Comment by fc417fc802
2 hours ago
Alcoholics (the really bad ones that we're presumably talking about here) don't consume because of social pressure. It's addiction and all the associated psychological and sociological complexity that implies.
I expect any comparison of alcoholism rates will need to account for social (particularly religion) and socioeconomic factors. An awful lot of addicts are engaging in escapism.
Addiction doesn't start until you've first started consuming a substance. The means by which you first start consuming alcohol vs. opioids are completely different, and the former is virtually always the result of social environment.
Sure, recreational social interactions tend to be the introduction since it's legal and a common pastime. But such interactions are almost never the primary driver of alcoholism except perhaps in specific college environments where you might reasonably describe the pastime as competitive drinking. That's far from the norm though.
Coincidentally, aside from official prescriptions recreational social interactions are also the primary method of introduction to drugs of all sorts.