Understanding Causes of Multiple Risk Behaviors in Thai Male Adolescents from Multidimensional Perspectives: A Qualitative Study

Authors

  • Pimrat Thammaraksa Lecturer, Boromarajonani College of Nursing, Thailand.
  • Arpaporn Powwattana Associate Professor, Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand.
  • Sunee Lagampan Associate Professor, Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand.
  • Paranee Vatanasomboon Assistant Professor, Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Thailand.
  • Sarah Stoddard Assistant Professor, School of Nursing, University of Michigan, USA.

Keywords:

Adolescents, Contextual factors, Multiple risk behaviors, Males, Qualitative Descriptive

Abstract

           Multiple risk behaviors are of special concern worldwide and in Thailand. They have increased dramatically among male adolescents. Interestingly, many studies have highlighted only a single risk behavior without considering the importance of mutual relationship of this with other behaviors, and also have not included multiple perspectives from male adolescents, their parents and teachers. This qualitative descriptive study therefore aimed to explore the culturally-related factors causing multiple risk behaviors of Thai adolescents from different perspectives. Eleven focus groups comprising six groups of 25 male students with multiple risk behaviors, three groups of 16 parents, and two groups of ten teachers were held in a secondary school in eastern Bangkok. The data were analyzed by content analysis.
           The findings indicated the presence of three related themes: Individual issues including knowledge on risk behaviors prevention, attitude, self-efficacy, emotional intelligence, and time management; Family issues including family relationships and parental monitoring; and Environmental issues referring to two components, friends and school. Friend issues were pressure and motivation, whereas school issues related to regulation, atmosphere, and school as an unsafe place. The findings suggest that preventive intervention programs should address the influences at the individual level, as well as the contextual level. Nurses and other health professionals should understand the uniqueness of adolescents and their needs in order to reduce risk opportunities. Planning to reduce multiple risk behaviors within family and schools should be supported and encouraged among male adolescents and their families.

References

Biglan A, Brennan PA, Foster SL, Holder H. Helping adolescents at risk- prevention of multiple problem behaviors. London: The Guildford Press, 2004.

National Statistical Office Thailand. Health behavior/ health risk behavior. Number of population aged 15 years and over who smoked regularly by number of all tobacco products smoked per day, average of tobacco products smoked per day, age group, sex, area and region, 2017. C2019 [cited 2019 April]. Available from https://www.nso.go.th/sites/ 2014/Pages/News/2561/N30-08-61-2.aspx

Bureau of Reproductive Health, Ministry of Public Health. Fact sheet 2018 teenage pregnancy in Thailand. C2019 [cited 2019 April]. Available from https://rh.anamai. moph.go.th/download/all_file/index/situation/Fact Sheet@62.pdf

World Health Organization. WHO Country Cooperation Strategy Thailand 2017-2021 Nonthaburi: WHO SouthEast Asia Region.

Poonkum Y, Promprapat P, Pisanautchapong K, Samakkykarom R. Study the guidelines for promotion and protecting risk behaviors and health problem of adolescent. Nonthaburi:Ministry of Public Health, Department Bureau of Reproductive Health; 2010. p. 40.

MacArthur G, Kipping R, White J, Chittleborough C, Lingam R, Pasch K, Gunnell D, Hickman M, Campbell R. Individual, family-, and school-level interventions for preventing multiple risk behaviours in individuals aged 8 to 25 years. Cochrane Database of Systematic Reviews 2012, Issue 6. Art. No.: CD009927. DOI: 10.1002/ 14651858.CD009927.

de la Haye K, D’Amico EJ, Miles JNV, Ewing B, Tucker JS. Covariance among multiple health risk behaviors in adolescents. PLoS ONE. 2014; 9(5): e98141. doi:10. 1371/journal.pone.0098141

Jackson AJ, Henderson M, Frank JW, Haw SJ. An overview of prevention of multiple risk behaviors in adolescence and young adulthood. J Public Health. 2012;34(1):31-40. https://doi.org/10.1093/pubmed/fdr113

Jinruang S, Phuphaibul R, Jiawiwatkul U, Panitrat R. A phenomenological study of health-risk behaviors among Thai adolescents who drop-out from school. Pacific Rim Int J Nurs Res. 2017;21(3):195-205.

Connell CM, Gilreath TD, Hansen NB. A multiprocess latent class analysis of the co-occurrence of substance use and sexual risk behavior among adolescents. J Stud Alcohol. 2015;70(6):943-51. https://doi.org/10. 15288/jsad.2009.70.943

Mays D, Peshkin BN, Walker LR, Abraham AA, Hawkins KB, Tercyak KP. Patterns and correlates of multiple risk factors for adult-onset cancer among adolescents. J Child Health Care. 2012;16(3):250-62. https://doi.org/ 10.1177/1367493511430680

Sandelowski M. What’s in a name? Qualitative description revisited. Res Nurs Health. 2010;33(1):77–84. https:// doi.org/10.1002/nur.20362

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2): 105-12. https://doi.org/10.1016/j.nedt.2003.10.001

Lincoln YS, Guba EG. Naturalistic inquiry. Beverly Hills CA: Sage Publications; 1985.

Hair EC, Park MJ, Ling TJ, Moore KA. Risky behaviors in late adolescence: co-occurrence, predictors, and consequences. J Adolesc Health. 2009;45(3):253-61. https://doi.org/10.1016/j.jadohealth.2009.02.009

Faxun V. One life five precepts: Buddhist ethics for modern living [Internet]. Singapore: Shi Faxun; 2011 [cited 2017 Dec 5]. Available from: https://www.ethics.buddhist.sg.

Taywaditep KJ, Coleman E, Dumronggittigule P, Bishop R, Robinson LS. The continuum complete international encyclopedia of sexuality (CCIES). New York: The Continuum International Publishing Group; 2004. p. 1021-53.

Liu J, Zhao S, Chen X, Falk E, Albarracín D. The influence of peer behavior as a function of social and cultural closeness: A meta-analysis of normative influence on adolescent smoking initiation and continuation.Psychol Bull 2017;143(10):1082-115. https://doi.org/10. 1037 /bul0000113

Resurreccion DM, Salguero JM, Ruiz-Aranda D. Emotional intelligence and psychological maladjustment in adolescence: a systematic review. J Adolesc. 2014; 37(4):461–72.https://doi.org/10.1016/j.adolescence. 2014.03.012

Brackett MA, Mayer JD, Warner RM. Emotional intelligence and its relation to everyday behavior. Personal Individ Differ. 2004;36(6):1387-402. https://doi. org/10.1016/S0191-8869(03)00236-8

Miller BA, Byrnes HF, Cupp PK, Chamratrithirong A, Rhucharoenpornpanich O, Fongkaew W, et al. Thai parenting practices, family rituals and risky adolescent behaviors: alcohol use, cigarette use and delinquency. Int J Child Adol Health. 2011;4(4):367-78.

Al-Zalabani A, Kasim K. Prevalence and predictors of adolescents’ cigarette smoking in Madinah, Saudi Arabia: a school-based cross-sectional study. BMC Public Health. 2015; 15: 1-7. DOI 10.1186/s12889-015-1363-8

Dittus PJ, Michael SL, Becasen JS, Gloppen KM, McCarthy K, Guillamo-Ramos V. Parental monitoring and its associations with adolescent sexual risk behavior: A meta-analysis. Pediatrics. 2015; 136(6): e1587-99. doi:10.1542/peds.2015-0305.

Rhucharoenpornpanich O, Chamratrithirong A, Fongkaew W, Miller BA, Cupp PK, Rosati MJ, et al. Parent–teen communication about sex in urban Thai families. J Health Commun. 2012;17(4):380-96.

Berg N, Kiviruusu O, Karvonen S, Rahkonen O, Huurre T. Pathways from problems in adolescent family relationships to midlife mental health via early adulthood disadvantages – a 26-year longitudinal study. PLoS ONE. 2017; 12(5): e0178136. https://doi.org/10.1371/ journal.pone.0178136

Albert D, Chein J, Steinberg L. Peer influences on adolescent decision making. Curr Dir Psychol Sci. 2013;22(2):114-20. https://doi.org/10.1177/0 963721412471347

Loke AY, Mak YW, Wu CS. The association of peer pressure and peer affiliation with the health risk behaviors of secondary school students in Hong Kong. J Public Health. 2016;137:113-23. https://doi.org/10.1016/j. puhe.2016.02.024

United Nations Office on Drugs and Crime. Schools: school-based education for drug abuse prevention [Internet]. New York: United Nations Publications; 2004 [cited 2017 Nov 11]. Available from: https://www.unodc. org/pdf/youthnet/handbook_school_english.pdf.

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Published

2020-03-14

How to Cite

1.
Thammaraksa P, Powwattana A, Lagampan S, Vatanasomboon P, Stoddard S. Understanding Causes of Multiple Risk Behaviors in Thai Male Adolescents from Multidimensional Perspectives: A Qualitative Study. PRIJNR [Internet]. 2020 Mar. 14 [cited 2024 Apr. 25];24(2):274-87. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/189823

Issue

Vol. 24 No. 2 (2020): April-June 2020

Section

Original paper

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