Drinking culture is the set of traditions and social behaviours that surround the consumption of alcoholic beverages as a recreational drug and social lubricant. Although alcoholic beverages and social attitudes toward drinking vary around the world, nearly every civilization has independently discovered the processes of brewing beer, fermenting wine, and distilling spirits, among other practices. [1] Many countries have developed their own regional cultures based on unique traditions around the fermentation and consumption of alcohol, which may also be known as a beer culture, wine culture etc. after a particularly prominent type of drink.
Alcohol, a psychoactive substance with addictive properties and other effects, has been present in numerous societies over the centuries. [2] Drinking is documented in the Hebrew and Christian Bibles, [3] in the Qur'an, in Greek and Roman literature as old as Homer, in Confucius’ Analects , and in various forms of artistic expression throughout history.
Alcohol has played a significant role in human history. The production and consumption of alcoholic beverages date back to ancient civilisations. The earliest evidence of Alcohol comes from a Neolithic village dating to around 7000BC in the Yellow Valley. [4] Societies and cultures around the world have made use of intoxicating substances, with alcohol as the most popular, featured in temple rituals for ~2,000 years. In Mesopotamia, the world's oldest known recipe for beer-making can be traced back to 3200 BC, with related pictographs dated to 4000 BC. [5] Similarly, wine has ancient roots, with evidence of production in Jemdet Nasr in 3000 BC, [5] Georgia from around 6000 BC, and Iran from 5000 BC. [6] [7] These practices were not just culinary but often held religious and medicinal significance.
Since the Greek and Roman eras, Bacchanalia rituals involved consuming heavy levels of alcohol to reach an ecstatic state of mind. Bacchanalian fraternities promote the festive consumption of wine. [8]
Binge drinking, or heavy episodic drinking, is drinking alcoholic beverages with an intention of becoming intoxicated by heavy consumption of alcohol over a short period of time, but definitions vary considerably. [9] Binge drinking is a style of drinking that is popular in several countries worldwide, and overlaps somewhat with social drinking since it is often done in groups.
Drinking games involve consuming alcohol as part of the gameplay. They can be risky because they can encourage people to drink more than they intended to. Recent studies link binge drinking habits to a decline in quality of life and a shortened lifespan by 3–6 years. [10] [11]
Alcohol-based sugar-sweetened beverages, are closely linked to episodic drinking in adolescents. [12] Sugar-infused alcoholic beverages include alcopops, and liqueurs.
Pregame heavy episodic drinking (4+/5+ drinks for women/men) or more drinks is linked to a higher likelihood of engaging in high-intensity drinking (8+/10+ drinks), according to a 2022 study. The study also found that students who pregame at this level report more negative consequences compared to days with moderate pregame drinking and days without any pregame drinking. [13]
Hazing has a long-standing presence in college fraternities, often involving alcohol as a form of punishment. This can lead to dangerous levels of intoxication and severe ethanol poisoning, sometimes resulting in fatalities. High serum ethanol levels are common among affected students. [14]
Binge drinking refers to the consumption of alcohol that takes place simultaneously or within a few hours of one another;
Alcohol in association football has long been a complex issue, with significant cultural and behavioral implications. Football is widely observed in various settings such as television broadcasts, sports bars, and arenas, contributing to the drinking culture surrounding the sport. A 2007 study at the University of Texas at Austin monitored the drinking habits of 541 students over two football seasons. It revealed that high-profile game days ranked among the heaviest drinking occasions, similar to New Year's Eve. Male students increased their consumption for all games, while socially active female students drank heavily during away games. Lighter drinkers also showed a higher likelihood of risky behaviors during away games as their intoxication increased. This research highlights specific drinking patterns linked to collegiate sports events. [16]
According to a 2022 study, recreational heavy drinking and intoxication have become increasingly prevalent among Nigerian youth in Benin City. Traditionally, alcohol use was more accepted for men, while youth drinking was often taboo. Today, many young people engage in heavy drinking for pleasure and excitement. Peer networks encourage this behavior through rituals that promote intoxication and provide care for inebriated friends. The findings suggest a need to reconsider cultural prohibitions on youth drinking and advocate for public health interventions promoting low-risk drinking practices. [17]
Heavy drinking should not be confused with heavy episodic drinking, commonly known as binge drinking, which takes place over a brief period of a few hours. However, multiple binge drinking sessions within a short timeframe can be classified as heavy drinking.
Heavy alcohol use refers to consumption patterns that take place within a single day, week, or month, depending on the amount consumed:
In many cultures, good news is often celebrated by a group sharing alcoholic drinks. For example, sparkling wine may be used to toast the bride at a wedding, and alcoholic drinks may be served to celebrate a baby's birth. Buying someone an alcoholic drink is often considered a gesture of goodwill, an expression of gratitude, or to mark the resolution of a dispute.
Light drinking, moderate drinking, responsible drinking, and social drinking are often used interchangeably, but with slightly different connotations:
For the purposes of buying rounds of alcoholic drinks in English public houses, William Greaves, a retired London journalist, devised a set of etiquette guidelines as a Saturday morning essay in the defunct Today newspaper. Known as Greaves' Rules, the guidelines were based upon his long experience of pubs and rounds. [29] The rules were later recommissioned by The Daily Telegraph and published in that newspaper on November 20, 1993. Copies of the rules soon appeared in many pubs throughout the United Kingdom.
Kate Fox, a social anthropologist, came up with a similar idea in her book Watching the English , but concluded their rationale was the need to minimize the possibility of violence between drinking companions. [30]
When it is socially acceptable to drink differs around the world. For example, drinking at early times of the day is frowned upon in some countries, including Britain, Iceland, and the Czech Republic, whose drinkers limit themselves to the evening, some don't start until past midnight and stay out especially late. [31]
Though noon is often seen as earliest appropriate time of day to consume alcohol, especially on its own, there are some exceptions such as drinking Buck's Fizzes on Christmas Day morning. [32] In Germany, it is tradition to get a drink on Sunday morning, Frühschoppen, to commemorate when families would go to the pub after church. In the countries of Spain, France, Russia, and Germany, day drinking is more common. [31] Drinks served with breakfast or brunch, like a mimosa or bloody mary, are common in many cultures. [33] However, even in countries where day drinking is socially acceptable, it is restricted compared to the heavier periods of drinking recurrent during weekend days. [31]
A pub crawl (sometimes called a bar tour, bar crawl or bar-hopping) is the act of visiting multiple pubs or bars in a single session. [34]
Session drinking is a chiefly British and Irish term that refers to drinking a large quantity of beer during a "session" (i.e. a specific period of time) without becoming too heavily intoxicated. [35] A session is generally a social occasion.
A "session beer", such as a session bitter, is a beer that has a moderate or relatively low alcohol content.
Drinking customs vary significantly across cultures. In many Western societies, raising a toast during celebrations or milestones is a common practice. In contrast, in Japanese culture, the practice of 'nomikai' – a drinking party among colleagues or friends – is prevalent, reflecting their communal approach to drinking. [36] Similarly, in some Native American societies, alcohol consumption has historically been limited and regulated through community norms. [37]
Vertical drinking means that all or most of the patrons in an establishment are standing while drinking. This is linked to faster rates of consumption, and can lead to tension and possibly violence as patrons attempt to maneuver around each other. [38]
Sober curious is a cultural movement and lifestyle of practicing none or limited alcohol consumption that started spreading in the late 2010s.
Being sober curious means exploring sobriety at times to challenge the systematic consumption of alcohol in different situations, mostly during social interaction. The goal is to cut back when alcohol is deemed unnecessary, avoid consuming too much alcohol, and/or improve one's health. The consumption of non-alcoholic drinks is associated with the sober curious movement. [39] It is also called the 'No To Lo" beverages movement. [40]
Most religions prohibit or advise against alcohol use. However, spiritual use of alcohol is found in some religions and schools with esoteric influences, including the Sufi Bektashi Order and Alevi Jem ceremonies, [41] in the Japanese religion Shinto, [42] by the new religious movement Thelema, in Vajrayana Buddhism, and in Vodou faith of Haiti.
While moderate alcohol consumption is often cited for potential health benefits, such as reduced risk of heart disease, excessive drinking is linked to numerous health risks including liver disease, cardiovascular problems, and addiction. [43] The World Health Organization categorizes alcohol as a Group 1 carcinogen, [44] indicating its causal link to cancer. It is crucial to balance these perspectives to understand the full impact of alcohol on health.
Several studies over recent decades have linked moderate alcohol consumption with a reduced risk of heart disease. However, experts caution that this research may not fully account for the influence of other healthy lifestyle factors or the health history of participants who abstain from drinking. [45]
Policy makers have often expressed concern over "drinking culture" due to negative health effects of excess alcohol consumption. Policy makers often focus especially on patterns of problem drinking. These patterns are often expressed in geographical terms, such as in national drinking habits. [6]
Understanding drinking in young people should be done through a "developmental" framework. [46] This would be referred to as a "whole system" approach to underage drinking, as it takes into account a particular adolescent's unique risk and protective factors—from genetics and personality characteristics to social and environmental factors.
As early as the eighth century, Saint Boniface was writing to Cuthbert, Archbishop of Canterbury, to report how "In your diocese, the vice of drunkenness is too frequent. This is an evil peculiar to pagans and to our race. Neither the Franks nor the Gauls nor the Lombards nor the Romans nor the Greeks commit it". [47] It is probable, however, that "the vice of drunkenness" was present in all European nations. The 16th-century Frenchman Rabelais wrote comedic and absurd satires illustrating his countrymen's drinking habits, and Saint Augustin used the example of a drunkard in Rome to illustrate certain spiritual principles.
Some cultures may have a higher tolerance for alcohol consumption, while others may stigmatize it. Cultural practices, traditions, and expectations regarding masculinity can influence drinking patterns among people. [48]
Drinking habits vary significantly across the globe. In many European countries, wine and beer are integral to the dining experience, reflecting a culture of moderate, meal-centric drinking. [49] Conversely, in countries like Russia, higher rates of hard liquor consumption are observed, which has been linked to social and health issues. Furthermore, some Islamic countries have religious prohibitions against alcohol, leading to markedly different drinking practices. [50]
Some studies have noted traditional, cultural differences between Northern and Southern Europe. A difference in perception may also account to some extent for historically noted cultural differences: Northern Europeans drink beer, which in the past was often of a low alcohol content (2.5% compared to today's 5%).[ dubious – discuss ] In pre-industrial society, beer was safer to drink than water[ dubious – discuss ], because it had been boiled and contained alcohol. Southern Europeans drink wine and fortified wines (10–20% alcohol by volume). Traditionally, wine was watered and honeyed; drinking full strength wine was considered barbaric in Republican Rome. Nor does binge drinking necessarily equate with substantially higher national averages of per capita/per annum litres of pure alcohol consumption. There is also a physical aspect to national differences worldwide, which has not yet been thoroughly studied, whereby some ethnic groups have a greater capacity for alcohol metabolization through the liver enzymes alcohol dehydrogenase and acetaldehyde dehydrogenase.[ citation needed ]
These varying capacities do not, however, avoid all health risks inherent in heavy alcohol consumption. Alcohol abuse is associated with a variety of negative health and safety outcomes. This is true no matter the individual's or the ethnic group's perceived ability to "handle alcohol". Persons who believe themselves immune to the effects of alcohol may often be the most at risk for health concerns and the most dangerous of all operating a vehicle.[ citation needed ]
Chronic heavy drinkers display functional tolerance when they show few obvious signs of intoxication, even at high blood alcohol concentrations which in others would be incapacitating or even fatal. Because the drinker does not experience significant behavioral impairment as a result of drinking, tolerance may facilitate the consumption of increasing amounts of alcohol. This can result in physical dependence and alcohol-related organ damage. [51]
Throughout its history, the United Kingdom has had the pub as a central gathering spot in the community. Into the modern day, the English pub is a common social gathering place. [52] The United Kingdom ranks 24th in the world for per capita alcohol consumption, with the prevalence of pub culture sometimes being cited as a factor in the country's high alcohol consumption. [52] [53] On average, the British drink an average of 9.7 litres of alcohol per year. Statistics in 2023 have revealed that around 71.2% of adults in the United Kingdom drink at least once a week. [54]
Finland has one of the most significant drinking cultures in Europe, with the second highest rate of alcohol consumption in the Nordic countries. [55] Since the early 1960s, the total consumption of alcohol has quadrupled [56] and negative effects of alcohol have increased. [57] Intoxication is not seen as shameful, and is instead praised and seen as a sign of sociality. [58] [59]
One major aspect of modern Finnish alcohol culture is the concept of "Pantsdrunk" (kalsarikännit), referring to a drinking practice in which the drinker consumes drinks at home dressed in very little clothing, usually underwear, with no intention of going out. Alcohol is mostly consumed on the weekends in Finland. [60]
Drinking culture is very prevalent in Germany, particularly with beer. As of 2013, Germans drink 28 gallons of beer per capita each year. [61] Alcoholism is also an issue, with one-fifth of the population being labeled as "hazardous drinkers" in a 2022 study. [62] Germans are able to purchase and consume soft alcoholic beverages and wine at the age of 16. At 18, Germans are legally allowed to buy and drink beer, wine, and other distilled spirits. The legal limit for blood alcohol concentration is 0.5 milligrams per milliliter of blood. [63]
Alcoholic drinks are generally prohibited under Islamic thought, [64] with the Quran including several verses that admonish the consumption of khamr , an Arabic term meaning intoxicants that is interpreted to include most forms of alcohol and psychoactive drugs.
Islamic countries have low rates of alcohol consumption, and it is completely banned in several of them while strictly controlled in others (such as consumption being allowed only in private places or by non-Muslims). However, a minority of Muslims do drink and believe consuming alcohol is not Qur'anically forbidden, [65] [66] such as the Alevi Muslims of Turkey. [67] Muslim-majority countries produce a variety of regional distilled beverages such as arrack and rakı. There is a long tradition of viticulture in the Middle East, particularly in Egypt (where it is legal) and in Iran (where it is banned).
Korea's interest in creating its own alcohol came about during the Koryo Dynasty (946–943), when exposure to foreign cultures and the introduction of distilled water created the basis and technique for distilling a unique alcohol. [68]
Alcohol drinking in Korea helps create and form ties between family members and friends. Drinking is very present throughout traditional family rituals such as honoring ancestors. Aside from traditional holiday and family ritual drinking, alcohol consumption has modernized and become a major aspect of everyday socialization in Korean culture.
Alcohol consumption in Russia remains among the highest in the world. High volumes of alcohol consumption have serious negative effects on Russia's social fabric and bring political, economic and public health ramifications. Alcoholism has been a problem throughout the country's history because drinking is a pervasive, socially acceptable behavior in Russian society and alcohol has also been a major source of government revenue for centuries.
The United States is ranked 39th in the world for alcohol consumption in 2024. [69] It is ranked 1st in alcohol misuse among females, with 10.4%. [70] The U.S., in the past, prohibited alcohol from being produced in the country. This notion is still prevalent in the country with the legal drinking age being 21, and a self reported abstinence rate of 38%. [71] Culture varies significantly by state, with northern states drinking more than southern states. [72]
Alcoholism is the continued drinking of alcohol despite it causing problems. Some definitions require evidence of dependence and withdrawal. Problematic use of alcohol has been mentioned in the earliest historical records. The World Health Organization (WHO) estimated there were 283 million people with alcohol use disorders worldwide as of 2016. The term alcoholism was first coined in 1852, but alcoholism and alcoholic are sometimes considered stigmatizing and to discourage seeking treatment, so diagnostic terms such as alcohol use disorder or alcohol dependence are often used instead in a clinical context.
The long-term effects of alcohol have been extensively researched. The health effects of long-term alcohol consumption on health vary depending on the amount consumed. Even light drinking poses health risks, but atypically small amounts of alcohol may have health benefits. Alcoholism causes severe health consequences which outweigh any potential benefits.
Alcohol education is the practice of disseminating disinformation about the effects of alcohol on health, as well as society and the family unit. It was introduced into the public schools by temperance organizations such as the Woman's Christian Temperance Union in the late 19th century. Initially, alcohol education focused on how the consumption of alcoholic beverages affected society, as well as the family unit. In the 1930s, this came to also incorporate education pertaining to alcohol's effects on health. For example, even light and moderate alcohol consumption increases cancer risk in individuals. Organizations such as the National Institute on Alcohol Abuse and Alcoholism in the United States were founded to promulgate alcohol education alongside those of the temperance movement, such as the American Council on Alcohol Problems.
Alcohol and cancer have a complex relationship. Alcohol causes cancers of the oesophagus, liver, breast, colon, oral cavity, rectum, pharynx, and larynx, and probably causes cancers of the pancreas. Cancer risk can occur even with light to moderate drinking. The more alcohol is consumed, the higher the cancer risk, and no amount can be considered completely safe.
Alcohol has a number of effects on health. Short-term effects of alcohol consumption include intoxication and dehydration. Long-term effects of alcohol include changes in the metabolism of the liver and brain, with increased risk of several types of cancer and alcohol use disorder. Alcohol intoxication affects the brain, causing slurred speech, clumsiness, and delayed reflexes. There is an increased risk of developing an alcohol use disorder for teenagers while their brain is still developing. Adolescents who drink have a higher probability of injury including death.
The health effects of wine are mainly determined by its active ingredient – alcohol. Preliminary studies found that drinking small quantities of wine, particularly of red wine, may be associated with a decreased risk of cardiovascular diseases, cognitive decline, stroke, diabetes mellitus, metabolic syndrome, and early death. Other studies found no such effects.
Recommendations for consumption of the drug alcohol vary from recommendations to be alcohol-free to daily or weekly drinking "safe limits" or maximum intakes. Many governmental agencies and organizations have issued guidelines. These recommendations concerning maximum intake are distinct from any legal restrictions, for example countries with drunk driving laws or countries that have prohibited alcohol. To varying degrees, these recommendations are also distinct from the scientific evidence, such as the short-term and long-term effects of alcohol consumption.
An alcoholic beverage is a drink containing alcohol. Alcoholic drinks are typically divided into three classes—beers, wines, and spirits—and their alcohol content is between 3% and 50%.
Binge drinking, or heavy episodic drinking, is drinking alcoholic beverages with an intention of becoming intoxicated by heavy consumption of alcohol over a short period of time, but definitions vary considerably.
The relationship between alcohol and breast cancer is clear: drinking alcoholic beverages, including wine, beer, or liquor, is a risk factor for breast cancer, as well as some other forms of cancer. Drinking alcohol causes more than 100,000 cases of breast cancer worldwide every year. Globally, almost one in 10 cases of breast cancer is caused by women drinking alcoholic beverages. Drinking alcoholic beverages is among the most common modifiable risk factors.
Binge drinking is the practice of consuming excessive amounts of alcohol in a short period of time. Due to the idiosyncrasies of the human body, the exact amount of alcohol that would constitute binge drinking differs among individuals. The definitions of binge drinking are also nuanced across cultures and population subgroups. For example, many studies use gender-specific measures of binge drinking. The epidemiology of binge drinking likewise differs across cultures and population subgroups.
A caffeinated alcoholic drink is a drink that contains both alcohol and a significant amount of caffeine. Caffeine, a stimulant, masks some of the depressant effects of alcohol. However, in 2010 and 2011, this type of drink faced criticism for posing health risks to its drinkers. In some places there is a ban on caffeinated alcoholic drinks.
The legal drinking age varies from country to country. In the United States, the legal drinking age is currently 21. To curb excessive alcohol consumption by younger people, instead of raising the drinking age, other countries have raised the prices of alcohol beverages and encouraged the general public to drink less. Setting a legal drinking age of 21 is designed to discourage reckless alcohol consumption by youth, limiting consumption to those who are more mature, who can be expected to make reasonable and wise decisions when it comes to drinking.
Alcohol, sometimes referred to by the chemical name ethanol, is the second most consumed psychoactive drug globally behind caffeine, and alcohol use disorders are the most prevalent of all substance use disorders worldwide. Alcohol is a central nervous system (CNS) depressant, decreasing electrical activity of neurons in the brain. The World Health Organization (WHO) classifies alcohol as a toxic, psychoactive, dependence-producing, and carcinogenic substance.
Alcohol packaging warning messages are warning messages that appear on the packaging of alcoholic drinks concerning their health effects. They have been implemented in an effort to enhance the public's awareness of the harmful effects of consuming alcoholic beverages, especially with respect to foetal alcohol syndrome and alcohol's carcinogenic properties. In general, warnings used in different countries try to emphasize the same messages. Such warnings have been required in alcohol advertising for many years, although the content of the warnings differ by nation.
Alcoholism in Ireland is a significant public health problem. In 2021, 70.0% of Irish men and 34.1% of Irish women aged 15+ are considered to be hazardous drinkers. In the same age group, there are over one hundred and fifty thousand Irish people who are classified as 'dependent drinkers'. According to Eurostat, 24% of Ireland's population engages in heavy episodic drinking at least once a month, compared to the European average of 19%.
Many students attending colleges, universities, and other higher education institutions consume alcoholic beverages. The laws and social culture around this practice vary by country and institution type, and within an institution, some students may drink heavily whereas others may not drink at all. In the United States, drinking tends to be particularly associated with fraternities.
Alcohol in the United Kingdom is legal to buy, sell and consume. Consumption rates within the country are high among the average of OECD nations however average among European countries but consistently ranks highest on binge drinking culture. An estimated 29 million people in the United Kingdom drank alcohol in 2017.
Alcohol and society are closely intertwined, as it is widely consumed and legally permitted in most countries around the globe, despite its potential to lead to various issues. According to a 2024 World Health Organization (WHO) report, these harmful consequences of alcohol use result in 2.6 million deaths annually, accounting for 4.7% of all global deaths.
This page is a list of terms related to the psychoactive drug alcohol.
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