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Construction Workers’ Drinking and Smoking Behavior: Research for Health Communication Planning

จอมขวัญ โยธาสมุทร; เชิญขวัญ ภุชฌงค์; ทรงยศ พิลาสันต์; กัลยา ตีระวัฒนานนท์; ศิริญญา ธีระอนันต์ชัย; รุ่งนภา คำผาง; รักมณี บุตรชน; ศรีเพ็ญ ตันติเวสส; ยศ ตีระวัฒนานนท์; Jomkwan Yothasamut; Choenkwan Putchong; Songyot Pilasant; Kanlaya Teerawattananon; Sirinya Teeraananchai; Roongnapa Khamphang; Rukmanee Butchon; Sripen Tantivess; Yot Teerawattananon;
Date: 2554-09
Abstract
This study is aimed at exploring the current situation concerning risk factors and behaviors that construction workers were facing at both individual and community levels as well as to examine existing health promotion interventions. This information was expected to be used for constructing useful recommendations for the development of existing and new interventions employing “social marketing” principles. Methods: The study began by employing qualitative methods. The research team was assigned to stay in a purposively selected construction camp for two months to collect data concerning lifestyles, social values, as well as risk behaviors and risk factors. Afterwards, a cross-sectional survey on issues of concern was implemented. Finally the data were analyzed and presented to the community representatives in focus group discussions. This was to verify and investigate explanations underpinning the findings; moreover, it was expected that such a payback method, including findings, would be beneficial to people in the communities. Results: It was found that one of the major risk behaviors observed in the study community was alcohol and tobacco consumption. Although the target group had a number of constraints in terms of purchasing power and time, they received relatively low payments for these excessive workloads; however, they were offered convenience and motivation to access alcohol and tobacco products. It was observed that legal interventions, i.e., restriction on alcohol-selling times did not perform effectively as the study population usually purchased these unhealthy products from small community groceries where there was a lack of inspections from police officers; besides, these workers rarely knew about this regulation. For those who had seen or known about the law, they still did not understand the reasons behind such a restriction on selling times. Strengthening law enforcement was therefore recommended by academics as a strategic solution. On the contrary, this study pointed out that the use of social marketing principles to communicate with the target group regarding the true purposes and relevant facts of the interventions tended to help increase the effectiveness of legal interventions. Conclusions: In order to develop suitable health promotion interventions for the target groups, health promoters needed to understand the context and develop ways to limit their access to unhealthy products. It was recommended that social marketing should initially be applied for promoting behaviors that are easy and require low cost to change, such as to stop drinking in certain periods of time. This is to offer reachable targets to the target group and once they achieve such a goal, they would be empowered to believe in their abilities, and this would help them to step up to overcome more difficult goals, such as to stop drinking or smoking altogether. The application of social marketing principles to existing legal interventions could help facilitate prompt behavior change, as well as maintain desired behaviors in the target populations.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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HSRI Knowledge BankDashboardCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjectsSubjectsการบริการสุขภาพ (Health Service Delivery) [619]กำลังคนด้านสุขภาพ (Health Workforce) [99]ระบบสารสนเทศด้านสุขภาพ (Health Information Systems) [286]ผลิตภัณฑ์ วัคซีน และเทคโนโลยีทางการแพทย์ (Medical Products, Vaccines and Technologies) [125]ระบบการเงินการคลังด้านสุขภาพ (Health Systems Financing) [158]ภาวะผู้นำและการอภิบาล (Leadership and Governance) [1281]ปัจจัยสังคมกำหนดสุขภาพ (Social Determinants of Health: SDH) [228]วิจัยระบบสุขภาพ (Health System Research) [28]ระบบวิจัยสุขภาพ (Health Research System) [20]

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