{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T16:45:03Z","timestamp":1783788303377,"version":"3.55.0"},"reference-count":31,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Alcohol consumption has been a central practice in Sabah, Malaysia. However, this region has witnessed a nuanced shift in drinking habits over the last decade, raising concerns about the health, economic, and social implications of alcohol use within the community in Sabah. This study explores the impact of gender narratives and cultural transformations on alcohol consumption within Sabah over the last decade. The objectives of this research include 1) assessing the shifts in alcohol consumption patterns over the last 10 years, 2) understand the role of gender differences in shaping these patterns, and 3) identify the economic consequences resulting from the changes. Employing a qualitative approach, we conducted focus group interviews with members of the native community, each group consisting of up to 7 participants. Thematic analysis was used to identify key themes pertaining to gender roles, cultural practices, and socioeconomic influences of alcohol consumption. The data were then contextualized using Bronfenbrenner\u2019s social-ecological model and social role theory. The study reveals a significant shift in drinking habits. Historically, alcohol was mostly consumed by men, but now more women are drinking, changing long-standing gender roles related to alcohol use. Children often copy their parents\u2019 drinking behaviors, and with alcohol being more easily available, more people are drinking than before. Our findings also expose the complex consequences of alcohol use, which extend to health concerns, familial tension, and economic hardship. Despite the entrenched cultural status of alcohol, these negative outcomes are exacerbated by a lack of supportive healthcare services. In light of these insights, the study suggests the need for intervention plans that respect the cultural background of Sabah and account for gender dynamics while tackling the current issues of alcohol misuse. The research adds to the wider conversation about managing alcohol in different cultural settings and also recommended strategies based on the findings, such as cultural and gender sensitive community programs, youth centered programs, community-based healthcare services, employment support and training and development of laws and policies.<\/jats:p>","DOI":"10.1371\/journal.pone.0309378","type":"journal-article","created":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T18:34:23Z","timestamp":1733164463000},"page":"e0309378","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Gendered narratives and cultural shifts: A qualitative study on decadal changes in community alcohol consumption"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0160-0791","authenticated-orcid":true,"given":"Ming Gui","family":"Tan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0369-4082","authenticated-orcid":true,"given":"Walton","family":"Wider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas Tze Ping","family":"Pang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen Benedict","family":"Lasimbang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy Diana","family":"Shoesmith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corine Rosapane M.","family":"Tangau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leilei","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1078-3550","authenticated-orcid":true,"given":"Natchana","family":"Bhutasang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,12,2]]},"reference":[{"issue":"14","key":"pone.0309378.ref001","doi-asserted-by":"crossref","first-page":"8851","DOI":"10.3390\/ijerph19148851","article-title":"Findings from a nationwide study on alcohol consumption patterns in an upper middle-income country","volume":"19","author":"TG Robert Lourdes","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"pone.0309378.ref002","doi-asserted-by":"crossref","first-page":"01","DOI":"10.35946\/arcr.v40.2.01","article-title":"Gender differences in the epidemiology of alcohol use and related harms in the United States","volume":"40","author":"A. 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Ethnic Labels and Identity among Kadazans in Penampang, Sabah (Malaysian Borneo) [Doctoral Dissertation]: The Australian National University; 2017."},{"key":"pone.0309378.ref012","doi-asserted-by":"crossref","first-page":"507","DOI":"10.29322\/IJSRP.12.10.2022.p13067","article-title":"Qualitative Study of Barriers in Adopting a Healthy Diet and Lifestyle Among Kadazandusun Community with Nasopharyngeal Carcinoma in Sabah.","volume":"12","author":"R Omar","year":"2022","journal-title":"International Journal of Scientific and Research Publications"},{"issue":"2","key":"pone.0309378.ref013","doi-asserted-by":"crossref","first-page":"129","DOI":"10.20471\/dec.2020.56.02.02","article-title":"Validation of the alcohol use disorders identification test (AUDIT)\u2013Dusun version in alcohol users in Sabahan Borneo.","volume":"56","author":"N Pang","year":"2020","journal-title":"Archives of Psychiatry Research: An International Journal of Psychiatry and Related Sciences."},{"issue":"5","key":"pone.0309378.ref014","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1093\/alcalc\/agu042","article-title":"Alcohol consumption and risky drinking patterns in Malaysia: findings from NHMS 2011.","volume":"49","author":"Kamarudin RB Mutalip MHBA","year":"2014","journal-title":"Alcohol and alcoholism."},{"issue":"6","key":"pone.0309378.ref015","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1093\/alcalc\/agw005","article-title":"Unrecorded alcohol and alcohol-related harm in rural Sabah, Malaysia: A socio-economically deprived region with expensive beer and cheap local spirits.","volume":"51","author":"WD Shoesmith","year":"2016","journal-title":"Alcohol and Alcoholism."},{"issue":"5_suppl","key":"pone.0309378.ref016","doi-asserted-by":"crossref","first-page":"91S","DOI":"10.1177\/1010539514542194","article-title":"Hamid HABA, Bt Kamaruddin R, Sabtu MYB. Prevalence, comorbidities, and cofactors associated with alcohol consumption among school-going adolescents","volume":"26","author":"MA Manickam","year":"2014","journal-title":"Malaysia. Asia Pacific Journal of Public Health"},{"issue":"6","key":"pone.0309378.ref017","first-page":"1","article-title":"How Severe is Binge Drinking in Malaysia and Who are at Risk? Journal of Alcoholism &","volume":"1","author":"Naidu BBM Mutalip MHBA","year":"2013","journal-title":"Drug Dependence"},{"issue":"1","key":"pone.0309378.ref018","doi-asserted-by":"crossref","first-page":"119","DOI":"10.3390\/ijerph21010119","article-title":"The Social Ecology of Caregiving: Applying the Social\u2013Ecological Model across the Life Course","volume":"21","author":"MT Ornstein","year":"2024","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"pone.0309378.ref019","doi-asserted-by":"crossref","first-page":"458","DOI":"10.4135\/9781446249222.n49","article-title":"Social role theory.","volume":"2","author":"AH Eagly","year":"2012","journal-title":"Handbook of theories of social psychology"},{"issue":"2","key":"pone.0309378.ref020","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology.","volume":"3","author":"V Braun","year":"2006","journal-title":"Qualitative research in psychology."},{"issue":"3","key":"pone.0309378.ref021","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1046\/j.1360-0443.2000.9533657.x","article-title":"Fiesta as tradition, fiesta as change: ritual, alcohol and violence in a Mexican community","volume":"95","author":"RL P\u00e9rez","year":"2000","journal-title":"Addiction"},{"issue":"4","key":"pone.0309378.ref022","doi-asserted-by":"crossref","first-page":"1912","DOI":"10.1016\/j.addbeh.2012.12.005","article-title":"Relations among stress, coping strategies, coping motives, alcohol consumption and related problems: A mediated moderation model","volume":"38","author":"WR Corbin","year":"2013","journal-title":"Addictive Behaviors"},{"issue":"5","key":"pone.0309378.ref023","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.addbeh.2011.01.014","article-title":"The relationship between coping strategies, alcohol expectancies, drinking motives and drinking behaviour.","volume":"36","author":"P Hasking","year":"2011","journal-title":"Addictive behaviors."},{"issue":"4","key":"pone.0309378.ref024","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1111\/dar.13446","article-title":"Changes in alcohol use during the COVID\u201019 pandemic in Europe: A meta\u2010analysis of observational studies.","volume":"41","author":"C Kilian","year":"2022","journal-title":"Drug and alcohol review."},{"issue":"9","key":"pone.0309378.ref025","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.22942","article-title":"Changes in adult alcohol use and consequences during the COVID-19 pandemic in the US.","volume":"3","author":"MS Pollard","year":"2020","journal-title":"JAMA network open."},{"issue":"10","key":"pone.0309378.ref026","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.3109\/10826084.2014.998237","article-title":"Associations between human values and alcohol consumption among Norwegians in the second half of life","volume":"50","author":"T Nordfj\u00e6rn","year":"2015","journal-title":"Substance use & misuse"},{"key":"pone.0309378.ref027","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/add.13591","article-title":"Alcohol marketing and youth alcohol consumption: a systematic review of longitudinal studies published since 2008.","volume":"112","author":"D Jernigan","year":"2017","journal-title":"Addiction."},{"issue":"9","key":"pone.0309378.ref028","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1080\/00048674.2010.501759","article-title":"Parenting factors associated with reduced adolescent alcohol use: a systematic review of longitudinal studies.","volume":"44","author":"SM Ryan","year":"2010","journal-title":"Australian & New Zealand Journal of Psychiatry."},{"key":"pone.0309378.ref029","doi-asserted-by":"crossref","DOI":"10.9734\/ajess\/2020\/v6i430180","article-title":"The Effect of Drinking Style on Alcohol-related Harm and Readiness to Change among the Indigenous Communities of Sabah.","author":"A. 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