The Effects of Health Literacy and Motivation Application Program on Alcohol Drinking Behavioral Reduction of Male Adolescents

  • อภิญญา ราชศรีเมือง คณะสาธารณสุขศาสตร์ มหาวิทยาลัยขอนแก่น
  • เกศินี สราญฤทธิชัย ผู้ช่วยศาสตราจารย์ คณะสาธารณสุขศาสตร์ มหาวิทยาลัยขอนแก่น
Keywords: Keyword: alcohol drinking behavior, health literacy, motivation, male adolescents



This quasi-experimental design study aimed to determine the effects of health literacy and motivation application program on alcohol drinking behavioral reduction of male adolescents. Study samples were 108 male adolescents, the aged of 17-19 years old. Stratified multi stage random sampling was done to obtain 54 male adolescents for comparison group and  54 male adolescents for experimental group. The program included the development of 6 dimensions of health literacy:                      1) accessing to qualify information, 2) understanding the information, 3) communication skill, 4) media literacy, 5) making decision, and 6) management on alcohol consumption reduction. This program was implemented with the experimental group to increase health literacy for 12 weeks. The instrument used in this study were 1) health literacy assessment questionnaire for the Thai 15 years old and over, 2) the 3E 2S health behavior questionnaires and 3) the Alcohol Use Identification Test (AUDIT). Descriptive statistics, mean difference, paired t-test, independent t-test with significance at 0.05 were used for data analysis.

The results showed that the experimental groups had higher score for all dimensions of health literacy after program implementation than before program implementation with statistical significant (mean difference= 35.53, 95% CI: 30.75 to 40.32; p < 0.001) and alcohol drinking behavioral reduction had lower score  for all dimensions with statistical significant (mean difference = -8.46, 95%CI : 7.48 ถึง -9.43; p <0.001). In addition, Health literacy in experimental group were also higher than comparison groups after program implementation with statistical significance (mean difference= 28.40, 95% CI: 23.49 to 33.32; p < 0.001). and alcohol drinking behavioral reduction had lower score for all dimensions with statistical significant (mean difference = 8.64, 95%CI : 7.48 ถึง 9.80; p <0.001)

It is suggested that the application of health literacy and motivation program can contribute to the reduction of alcohol assumption behavior of adolescents


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1. Kodchaphon lamphongphuang , Somdejpinitsoontorn. Prevalence of Alcohal Drinker in Udon Thani Province, 2015. Journal of Community Health Development Quarterly Khon Kaen University 2016; 4(3) : 427–441.
2. Kanlaya Sanothong, AnnJirapongsuwan, Arpaporn Powwatana and Sukhontha Siri, The Effects of Reduced Alcohol Consumption Behavior Program in Adulthood. Journal of Phrapokklao Nursing College 2018; 29(1) : 77–91.
3. Health Education Dvision Department Of Health Service Support Ministry Of Public Healt. ABCDE- Health Literacy Scale of Thai Adults. Nonthaburi: Health Education Dvision Department Of Health Service Support Ministry Of Public Healt; 2556.
4. Sermsak Khunpol. Center of Alcohol Studies. The media literacy for indirect advertising on social media marketing of alcohol beverages affects to youth drinking of undergraduated in Songkhla province. .[database on the Internet]. 2019 [cited 2019 May 20]. http://
5. Thapkhwan Srirattayawong, Sumalee Lirtmunlikaporn and Akeau Unahalekhaka. Development of a Community Participative Program for Alcohol Drinking Prevention among Secondary School Student. Nursing Journal 2012; 39(1) : 46–63.
6. Center of Alcohol Studies. Alcohol consumption situation report in Thai society 2015. Bangkok 2016.[database on the Internet]. 2019 [cited 2019 May 20].
7. Pannawit Piyaaramwong, Rungrawee Samawathdana and Aim-utcha Wattanaburanoon. Alcohol drinking prevention program management for lower secondary school female student in Bangkok. J Med Health Sci 2017; 24(1): 55–66.
8. Phiangphim Punrasi and Narongsak Noosorn. Alcohol Drinking Behavior amog Thai Women with Polices to Implement Reduction of Alcohol Consumption. EAU HERITAGE JOURNAL Science and Technology 2017; 11 (2) : 58–69.
9. Center of Alcohol Studies. What is the burden of alcohol on Thai society. [database on the Internet]. 2019 [2019 Sep 20].
10. Suramase Hashim, Rattana Lerdsuwansri and Ramidha Sridha. Factor Affecting to Senior High School Alcohol Drinking in Pathum Thani Province. Thai Journal of Science and Technology 2017; 6(1): 1-10.
11. Thomas F.Babor, John C. Higgins-Biddle, John B. Saunders & Maristela G. Monteiro.(2001). The alcohol use disorders identification test: guidelines for use in primary care, 2 edition 2001. Translate by Paritat Silpakit and Phunnapa Kittirattanapaiboon; 2009.