One for all: workplace social context and drinking among railway workers in Ukraine.

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.