Predictive Factors of Alcohol Drinking Prevention Behaviors among Junior High School Students in Urban Chiang Mai
Keywords:
Alcohol drinking prevention behavior, Self-efficacy, Family support, Social factors, Junior high school studentsAbstract
Alcohol drinking affects significantly among youth in terms of physical development, mental health, and social behaviors. This predictive correlational research aimed to 1) investigate the relationships between personal factors, family factors, social factors, and self-efficacy in preventing alcohol consumption affecting alcohol drinking prevention behaviors among junior high school students in an urban Chiang Mai, and 2) identify the predictors of alcohol drinking prevention behaviors among these students. The samples were 430 junior high school students attending urban community schools in Chiang Mai Province recruited by multi-stage random sampling. The research instruments included 1) the Alcohol Knowledge Questionnaire, 2) the Opinions on Family Factors Questionnaire, 3) the Opinions on Social Factors Questionnaire, 4) the Self-Efficacy in Alcohol Drinking Prevention Questionnaire, and 5) the Alcohol Drinking Prevention Behaviors Questionnaire. The content validity indexes of 5 research instruments were .97, .97, 1.0, 1.0, and .97, respectively. The reliability value of the Alcohol Knowledge Test, using Kuder-Richardson 20 (KR-20), was .76. Cronbach’s Alpha Coefficients of research instruments 2-5 were .72, .80, .85, and .73, respectively. The statistics used for data analysis were percentage, mean, standard deviation, Pearson’s correlation coefficient, and Stepwise Multiple Regression Analysis.
Findings of this study revealed that the students had mean scores 7.9 (S.D.=1.1) on alcohol knowledge at a high level. The mean scores for overall of the family support, social support, selfefficacy in preventing alcohol consumption, and alcohol drinking prevention behaviors were at a high level namely 31.0 (S.D.=5.6), 47.6 (S.D.=8.0), 40.8 (S.D.=7.5), and 38.7 (S.D.=6.9), respectively. In addition, the factors predicting alcohol drinking prevention behaviors (p<.05) were self-efficacy (X1), social factors in the aspect of school supports (X2), and peers (X3) which collectively accounted for 49.6% of the variance in prevention behaviors (R2=.496, Adjusted R2=.486). The resulting regression equation was Y = 6.522 + 0.499(X1) + 0.239(X2) + 0.236(X3).
The research findings can be used as a baseline for schools and related networks to plan for projects or activities to promote effective alcohol drinking prevention behaviors among students. Schools and relevant networks should implement programs that foster, particularly, refusal skills and life skills within schools, along with building positive peer networks and family involvement for proper supervision.
References
World Health Organization. World health statistics 2023: monitoring health for the SDGs, Sustainable Development Goals. Geneva: World Health Organization; 2023.
Kang JG, Kim MS. Neuropsychological profile of college students who engage in binge drinking. Front Psychol. 2022;13:873654. doi:10.3389/fpsyg.2022.873654.
Thai Health Promotion Foundation, Center for Alcohol Studies. Alcohol is not an ordinary commodity. 2nd ed. Nonthaburi: The Grafico Systems; 2023. (In Thai).
Department of Health, Ministry of Public Health. Health Status of Students in Thailand 2021. Nonthaburi: Department of Health; 2022. (In Thai).
Wu J, Zhang C, Yin P, Wang L, Liu Y, Liu J. Global burden attributed to alcohol and drug use among adolescents and young adults, 1990–2019. BMJ Open. 2024;14(6):e093412. doi:10.1136/bmjopen-2024-093412.
Albaladejo-Blázquez N, Climent-Adelantado E, Belda-Lois JM, Riquelme-Pérez M. Too young to pour: the global crisis of underage alcohol use. Front Public Health. 2024;12:1598175. doi:10.3389/fpubh.2024.1598175.
Prasartpornsirichoke J, Kalayasiri R, Vichitkunakorn P, Saekhom S, Kaewmungkun N, Tangamornsuksan W. Association of supply sources of alcohol and alcohol-related harms in adolescent drinkers: the baseline characteristics of a high school cohort across Thailand. BMC Public Health. 2022;22(1):2277. doi:10.1186/s12889-022-14767-5.
Ivaniushina V, Titkova V. Peer influence in adolescent drinking behavior: a meta-analysis of stochastic actor-based modeling studies. PLoS One. 2021;16(4):e0250169. doi:10.1371/journal.pone.0250169.
Srisaeng P. Factors predicting alcohol drinking prevention behavior among Thai secondary school students. Journal of Nursing Science and Health. 2022;45(1):33–45. (In Thai).
Pramaunururut P, Anuntakulnathee P, Wangroongsarb P, Vongchansathapat T, Romsaithong K, Rangwanich J, et al. Alcohol consumption and its associated factors among adolescents in a rural community in central Thailand: a mixed-methods study. Scientific Reports. 2022;12(1):19605. doi:10.1038/s41598-022-24243-0. (In Thai).
Gázquez Linares JJ, Barragán Martín AB, Molero Jurado MM, Simón Márquez MM, Pérez-Fuentes MC, Martos Martínez Á, et al. Perception of parental attitudes and self-efficacy in refusing alcohol drinking and smoking by Spanish adolescents: a cross sectional study. Int J Environ Res Public Health. 2023;20(1):808. doi:10.3390/ijerph20010808.
Kuang H, Zhang S, Xu Y. Parental support, self-efficacy, and alcohol refusal among early adolescents. Subst Use Misuse. 2021;56(3):415–22. doi:10.1080/10826084.2020.1866346.
Bandura A. Self-efficacy: The exercise of control. New York: W.H. Freeman and Company; 1997.
Sopajorn W, Poonphon P, Khamcharoen A, Khammanat Y, Phongtao P. Self-efficacy in avoiding alcohol consumption among Thai adolescents. Journal of Humanities and Social Sciences, Mahamakut Buddhist University Isan Campus. 2023;4(3):86–98. (In Thai).
Singkham P, Jaitae S, Rattanapunya S. Self-efficacy effect on drinking refusal skills of secondary school students in Phayao Province. Disease Control Journal. 2020;46(1):42–51. (In Thai).
Department of Mental Health. Thai Youth Health Behavior Report 2023. Nonthaburi: Ministry of Public Health; 2023. (In Thai).
Chen X, Liu Y. Reducing alcohol consumption among adolescents: intervention strategies by Chinese healthcare professionals. BMC Public Health. 2022;22(1):2277. doi:10.1186/s12889-022-14767-5.
Cochran WG. Sampling techniques. 3rd ed. New York: John Wiley & Sons; 1977.
Little RJ, Rubin DB. Statistical analysis with missing data. 3rd ed. Hoboken (NJ): John Wiley & Sons; 2019.
Bandura A. Social cognitive theory of mass communication. Media Psychol. 2001;3(3):265–99. doi:10.1207/S1532785XMEP0303_03.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nurse' Association of Thailand Northern Office

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของสมาคมพยาบาลแห่งประเทศไทยฯ สาขาภาคเหนือ
เนื้อหาและข้อคิดเห็นใดๆ ที่ตีพิมพ์ในวารสารสมาคมพยาบาลฯ ถือเป็นความรับผิดชอบของผู้เขียนเท่านั้น ผู้เขียนบทความต้องศึกษารายละเอียดหลักเกณฑ์การจัดทำต้นฉบับตามที่วารสารกำหนด และเนื้อหาส่วนภาษาอังกฤษต้องได้รับการตรวจสอบจากเจ้าของภาษามาแล้ว