Many middle-aged women tend to perceive their drinking as normal and acceptable

Reviewed by Kate Anderton, B.Sc. (Editor)Feb 11 2020

Women aged 50-70 are more likely than younger women to consume alcohol at levels that exceed low risk drinking guidelines - and most think that's just perfectly fine.

New Edith Cowan University (ECU) research has found that despite the potential health risks of exceeding national drinking guidelines, many middle-aged and young-old women who consume alcohol at high risk levels tend to perceive their drinking as normal and acceptable, so long as they appear respectable and in control.

The study is a collaboration between ECU and Aalborg University, Denmark, led by Dr. Julie Dare from ECU's School of Medical and Health Sciences. It investigated the social construction of alcohol use among 49 women aged 50 to 69 in Denmark and Australia.

According to Australian health authorities, drinking more than two standard drinks on any day increases the risk considerably of premature death over a woman's lifetime.

Key findings:

• Women place more importance on appearing to be in control, behaving respectably, social pleasure and feeling liberated than the quantity of alcohol consumed or potential health risks.
• While some women reported reducing their drinking due to health concerns, others suggested that positive health behaviours such as exercise served to 'neutralise' alcohol-related health risks.
• Health advice and interventions relating to middle-aged and young-old women's drinking practices need to acknowledge that women may socially construct their drinking practices to prioritise matters other than biomedical impacts of alcohol.

Controlled and acceptable drinking

Dr Dare said the research highlighted the widespread use of alcohol in both samples of women in Australia and Denmark.

"Respondents from both countries indicated that alcohol use among women their age was normal and acceptable," she said.

One respondent observed:

"It has become part of the norm . . . it is something we do with our acquaintances, friends and families. That's just something we do" (D8, 59 years).

"However, the importance of 'staying in control' while drinking emerged as an important qualifier to the social acceptability of drinking," Dr. Dare said.

Another respondent said:

"As long as they (women) don't make a fool of themselves, they don't want to go falling down and showing their knickers" (A9, 69 years).

"Health messaging of no more than two standard drinks per day and no more than four standard drinks on any single drinking occasion didn't seem to be relevant to women in this age group. There was a fair percentage drinking over that," Dr. Dare said.

"In Australia, younger women are starting to drink less, their rates have declined, but the proportion of women aged 60 and older drinking at levels that exceed single occasion guidelines (more than 4 standard drinks on a single occasion) has increased. Similar trends are evident in Denmark and the United Kingdom."

Cultural differences

While the study highlighted many similarities between Australian and Danish women, one interesting cultural difference was the way Australian women thought about alcohol in relation to stress.

If the Australian women had some sort of distress in their lives they believed it was acceptable to drink. They were quite open about this saying 'I just had a bad day, I needed to have a drink'.

Danish women were not the same. They reported it wasn't 'acceptable' to drink if they were upset. They believed that you shouldn't use alcohol as a crutch to cope."

Dr. Julie Dare from ECU's School of Medical and Health Sciences