The Sad Truth about Women and Alcohol

In our past few classes, we’ve discussed some exceptionally sad, and very telling, facts about women and alcohol. I will be sharing my views on women’s motivations for drinking (1), the relatively fewer benefits that drinking brings to women (compared to men) (2), and the alarming societal normalization of extremely risky drinking practices (3). 

  1. In the video we watched last week, Dr. Koob, the Director of the National Institute on Alcohol Abuse and Alcoholism at the NIH,  explained that women’s drinking is generally motivated by negative reinforcement (whereas men are motivated by positive reinforcement). This means that instead of choosing to drink because they want to feel good, or have fun (like men), women are more likely to drink as a way to relieve stress and anxiety. In other words, women aren’t drinking to have fun, they’re drinking to escape. How heartbreaking is that? Perhaps even more upsetting is the fact that this is not at all surprising. This isn’t surprising to anyone…is it? As someone who has to face every single day as a woman, I am well aware of the significantly higher levels of constant duress, mental illnesses, chronic illness, extreme stress, exhaustion women face– coupled with the much LOWER levels of political, social, cultural, and personal support that women also deal with. I am not surprised by women being motivated by seeking to alleviate some of the daily struggle they face. I am deeply disturbed (as I am every waking moment of my life) by the way women are treated and strongly believe that gender equity and women’s drinking levels are inversely, and causally, related. Make women’s lives less of a constant struggle, and their desire to drink might fade away. 
  2. Another interesting, and depressing fact, also shared by Dr. Koob in Alcohol and the Female Brain is that women experience less of a positive effect of alcohol. Women have a lower dopamine response from alcohol consumption than men do–biology is cruel, I suppose. This could mean that women experience drinking differently than men. This makes sense to me (though I feel like I may be alone on this), because the commercialized idea of drinking looks really fun, but in reality it has really fallen far short. Not because of any bad drinking experiences, but it just is not that great. I’ve been confused in reading “Drink” because alcohol seems to have a profoundly positive emotional response on a lot of women, and it’s been pretty neutral for me. I wonder what the comparative dopamine responses are between people who are vulnerable to alcoholism versus people for whom alcohol never has much draw?

    How the media makes drinking look

    vs. how anticlimactic drinking usually is

     

  3. Finally, I’d like to discuss the societal normalization of dangerous drinking. Many friends in undergrad proudly gloated that they’d had 15, 16, or 17 shots the night before and didn’t throw up. I hear girls fondly share vague stories of nights they blacked out, laughing about how they remember nothing. I hear about a lot of women ‘saving their calories’ for the day so they can drink. This is terrifying to me. Let’s revisit why we think these are acceptable, and change the narrative. This is a problem.

What is the Cost of an Alcohol Meme?

“A day without wine is like…just kidding I have no idea”, “Clear alcohol is for women on diets”, “Gone are the days women cooked like their mothers, now they drink like their fathers” and I could go on and on.

Or maybe you’ve even seen one like the one, which seems to be saying motherhood is synonymous with drinking wine. And drinking a lot of it. We’ve all seen them, and probably even chuckled at them. It seems you can’t log onto Facebook, or Instagram or whatever your social media platform of choice is these days without seeing some meme referring to women and alcohol. You’ve probably just kept on scrolling or maybe gave it a quick “like” or perhaps even shared it with the thought that your friends or family would get a kick out of it. But what effect is this having on us? Most 14-year-olds these days are on social media, what message is this sending to them?

I’ve seen memes featuring beautiful actresses, the women that pop culture tells us we should emulate. Jennifer Lawrence talking about how she took a shot just before taking the stage to accept her Oscar for “Best Actress”. To an impressionable 13-year-old girl who isn’t quite sure who she is and how she should act but has a deep desire to appear “cool” and funny like J-Law, the message is clear: If Jennifer Lawrence and Kim Kardashian are drinking, she should be too.

The sheer prevalence of these memes alone can give us the impression that everyone is drinking. Every mom is finding relief from her busy schedule with a large glass of red wine. It makes it socially acceptable to rely on alcohol to unwind at the end of a long day. Maybe at first, this is true, but as numerous studies have shown, prolonged alcohol use and abuse has a depressant effect and increases risk of, not only liver disease, but even breast cancer as stated by the Centers for Disease Control and Prevention (https://www.cdc.gov/cancer/breast/basic_info/risk_factors.htm).

In addition to these risks, many women admit they use alcohol to avoid confronting underlying psychological stresses and illness. But alcohol is not a cure, it only delays these feelings and often when the morning light comes, brings along feelings of deep shame and failure. How many of you have ever woken up after a night of heavy drinking and felt better for it? Memes, advertisements, and making jokes about women drinking only serves to normalize binge drinking and desensitize us to its constant presence in our lives. Maybe it’s time we ask ourselves whether hitting share to get a few likes or laughs is worth our health and our lives.

“Mommy juice” and the Potential Consequences when Moms Drink

What is it?

“Mommy’s juice” refers to a beer or liquor for a mom who is tired of dealing with her screaming kids. There have been memes, jokes between friends, movies, and ads dedicated to women and their love for alcohol. Sometimes it can feel like there’s no escaping the “mommy juice” joke. I personally came across a meme with a picture of a woman drinking wine captioned “Never give up on something you can not go a day without thinking about”. They are considered “Funny” but they have a considerable impact on alcohol and its use. Another example is the commercial advertisement reported by the New York Times in the spring of 2019, a liquor company that produces a Mad housewife wine offered a Mother’s Day promotion: a six-pack of wine called Mommy’s Little Helper.

                picture by google

 

The biggest switch

  The biggest recent change in alcohol commercial advertisement and memes is that its target has been women. With the aim of normalizing very high-risk alcohol drinking through the internet.  Liquor companies and internet users share memes and advertisements that sadly become viral and embed messages. 

                picture by google

Taking more than 1 drink a day is a high risk for women and cause a lot of health problems attributable to alcohol. Women metabolize alcohol differently from men. Therefore, women are more likely to become drunk quickly than men and health problems often progress more quickly in women than in men. 

Potential consequences.

These memes and commercial products related to alcohol drinking have contributed to a startling increase in the number of women who drink in the US. The increased alcohol consumption pattern in women is no laughing matter.

Another noticeable effect of “mommy juice” is the increase of Alcohol-related deaths among women in the United States (Institute for Health Metrics and Evaluation (IHME) 2017). The study found that from the year 2007 to 2017, the number of alcohol-related deaths in the U.S. increased by 85% among women while deaths attributable to alcohol among men rose by 35%. That’s about 50% difference!

A study by Agbio, R et al (2017)  found that women are more likely to turn to alcohol for a negative reinforcement effect like to decrease feeling bad, and temporary melt away some anxiety and stress, while men tend to use alcohol for its positive reinforcement — they drink to party, “get wasted,” and have fun. The alcohol companies use this weakness to push their product by convincing women that their products can fix their problems.

Lastly, women need to be aware that the alcohol industry is targeting them deliberately and they aim at encouraging high-risk drinking by using themes like “Mommy juice”, “mommy burnout”, “mommy needs her wine”  in order to sell these products. A call for action by local and federal authorities to combat this problem before it’s too late is needed. I think this is not given much attention by the media and public health as it should. Just like the tobacco industry, I would like to suggest that serious action be taken against the advertising strategies. 

Sources:

  1. Agabio, R., Pisanu, C., Gessa, G. L., & Franconi, F. (2017). Sex Differences in Alcohol Use Disorder. Current Medicinal Chemistry, 24(24). doi:10.2174/0929867323666161202092908 
  2. Institute for Health Metrics and Evaluation (IHME) 2017, Alcohol-related deaths Retrieved from  http://www.healthdata.org/policy-report/findings-global-burden-disease-study-2017  

 

Changing Cultural Norms on Women and Alcohol

“Wanna get drinks” “I had a bad day, I need a drink” “What restaurant has the best drink specials” “I need a drink so I can relax” WOW, realizing how I have used drinking as a gateway brings up the concern, where did these habits originate?  Now, I would never say that I have, or had, a drinking problem. Instead, I would classify it as being conditioned to think that drinking equates to happiness or bliss. Once I have a drink, all my worries will disappear for the moment, I will start to have fun, or I will begin to loosen up a little. I, along with many other women have started to not only drink for pleasure but also as a quick solution to everyday life challenges.  

Women drinking alcohol was once a cultural taboo. Now, it is almost expected for women to drink until intoxication. According to The Center for Disease Control and Prevention,excessive drinking by women includes binge drinking (four or more drinks within a two-hour period), heavy drinking (more than one drink per day), any drinking by pregnant women, and drinking by women under 21 years. As women become more progressive and independent, their responsibilities of handling career pressures, raising kids, and financial obligations can become overwhelming. Since alcohol is a depressant, studies show women are using alcohol to relax and alleviate their anxiety.

Alcohol companies have caught up with this trend of women drinking to cope with stress whereas men drink for pleasure. These companies have started using marketing strategies to encourage women to keep drinking in excess. For example, the wine company, Skinny girl cocktail, whose target  audience is women, promises great tasting wine with less calories. They have several taglines including “Drink like a Lady” and “Every girl needs a great date night wine — even if that date night is with herself.” These taglines urge women to drink as much wine as possible even if it means drinking alone.

Not only has women drinking more alcohol changed the culturally dynamic but it has also raised awareness of the negative effects alcohol causes the body in comparison to men. The National Institute of Alcohol Abuse and Alcoholism  states that women face higher risks of disease than men because women usually weigh less than men and women typically start to have alcohol-related problems at lower drinking levels than men. Excessive drinking by women causes a greater risk for breast cancer, liver cirrhosis and memory loss when compared to men. In addition, women who drink alcohol while pregnant are more likely to have a baby die from Sudden Infant Death Syndrome (SIDS).

It was not until recently that drinking dependence amongst women have become so normalized. Social media, entertainers and performers are used to promote alcohol products targeting women. Alcohol companies are making us believe that there is no problem with drinking excessively, and this is why so many women are unaware of their addiction or or alcohol harm. Society has replaced the view of “drinking in excess” with “mommy time”, “having fun” or “self care” There’s is still more research to be done to understand how alcohol use can impact women in the future.

 

The Biological Differences in How Women and Men Experience Alcohol Use

New research has shown that men and women experience drinking alcohol differently. These findings are a reason to pause and reflect on our drinking habits and norms and to ask ourselves why we drink, how much do we drink and when are we drinking the most. Additionally, advertising firms are quick to exploit our weaknesses in pursuit of profit. There is a surprising parallel between the sharp increase in women’s alcohol use (especially high-risk drinking) and the rise of Skinny Girl brand and Mommy’s Night Out wines and others that are specifically targeting the female drinker [1]. While the occasional drink imbibed responsibly in a social environment is not the target of this blog, it might surprise you to learn of the following biological differences of alcohol use among men and women that could be contributing to potentially harmful drinking-related outcomes.

  1. Women and men drink for different reasons.

Depression and other poor mental health outcomes have long been linked to alcohol use and substance abuse[2]. New research suggests that a driving factor for women to consume alcohol is a negative reinforcement where women are trying to hide or mask an underlying stressor. There is a body of evidence that posits that adolescent girls are twice as more likely as their adolescent boy counterparts to experience depression. Adolescent girls who experience stress-related activities might be more likely to turn to alcohol and drugs in early adulthood to cope[3]. Other research has shown that the association between substance abuse and depression is more pronounced in adolescent girls than adolescent boys [4]. While the exact interaction between women’s mental health and alcohol use is still being explored, evidence suggests that women are more likely to drink if they experience some combination of depression, stress and or anxiety or sexual trauma or sexual abuse [5, 6]. These are examples of negative reinforcement, and they are the primary drivers motivating women to drink.  While men, on average, are more likely to be motivated to drink associated with higher thrill-seeking behaviors, lower inhibitions, and other behaviors that can be categorized as positive reinforcements.

  1. Women and men react differently to alcohol consumption.

On average, men tend to have lower levels of reaction to alcohol consumption compared to women. Studies on women and men’s alcohol behavior suggestion that since men tend to exhibit low alcohol reactivity that they may consume more alcohol to feel its effects and gradually this behavior, if sustained can lead to a higher tolerance and possibly dependence [6].  Women appear to react much quicker to the effects of alcohol. Also, studies comparing the effects of drinking in women and men found that women display greater deficiencies in motor and cognitive skills compared to men when both the women and men had the same amount to drink. This same study also showed that as the participant’s continued to drink over several days that the men developed a tolerance and reacted less strongly to the alcohol whereas the women’s negative reaction and increased sensitivity to alcohol became even more pronounced [7]. 

  1. Women face higher alcohol-related health risks than men.

Women who consume more than one alcoholic beverage a day are at risk for numerous health issues compared to men whose drinking patterns exceed moderate levels. For example, when compared to men, women are more likely to have inflamed livers, have increased risk of heart disease, and have an increased risk of breast cancer. Additionally, while there are several differing opinions and advice on how much alcohol a woman should consume when pregnant, the ruling advice is for pregnant women to avoid alcohol entirely while pregnant or even if they suspect they are pregnant to protect the developing fetus. Some of the biological reasons that women experience more significant health risks than men are due to the fact that on average, women’s body weight is lower compared to men, pound for pound women’s bodies contain less water than men, so women’s blood alcohol level is affected quicker, and estrogen levels influence how women’s livers process alcohol differently than men [8].  

In the US and many other countries around the world, it is the social and cultural norm to drink especially at certain functions or social events like weddings, sporting events, and festivals to name a few. While drinking is often deeply rooted in our norms, it never hurts to have health-related information to guide our decisions and occasionally serve as a barometer for when a fun activity turns into a hazard. Women should be aware of the additional risks that drinking poses for them not necessarily to abstain from alcohol together but to continue to drink responsibly if they so choose.

 

  1. Grant, B.F., et al., Prevalence of 12-Month Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder in the United States, 2001-2002 to 2012-2013: Results From the National Epidemiologic Survey on Alcohol and Related ConditionsPrevalence of Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use DisorderPrevalence of Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder. JAMA Psychiatry, 2017. 74(9): p. 911-923.
  2. Ramsey, S.E., P.A. Engler, and M.D. Stein, Alcohol Use Among Depressed Patients: The Need for Assessment and Intervention. Professional psychology, research and practice, 2005. 36(2): p. 203-207.
  3. Nolen-Hoeksema, S., Gender Differences in Depression. Current Directions in Psychological Science, 2001. 10(5): p. 173-176.
  4. Hallfors, D.D., et al., Which Comes First in Adolescence—Sex and Drugs or Depression? American Journal of Preventive Medicine, 2005. 29(3): p. 163-170.
  5. Poulin, C., et al., Gender differences in the association between substance use and elevated depressive symptoms in a general adolescent population. Addiction, 2005. 100(4): p. 525-35.
  6. Champion, H.L., et al., Adolescent sexual victimization, use of alcohol and other substances, and other health risk behaviors. J Adolesc Health, 2004. 35(4): p. 321-8.
  7. Dougherty, D.M., J.M. Bjork, and R.H. Bennett, Effects of alcohol on rotary pursuit performance: A gender comparison. The Psychological Record, 1998. 48(3): p. 393-405.
  8. NIAA. Women. 2019; Available from: https://www.niaaa.nih.gov/alcohol-health/special-populations-co-occurring-disorders/women.