title: One for all: workplace social context and drinking among railway workers in Ukraine.
abstract: Alcohol consumption is a leading cause of mortality and morbidity in countries of the former Soviet Union, but little is known about its social determinants. Recent research has suggested that workplace contexts may play a role. Using qualitative methods, we investigate the relationship between workplace social contexts and drinking in Ukraine. We conducted 24 individual semi-structured interviews and two focus group discussions in Lviv and Kharkiv, Ukraine, with male railway employees aged 18+ years. Data were analysed using a thematic analysis approach. Men in our sample expressed strong feelings of interdependence and trust towards their co-workers which we defined as 'social solidarity'. Drinking with co-workers was often seen as obligatory and an integral part of co-worker social occasions. Engagement in sport or family obligations seemed to act as a deterrent to drinking among some workers. A strong sense of solidarity exists between railway co-workers in Ukraine, perhaps a remnant of the Soviet era when individuals relied on informal networks for support. Alcohol may be used as a means of expressing this solidarity. Our findings point to factors, namely engagement in sports and family, which may offer opportunities for interventions to reduce alcohol consumption among workers in Ukraine.
authors.affiliation: a Faculty of Public Health and Policy , London School of Hygiene & Tropical Medicine , London , UK.
authors.forename: Adrianna
authors.initials: A
authors.lastname: Murphy
authors.forename: Bayard
authors.initials: B
authors.lastname: Roberts
authors.forename: Catherine
authors.initials: C
authors.lastname: McGowan
authors.forename: Kseniya
authors.initials: K
authors.lastname: Kizilova
authors.forename: Alexiy
authors.initials: A
authors.lastname: Kizilov
authors.forename: Tim
authors.initials: T
authors.lastname: Rhodes
authors.forename: Martin
authors.initials: M
authors.lastname: McKee
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010379:Peer Group; D011890:Railroads; D012919:Social Behavior; D012931:Social Environment; D014455:Ukraine
keywords: Ukraine; alcohol consumption; qualitative methods; social determinants