{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T14:16:25Z","timestamp":1768313785061,"version":"3.49.0"},"reference-count":53,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T00:00:00Z","timestamp":1657238400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Adolescents and young adults mostly drink alcohol because of social activities. However, some drink outside of normative social contexts, exhibiting a behaviour pattern known as solitary drinking. Increasing evidence indicates that solitary drinking is strongly associated with problematic drinking in adolescents and young adults. However, it remains unclear why individuals initiate and maintain this drinking habit. To address this gap in the existing literature, the current study explored the factors contributing to solitary drinking in this population. Descriptive phenomenology was used. A convenience sample of 44 solitary drinkers aged between 10 and 24 were invited to undergo individual semi-structured interviews. All interviews were audio-recorded and transcribed verbatim. The data were analysed by two researchers separately using Colaizzi\u2019s method. Using qualitative descriptions, the following factors were identified as explaining the initiation and continuation of solitary drinking among adolescents and young adults: (1) enhancement and coping drinking motives, (2) social discomfort, (3) reduced self-control, (4) automatic mental process, and (5) a desperate response to stressors. Since reduced self-control plays an important role in long-term addiction, future studies should be conducted to determine potential applications of mindfulness-based interventions to improve self-control, which may prevent the progression from solitary drinking to alcohol use disorder.<\/jats:p>","DOI":"10.3390\/ijerph19148371","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T11:37:08Z","timestamp":1657280228000},"page":"8371","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring Contributing Factors of Solitary Drinking among Hong Kong Chinese Adolescents and Young Adults: A Descriptive Phenomenology"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3953-9065","authenticated-orcid":false,"given":"Ka-Yan","family":"Ho","sequence":"first","affiliation":[{"name":"School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine-Ka-Wai","family":"Lam","sequence":"additional","affiliation":[{"name":"School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8069-4361","authenticated-orcid":false,"given":"Cynthia-Sau-Ting","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Man-Nok","family":"Tong","sequence":"additional","affiliation":[{"name":"School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lai-Ngo","family":"Tang","sequence":"additional","affiliation":[{"name":"School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7330-7001","authenticated-orcid":false,"given":"Yim-Wah","family":"Mak","sequence":"additional","affiliation":[{"name":"School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,8]]},"reference":[{"key":"ref_1","unstructured":"Australian Government (2022, March 30). Alcohol, Available online: https:\/\/www.health.gov.au\/health-topics\/alcohol."},{"key":"ref_2","unstructured":"National Institute on Alcohol Abuse and Alcoholism (2022, March 30). Alcohol Facts and Statistics, Available online: https:\/\/www.niaaa.nih.gov\/publications\/brochures-and-fact-sheets\/alcohol-facts-and-statistics."},{"key":"ref_3","unstructured":"National Institute on Alcohol Abuse and Alcoholism (2022, March 30). Underage Drinking, Available online: https:\/\/www.niaaa.nih.gov\/sites\/default\/files\/publications\/NIAAA_Underage_Drinking_1.pdf."},{"key":"ref_4","first-page":"185","article-title":"Drinking among young adults: Prevalence, patterns and consequences","volume":"20","author":"Quigley","year":"1996","journal-title":"Alcohol Health Res. World"},{"key":"ref_5","unstructured":"Substance Abuse and Mental Health Services Administration (2022, June 22). 2019 National Survey on Drug Use and Health. Table 2.7B\u2014Alcohol Use, Binge Alcohol Use, and Heavy Alcohol Use in Past Month among Persons Aged 12 or Older, by Detailed Age Category: Percentages, 2018 and 2019, Available online: https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt29394\/NSDUHDetailedTabs2019\/NSDUHDetTabsSect2pe2019.htm."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1176\/ps.2007.58.2.192","article-title":"Alcohol use disorders and the use of treatment services among college-age young adults","volume":"58","author":"Wu","year":"2007","journal-title":"Psychiatr. Serv."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.cortex.2012.05.021","article-title":"Pathways to alcohol-induced brain impairment in young people: A review","volume":"49","author":"Hermens","year":"2013","journal-title":"Cortex"},{"key":"ref_8","unstructured":"World Health Organization (2022, March 30). Adolescent Health. Available online: https:\/\/www.who.int\/southeastasia\/health-topics\/adolescent-health."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1016\/j.cpr.2005.06.002","article-title":"Why do young people drink? A review of drinking motives","volume":"25","author":"Kuntsche","year":"2005","journal-title":"Clin. Psychol. Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1177\/2167702613512795","article-title":"Solitary Alcohol Use in Teens Is Associated with Drinking in Response to Negative Affect and Predicts Alcohol Problems in Young Adulthood","volume":"2","author":"Creswell","year":"2014","journal-title":"Clin. Psychol. Sci."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.1111\/add.15055","article-title":"Associations between solitary drinking and increased alcohol consumption, alcohol problems, and drinking to cope motives in adolescents and young adults: A systematic review and meta-analysis","volume":"115","author":"Skrzynski","year":"2020","journal-title":"Addiction"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/S0306-4603(01)00180-0","article-title":"College student heavy drinking in social contexts versus alone","volume":"27","author":"Christiansen","year":"2002","journal-title":"Addict. Behav."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"536","DOI":"10.15288\/jsa.1990.51.536","article-title":"Drinking in college: Consumption patterns, problems, sex differences and legal drinking age","volume":"51","year":"1990","journal-title":"J. Stud. Alcohol"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.addbeh.2015.06.025","article-title":"Distress tolerance in social versus solitary college student drinkers","volume":"50","author":"Williams","year":"2015","journal-title":"Addict. Behav."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1793","DOI":"10.1523\/JNEUROSCI.4862-03.2004","article-title":"Incentive-elicited brain activation in adolescents: Similarities and differences from young adults","volume":"24","author":"Bjork","year":"2004","journal-title":"J. Neurosci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s10964-005-9014-5","article-title":"Developmental differences in adolescents\u2019 and young adults\u2019 use of mothers, fathers, best friends, and romantic partners to fulfill attachment needs","volume":"35","author":"Markiewicz","year":"2006","journal-title":"J. Youth Adolesc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"264","DOI":"10.7326\/0003-4819-151-4-200908180-00135","article-title":"Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement","volume":"151","author":"Moher","year":"2009","journal-title":"Ann. Intern. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"285","DOI":"10.3109\/16066359.2012.714429","article-title":"Solitary heavy drinking, social relationships, and negative mood regulation in college drinkers","volume":"21","author":"Gonzalez","year":"2013","journal-title":"Addict. Res. Theory."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1111\/add.14697","article-title":"A systematic review of research on adolescent solitary alcohol and marijuana use in the United States","volume":"115","author":"Mason","year":"2020","journal-title":"Addiction"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.addbeh.2011.09.016","article-title":"Self-medication or social learning? A comparison of models to predict early adolescent drinking","volume":"37","author":"Tomlinson","year":"2012","journal-title":"Addict. Behav."},{"key":"ref_21","first-page":"15","article-title":"Alcohol use among adolescents and young adults","volume":"45","author":"Windle","year":"2003","journal-title":"Population"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Spiegelberg, H. (1975). Doing Phenomenology, Martinus Nijhoff.","DOI":"10.1007\/978-94-010-1670-4"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Lam, K.K.W., Ho, K.Y., Wu, C.S.T., Tong, M.N., Tang, L.N., and Mak, Y.W. (2022). Exploring Factors Contributing to the Smoking Behaviour among Hong Kong Chinese Young Smokers during COVID-19 Pandemic: A Qualitative Study. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19074145"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.1111\/jan.14084","article-title":"Helping hospitalized smokers quit smoking by understanding their risk perception, behavior, and attitudes related to smoking","volume":"75","author":"Li","year":"2019","journal-title":"J. Adv. Nurs."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Xia, W., Li, W.H.C., Song, P., Ho, K.Y., Luo, Y., Liang, T., Ho, L.L.K., Cheung, A.T., and Cai, W. (2021). Perceptions, behaviours and attitudes towards smoking held by the male partners of Chinese pregnant women: A qualitative study. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-11966-4"},{"key":"ref_26","unstructured":"Babor, T.F., Higgins-Biddle, J.C., Saunders, J.B., and Monteiro, M.G. (2001). The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care, Word Health Organization."},{"key":"ref_27","unstructured":"Valle, R.S., and King, M. (1978). Psychological research as the phenomenologist views it. Existential Phenomenological Alternatives for Psychology, Plenum."},{"key":"ref_28","unstructured":"Polit, D.F., and Beck, C.T. (2021). Essentials of Nursing Research: Appraising Evidence for Nursing Practice, Philadelphia Wolters Kluwer Health\/Lippincott Williams & Wilkins."},{"key":"ref_29","first-page":"197","article-title":"Research with children: Methodological and ethical challenges","volume":"15","author":"Einarsdottir","year":"2007","journal-title":"Eur. Early Childh. Educ. Res. J."},{"key":"ref_30","unstructured":"Mack, N., Woodsong, C., MacQueen, K.M., Guest, G., and Namey, E. (2005). Qualitative Research Methods: A Data Collector\u2019s Field Guide, Family Health International."},{"key":"ref_31","unstructured":"World Medical Association (2022, June 22). WMA Declaration of Helsinki\u2014Ethical Principles for Medical Research Involving Human Subjects. Available online: https:\/\/www.wma.net\/policies-post\/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects\/."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1177\/0963721420969406","article-title":"Drinking Together and Drinking Alone: A Social-Contextual Framework for Examining Risk for Alcohol Use Disorder","volume":"30","author":"Creswell","year":"2021","journal-title":"Curr. Dir. Psychol."},{"key":"ref_33","unstructured":"Nagesh, A. (2022, March 30). Forget Hygge, Let\u2019s All Get P\u00e4ntsdrunk: Finally, a Lifestyle Trend We Can Get on Board with. Available online: https:\/\/www.bbc.co.uk\/bbcthree\/article\/8c1960fc-5a7f-4f4a-9e82-d9e774c4ee5a."},{"key":"ref_34","unstructured":"Pomranz, M. (2022, March 30). \u2018P\u00e4ntsdrunk\u2019 Teaches the Finnish Philosophy of Drinking in Your Underwear. Available online: https:\/\/www.foodandwine.com\/news\/pantsdrunk-book-finnish-drinking-underwear."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"365","DOI":"10.24171\/j.phrp.2020.11.6.04","article-title":"Solitary and Social Drinking in South Korea: An Exploratory Study","volume":"11","author":"Park","year":"2020","journal-title":"Osong Public Health Res. Perspect."},{"key":"ref_36","first-page":"1","article-title":"The four horsemen of automaticity: Awareness, intention, efficiency, and control in social cognition","volume":"Volume 1","author":"Wyer","year":"1994","journal-title":"Handbook of Social Cognition"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1521\/jscp.2012.31.7.729","article-title":"Mindfulness Decouples the Relation between Automatic Alcohol Motivation and Heavy Drinking","volume":"31","author":"Ostafin","year":"2012","journal-title":"J. Soc. Clin. Psychol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1111\/j.1530-0277.1996.tb01038.x","article-title":"Automatic Activation of Alcohol Concepts in Response to Positive Outcomes of Alcohol Use","volume":"20","author":"Weingardt","year":"1996","journal-title":"Alcohol Clin. Exp. Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.addbeh.2017.11.009","article-title":"Social discomfort moderates the relationship between drinking in response to negative affect and solitary drinking in underage drinkers","volume":"78","author":"Skrzynski","year":"2018","journal-title":"Addict. Behav."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1037\/a0038578","article-title":"Conformity to the emotional-control masculine norm and psychological well-being Chinese men in Hong Kong: The mediating role of stress appraisal for expressing tender emotions","volume":"16","author":"Yeung","year":"2015","journal-title":"Psychol. Men Masc."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1080\/00223980.1992.10543397","article-title":"Reliance on self or seeking help from others: Gender differences in the locus of coping in Chinese working parents","volume":"126","author":"Shek","year":"1992","journal-title":"J. Psychol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1002\/per.2410010304","article-title":"Transactional Theory and Research on Emotions and Coping","volume":"1","author":"Lazarus","year":"1987","journal-title":"Eur. J. Pers."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S1054-139X(00)00124-5","article-title":"Psychosocial determinants of the onset and escalation of smoking: Cross-sectional and prospective findings in multiethnic middle school samples","volume":"27","author":"Carvajai","year":"2007","journal-title":"J. Adolesc. Health"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1037\/0022-006X.70.4.986","article-title":"The role of self-control in early escalation of substance use: A time-varying analysis","volume":"70","author":"Wills","year":"2002","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1002\/hbm.22695","article-title":"Smoking and the developing brain: Altered white matter microstructure in attention-deficit\/hyperactivity disorder and healthy controls","volume":"36","author":"Ewijk","year":"2015","journal-title":"Hum. Brain Mapp."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1176\/appi.ajp.162.8.1403","article-title":"The neural basis of addiction: A pathology of motivation and choice","volume":"162","author":"Kalivas","year":"2005","journal-title":"Am. J. Psychiatry"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/j.neuron.2005.02.005","article-title":"Unmanageable motivation in addiction: A pathology in prefrontal-accum-bens glutamate transmission","volume":"45","author":"Kalivas","year":"2005","journal-title":"Neuron"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.neubiorev.2010.03.001","article-title":"Addiction, compulsive drug seeking, and the role of frontostriatal mechanisms in regulating inhibitory control","volume":"35","author":"Feil","year":"2010","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s13722-018-0115-3","article-title":"Mindfulness-based treatment of addiction: Current state of the field and envisioning the next wave of research","volume":"13","author":"Garland","year":"2018","journal-title":"Addict. Sci. Clin. Pract."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/S40037-019-0509-2","article-title":"How phenomenology can help us learn from the experiences of others","volume":"8","author":"Neubauer","year":"2019","journal-title":"Perspect. Med. Educ."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"669","DOI":"10.4300\/JGME-D-15-00414.1","article-title":"Choosing a qualitative research approach","volume":"7","author":"Teherani","year":"2015","journal-title":"J. Grad. Med. Educ."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Dhillon, A.Z., Doran, T., and Aggarwal, V.R. (2020). Perceptions of Waterpipe Smoking among Young Adults: A Phenomenological Study. Dent. J., 8.","DOI":"10.3390\/dj8040134"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1002\/jocc.12063","article-title":"College Women\u2019s Experiences and Perceptions of Drinking: A Phenomenological Exploration","volume":"20","author":"Borders","year":"2017","journal-title":"J. Coll. Couns."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/14\/8371\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:46:47Z","timestamp":1760140007000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/14\/8371"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,8]]},"references-count":53,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["ijerph19148371"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19148371","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,8]]}}}