Effect of Health Empowerment on Community Participation for Youth Substance Abuse Prevention in Communities in Three Southern Border Provinces

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Patimoh Nima
Lutfee Hajimad
Rosedee Lertariyapongkul


The participatory action research (PAR) aimed to explore the level of community participation, compare community participation in youth substance abuse prevention, and study the model for substance abuse prevention among youths in communities in three southern border provinces. The participants for the quantitative study were selected by random cluster sampling in each province: Yala, Pattani, and Narathiwat. They consisted of 342 participants,including community leaders, religious leaders, women leaders, youth leaders, public health volunteers, and religious scholars. Then 75 of 324 participants were selected for the qualitative research study. The research had been conducted for nine months. The data collection instruments included the Personal Information Questionnaire, the Community Participation in Prevention and Solution of Drug Problem Questionnaires and a semi-structured interview
guide for focus group discussions. Descriptive and paired t-test statistics were used to analyze quantitative data, and content analysis was used to analyze qualitative data. The results revealed that the overall of community participation of youth substance abuse prevention in communities in three southern border provinces was at a moderate level. The mean overall and subscales of
community participation scores after implementation of health empowerment were significantly higher than before implementation health empowerment. The model for success of youth substance abuse prevention in communities in three southern border provinces consisted of three models: the brother helping brother model, the community leaders as a leadership model, and the community committee model for youth substance abuse prevention in communities.Thus, healthcare providers and related personnel should use the concepts of health empowerment and community participation in preventing substance abuse among youths in communities.
Keywords: Health empowerment, Community participation, Youth substance abuse


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Nima P, Hajimad L, Lertariyapongkul R. Effect of Health Empowerment on Community Participation for Youth Substance Abuse Prevention in Communities in Three Southern Border Provinces. Rama Nurs J [Internet]. 2022 Apr. 22 [cited 2022 Aug. 8];28(1):127-42. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/247024


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