Patterns and perception of alcohol drinking among the Lahu people, Northern Thailand

Detpitukyon, Sudkhed; Apidechkul, Tawatchai; Sunsern, Rachanee; Anuwatnonthakate, Amornrat; Singhhorn, Onnalin; Putsa, Bukhari; Thutsanti, Phitnaree

doi:10.1108/jhr-05-2018-020

Cited by 10 publications

(15 citation statements)

References 14 publications

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“…Males preferred drinking local whisky over other beverages. Drinking alcohol was symbolic because it showed strong physical health and readiness to be a community leader [48]. In terms of the prevalence of alcohol use, we also found that the older age category had a higher prevalence than the younger age categories.…”

Section: Discussionmentioning

confidence: 57%

“…However, in our study, we found that males tended to use alcohol more than females, which might be due to social norms. Most hill tribe people have fewer males than females [48]. Thus, increased acceptance of male but not female alcohol use was not our expectation.…”

Section: Discussionmentioning

confidence: 96%

“…However, in the multivariate analysis, Buddhists had 1.88 greater odds of alcohol use than Christians. Many religious rituals are related to alcohol use among the Akha and Lahu [48], which may impact the initiation of alcohol use, particularly in males. However, several studies have reported that religion played a role as a protective factor against the initiation of alcohol use [52, 53].…”

Section: Discussionmentioning

confidence: 99%

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Factor associated with alcohol use among Lahu and Akha hill tribe youths, northern Thailand

Singkorn

Apidechkul

Putsa

et al. 2019

Subst Abuse Treat Prev Policy

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BackgroundAlcohol use impacts several dimensions, including physical health, mental health, families, and social interactions. This study aimed to estimate the prevalence and to determine the factors associated with alcohol use among Akha and Lahu hill tribe youths in Chiang Rai, Thailand.MethodsAn analytic cross-sectional design was applied to obtain key data on these associations. The study sample was Akha and Lahu hill tribe youths aged 15-24 years who lived in 30 selected hill tribe villages. A questionnaire was developed from an in-depth interview and group discussion and tested for validation and reliability before use. Descriptive statistics were used to demonstrate the general characteristics, and Chi-square test and logistic regression were used to detect associations between variables at α=0.05.ResultsA total of 737 subjects were recruited into the study, of whom 50.0% were Lahu. The average age was 17.9 years, 80.7% were single, 71.1% were Christian, 65.9% graduated secondary school, and 65.7% had their major source of income from their parents. Overall, 17.3% smoked and 45.0% drank alcohol. Among the drinkers, 79.8% drank beer, 61.5% started drinking at an age of 15-19 years, 86.8% had drank for < 5 years, 42.5% were persuaded to drink by their peers, 20.2% suffered an accident after alcohol use, and 17.2% had experienced unsafe sex after drinking alcohol. In the multiple logistic regression, six variables were associated with alcohol use among the Akha and Lahu youths. Males had greater odds of alcohol use than females (ORadj = 3.50, 95% CI = 2.24-5.47). Buddhists had greater odds of alcohol use than Christians (ORadj = 1.88, 95% CI = 1.17-3.04). Participants who were unemployed, employed, and in other categories of occupation had greater odds of alcohol use than those who were students (ORadj = 2.20, 95% CI = 1.23-3.92; ORadj = 6.89, 95% CI = 3.38-13.89; and ORadj = 2.96, 95% CI = 1.01-8.59, respectively). Participants whose fathers were daily wage workers had greater odds of alcohol use (ORadj = 2.89; 95% CI = 1.23-6.79) than those whose parents worked in agriculture, and those whose fathers used alcohol had greater odds of alcohol use than those whose fathers did not use alcohol (ORadj = 2.17, 95% CI = 1.40-3.35). Finally, those who had 6-10 and ≥ 11 close friends living in the same village who used alcohol had greater odds of alcohol use (ORadj = 8.51, 95% CI = 3.10-23.3; and ORadj = 3.84, 95% CI = 1.15-12.77, respectively).ConclusionTo reduce the initiation of alcohol use among Akha and Lahu youths, public health intervention programs should focus on males who are not attending school and should be implemented for both their family members and peers.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Factor associated with alcohol use among Lahu and Akha hill tribe youths, northern Thailand

Singkorn

Apidechkul

Putsa

et al. 2019

Subst Abuse Treat Prev Policy

Self Cite

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“…Faktor yang menyebabkan mereka mengkonsumsi alkohol karena pengaruh tingkat pendapatan, perilaku orang tua, pengaruh teman sebaya, rasa dan adaptasi budaya. ( Detpitukyon, S., Apidechkul, T., Sunsern, R., Anuwatnonthakate, A., Singhhorn, O., Putsa, B., & Thutsanti, 2018). Hal yang sama juga menyatakan tentang pengaruh budaya dalam kehidupan sosial.…”

Section: Pengaruh Budaya Terhadap Pola Konsumsiunclassified

Studi Kualitatif Pola Konsumsi Masyarakat Kota Jambi pada Bulan Ramadhan Berdasarkan Faktor Sosial

Habriyanto

2019

Ekonomis

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This research is related to a qualitative study relating to the consumption patterns of the Jambi city community in the month of Ramadan relating to the qualitative influence of social factors on consumption patterns. The research motive uses quality research with questionnaire data collection tools and analyzed descriptively. The results showed that the Jambi city community had made family, friends and print and electronic media as a reference in consuming during the month of Ramadan. Meanwhile the provision of consumption for Eid is largely determined by the condition of the social class in society. Then the things that shape consumption patterns in the month of Ramadan are culture such as the provision of ta`jil, preparation for Eid consumption, going home and giving gifts to relatives.

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“…They are classified into six main tribes: Akha, Lahu, Hmong, Yao, Lisu, and Karen [35]. Each tribe has their own culture, lifestyle, and level of acceptance for the use of alcohol and substances in their communities [36]. Most hill tribe people are of low socioeconomic status, and some of them do not possess Thai identification cards (ID cards), which are used for free access to all public services, including education and health care systems [37].…”

Section: Introductionmentioning

confidence: 99%

Sexual behaviors and seroprevalence of HIV, HBV, and HCV among hill tribe youths of Northern Thailand

Apidechkul

2019

BMC Public Health

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Background Sexual behaviors reflect the degree of exposure to human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV), especially in people in sexually active stages, such as youths. Hill tribe people have their own cultures, beliefs and lifestyles related to their behaviors, including sexual behaviors, which may lead to HIV, HBV, and HCV infections, especially among youths. The study aimed to examine sexual behaviors and assess the seroprevalence of HIV, HBV, and HCV among hill tribe youths. Methods A cross-sectional study was conducted. The participants were recruited from 60 randomly selected hill tribe villages in Chiang Rai Province, Thailand. A validated questionnaire and 5 mL blood specimens were used to collect data. Data were collected by a self-reporting method. Rapid immunochromatographic tests were used to detect hepatitis B surface antibody (anti-HBs), hepatitis B surface antigen (HBsAg), hepatitis C antibody (anti-HCV), and human immunodeficiency virus antibody-I and- II (anti-HIV-1 and -2). Chi-square and Fisher’s exact test were used to detect the associations between variables. Results A total of 1325 participants were recruited for the analysis. The majority were females (60.5%) and aged 15–17 years (58.9%). A total of 14.5% smoked, 22.4% drank alcohol, 14.2% were tattooed, and 61.4% had their ears pierced. Among the 30.3% who had sexual experience, 42.0% experienced one-night stands, 26.9% had sexual contact with a prostitute within 1 year prior to the study, 18.9% used alcohol prior to having sexual intercourse, and 15.7% had been tested for HIV/AIDS previously. Among males, 11.5% were males who had sex with males (MSM), and 4.6% were bisexual. Among females, 83.0% were females who had sex with males, and 5.0% were females who had sex with females. Different sexes and tribes were found to have significantly different risk behaviors and sexual behaviors, such as overall males having a greater proportion of sexual experience than females, and Lahu, Akha and Hmong had a higher proportion of sexual experience, having sexual experience with one-night stands, and having sexual experience with a prostitute 1 year prior to the study than others. Among the 836 obtained blood samples, none were positive for anti-HIV-I and -II, 6.4% were positive for anti-HBs, 1.9% were positive for HBsAg, and 0.2% were positive for anti-HCV. Conclusion Hill tribe youths in Thailand are at risk of STIs such as HBV and HCV infections according to their risk behaviors and sexual behaviors, which differ between sexes and tribes. Effective behavioral interventions should be promoted among hill tribe youths to minimize the risk for these diseases in the future.

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Patterns and perception of alcohol drinking among the Lahu people, Northern Thailand

Cited by 10 publications

References 14 publications

Factor associated with alcohol use among Lahu and Akha hill tribe youths, northern Thailand

Factor associated with alcohol use among Lahu and Akha hill tribe youths, northern Thailand

Studi Kualitatif Pola Konsumsi Masyarakat Kota Jambi pada Bulan Ramadhan Berdasarkan Faktor Sosial

Sexual behaviors and seroprevalence of HIV, HBV, and HCV among hill tribe youths of Northern Thailand

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