Causal Loop Analysis of Steroid Abuse in Community Level
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Abstract
Steroid abuse in Thailand is a complicated problem and continuously occurred for a long time. This study showed the problems of steroid abuse, relationship among various variables and feedback structure to find the leverage points and problem solving. Methods: Qualitative study was performed by documentary review and semi-structure interview. Content analysis and Causal loop diagrams were drafted. Data verification was done by focus group. Results: The causal loop diagrams consisted of 6 loops that were sub-district management loops (B1: Balancing loop 1, R1: Reinforcing loop 1), district management loop (B2: Balancing loop 2), sickness loop from steroid abuse (B3: Balancing loop 3), advertising loop (R2: Reinforcing loop 2), illegal production loop (R3: Reinforcing loop3) and steroid using necessary loop (R4: Balancing loop. The leverage points highlighted the illegal distribution channel and steroid abuse. Conclusion and recommendations: The casual loop diagrams leads to the 2 measures for problem solving. They are monitoring the illegal distribution channel and raising awareness of steroid abuse by supporting community network.
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