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Community-based Model Development for Cannabis Abuse Prevention

อภินันท์ อร่ามรัตน์; Apinun Aramrattana; วัชรพงศ์ พุ่มชื่น; Watcharapong Poomchuen; เกรียงไกร พึ่งเชื้อ; Kriengkrai Peungchuer;
Date: 2567-09
Abstract
Introduction From proceeding of the ministry of public health’s declaration about defining narcotic name in category 5, B.E. 2565 and the ministry of public health’s declaration about controlled herbs (cannabis), B.E. 2565, these affected to any extract from cannabis or hemp are not classified to narcotic category 5 according to the Narcotic Code, the citizens can cultivate, purchase and freely possess. There is cannabis sales and various products widely which affects to users’ health, especially children and youth users. It also affects to social peace besides using cannabis for medical way by “safe space” model that is the necessary thoughts which brings to prevention and reduction of violent narcotic problems in community by setting the creative activity field for family, relatives and neighbors in order to make participating in activities and leading to narcotic problems reduction. The major objectives of Community-based model development for cannabis abuse prevention are 1) to improve and empower the latency in community for setting the cannabis abuse problem and effects preventing field. 2) to develop knowledge and make model field from acting community-based model for cannabis abuse prevention. 3) to develop finding solution of cannabis abuse problems by using creative methods for Thai community. 4) to develop proposals to participatory public policy either local class and national class. The minor objective of Community-based model development for cannabis abuse prevention is to extend to development scales to other narcotics which also have problems in local class during setting developing goals. Procedure This community-based model development for cannabis abuse prevention project used the collaborative action research process and has the field goal in community-based model development for cannabis abuse prevention. The researchers selected 4 village spaces/ communities such as Bangkok (the city community), Ratchaburi province (the ethnic community in frontier space), Sakon Nakorn province (the semi-city community) and Lamphun province (the countryside path community). There were communities as a following volunteer contextually and doing study either quantity and quality which has the population and example group are the community leader and the target citizens on the area such as the community / village leader, the public health volunteer, the village/ community referee, the director/ the agent of the health promotion hospital/ public health centre, the patient who got cannabis effects, youths on the area and also the agriculturist as the cannabis grower/ generator. The result The cannabis situation on the area From investigating the 600 households and 1,830 example cases on 4 regions such as Bangkok, Ratchaburi, Sakon Nakhon and Lamphun province, we found that there were using cannabis in the household 41.2 percents, cultivating cannabis in households 13.7 percents. The number of cannabises growing in household was 1 plant to maximum 12 plants growing. The reasons of household cannabis cultivating were using as mixing cancer medicine which boiling to be liquid, cultivating in the big basket behind their house, cultivating for flower sale to customer who making purchase for rolling cigarette product and also cultivating for beauty because they just looked it like one of the flower plants. From investigating 1,830 example cases who had alcoholic behaviour, cigarette smoking and cannabis using found that there were alcohol drinkers in 29.2 percents, cigarette users in 23 percent, ever used cannabis users in 23.3 percents and users who experienced on cannabis a year ago in 89.7 percents. When we analyzed on the users’ detail about cannabis usage classifieds by sexual and age group showed that using cannabis mixed on food was the highest rate 14.09 percents; 58.5 percents was male and 41.5 was female, the next way was drinking tea with mixed cannabis 7.59 percents; 47.5 percents was male and 52.5 percents was female, using cannabis by cigarette rolling in 100 cases 5.46 percents; 85 percents was male and 15 percents was female and using cannabis by marijuana hookah 1.42 percents; 92.3 percents mostly was male. The highest rate of cannabis usage was mixing up food for consuming which was in the same period time of freedom cannabis policy that they can use it. From a-year-ago used cannabis users showed that ages ranged from 15-87 years, the average age was 46.7 years (SD=16.0) and the under 4 years cannabis using on 58.7 percents or we can imply that they just lately started using cannabis and they were under 2-year-ago cannabis users which is higher than 1 of 4 or 26.9 percents. There was given information by 237 of cases about cannabis effects, we found that the 34.59 percents had hypersomnia symptoms, addicting to any sweets 21.51 percents, dizzy symptoms on 13.92 percents, having xerostomia 13.92 percents, having Hyperventilation symptoms on 8.43 percents, being frustrated on 3.79 percents, having pink eye symptoms on 2.10 percents and 1.68 percent was having high blood pressure symptoms. Furthermore, there was the report from the Bangkok area about dizzy symptoms occurring to the people nearby from cannabis smoker. Creative activity in the area From surveying both quantity and quality data through group discussing, these lead to design the rules for safe cannabis using, effects protection from cannabis using and activities with latency, promoting and protecting cannabis using problem in the contextual area. The community start doing creative activity in the area for people latency promoting in knowledge, health and relationship which lead community improve steadily with cooperation on problems protecting in their community including narcotics and cannabis abuse. Each communities proceed activity such as promoting health by doing sport, youth latency promoting in various dimensions, making knowledge about narcotics, being the leader, knowing online media and making online creative medias. There are also activities promoting local tradition which lead to mental health care by these creative activities such as 1) community discovering 2) the latency promoting for youth camp 3) Thai nail dance for depression safety 4) the project of promoting sport skills and physical health in every age 5) creating online social media skills on YouTube (being YouTuber) Community charter There are details appearing in the community charter for controlling and cannabis abuse prevention following important details such as specification, limitation, prohibition and supporting which has limitation on using, producing and cannabis sale only. There is also other narcotics or abuse behaviour. Furthermore, there is duty or responsibility setting and performing guideline through community understanding following details below; 1) Specify role or duty for controlling, cultivating amount check and seeking for behaviour controlling to people in the community especially youths which are supported creatively. 2) Limit the amount of cannabis cultivating in each household for 3-8 units surveying every 3 months. Cut off when the limit is over. 3) Stop sales and distribution of cannabis to children and youths, also mixing with food. Moreover, there is the regulation of alcohol drinking, analgesics which has fine or breaking of community’s cooperation. 4) Support the cooperation, creative activity management and managing on risk unlawful assemble area. From doing creative activity of each community and village rules or community charter for cannabis abuse preventing, we can proceed successfully by having creativity of community. People in community need to have the same way of vision which is pointing problem of using abuse cannabis in the same way and aim at activity profits doing with safe. Also, there is community rules setting by people and get acceptation together. There is managing creative activity for people’s need in various sexual and ages leading to long-term managing. “Start in community, For community, By need community”
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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