations between two different normative stressors (occupational stress and relationship stress) and alcohol misuse, with close attention paid to the role of gender.

  • Gender differences in these linkages were examined and possible bidirectional relationships between stress and alcohol misuse were explored.
  • The present findings confirm this pathway but also support the role of social drinking motives as a mediator of the stress–alcohol misuse association for both genders.
  • Some participants’ first drink contained roughly three times the amount of alcohol you would typically find in a drink.
  • Most participants were white (96%) and from middle- to low-income families, reflecting the local population.
  • Governments and health authorities focus mainly on reducing harm to drinkers themselves.

Cellular Stress: Mechanisms, Responses, and Health Implications

Research also indicates that parents and other socialization agents tend to foster gender-typed interests and activities in children. Completing these transitions and gaining a subjective sense of having reached adulthood are relevant for young adult adjustment, and youth who struggle during these transitions may experience mental health problems. Early adulthood, corresponding to the third decade of life, is a time when most young people in the United States make important transitions in key life domains, such as leaving their childhood home, finishing their education, starting a career, getting married, and becoming a parent (Hogan & Astone, 1986). These behaviors affect young adults’ current health and safety (e.g., through greater risk of motor vehicle accidents) and increase their risk of future alcohol dependence and related health problems (Centers for Disease Control and Prevention, 2018).

Bivariate associations among the study variables are reported separately for men and women in Table 1. The analyses included all available data on the study variables from grade 12 and early adulthood by using maximum likelihood estimation. A significant difference indicated meaningful differences between men and women in the associations among variables in the model. The 14 items were summed to create an overall total score corresponding to the number of drinking-related problems reported. Participants completed 13 items adapted from Turner, Wheaton, and Lloyd (1995) concerning stressors experienced during the past six months.

Gender Differences in Social Influences and Stressors Linked to Increased Drinking*

However, it’s important to note that these statistics may not tell the whole story, as women are often underrepresented in alcohol-related research. Policies and programmes cannot be separated from issues of gender and power that are prevalent in many societies and that result in harm. Declaring “dry zones” where alcohol use is prohibited is an additional tactic.

The psychological aspects of stress drinking are deeply intertwined with societal expectations and individual coping mechanisms. Hormonal influences also contribute to the gender divide in stress drinking. The biological differences between men and women play a significant role in how they respond to both stress and alcohol. The study found that approximately 29% of men reported using alcohol to cope with stress, while the figure for women was around 19%. According to a comprehensive survey conducted by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), men are more likely to engage in stress drinking compared to women.

Her findings suggest a key difference in how men and women consume alcohol — at least under certain conditions. Part of the problem in teasing out these risk factors is the research into alcohol use tends to be split along gender lines — most of it is in men. Between the pandemic and alcohol’s starring role in many social settings, you may be imbibing more regardless of whether you’re staying home or spreading holiday cheer (and hopefully not Covid-19).

Differences between women and men problem and nonproblem drinkers in the percentages reporting drinking reactivity to social influences and stressors Among individuals who have developed problem drinking, the experiences of men and women might differ in terms of their exposure to social influences to drink or to stressors (exposure) or in their tendency to drink in response to such situations (reactivity). In addition, our previous work (Lemke et al., 2007) stress drinking has a gender divide has shown that it is useful to distinguish between exposure to experiences that may place upward pressure on drinking and drinking reactivity, that is, the tendency to respond to social influences or stressors with increased alcohol use. Comparisons of men’s and women’s drinking, both at the overall level and among problem drinkers, have examined possible differences in reasons for drinking, including social influences on drinking and drinking in response to stressors or emotional distress (e.g., Nolen-Hoeksema, 2004).

Exposure

Drinking together is a common form of socializing in early adulthood, and drinking with friends may be a context for seeking social support during times of stress. Cooper (1994) defined several drinking motives including social motives and coping motives, among others. Drinking motives, which are conceptualized as the proximal reasons people drink alcohol (Kuntsche, Knibbe, Engels, & Gmel, 2007), are a potential mediator of the relationship between stress and alcohol misuse. In another study, coping motives more strongly predicted alcohol consumption following a laboratory stressor among adults with low levels of adaptive coping skills (Merrill & Thomas, 2013). To our knowledge, no prior study has focused on the implications of these two chronic stressors for young adult alcohol misuse. To date, most studies of stress and alcohol use have focused on broad categories of stressors such as negative life events or daily hassles, with little attention to chronic stressors that may be especially relevant during specific developmental periods.

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