Abstract:
Purpose: This Mix Method Research has four objectives: 1) To study the youth’s smoking behaviors; 2) To examine the family and community functions for youth’s smoking prevention and reducing youth’s smoking; 3) To develop youth’s smoking prevention guideline by family and community participations; 4) To develop youth’s smoking reduction guideline by family and community participations. Design: This Mix Method Research. Methods: A sample of 257 Thai youths in Suphanburi province aged 13-19 years was recruited by randomly selected sampling. Data were obtained from questionnaires completed by 257 Thai youths. The frequency and percentage were used to describe the youth’s smoking behaviors and the family and community functions for youth’s smoking prevention and reducing youth’s smoking. Then, 93 participants including youths, parents and neighborhoods were purposive selected into the nine focus groups for developing the guideline of youth’s smoking prevention and reducing youth’s smoking by family and community participations. After content analysis from nine focus groups were synthesized, two communities meeting were performed for revising the guideline. Main findings: Five themes were revealed for youth’s smoking prevention guideline: family monitor, family role model, building warm family, smoking health education, and exercise. Moreover, five reducing youth’s smoking guidelines including punishment, enhancing strong family relationship, smoking health education, exercise, and creating smoking law in community. Conclusion and recommendations: Family members emerged as an important source of preventing youth smoking. Therefore, effective preventing youth’s smoking intervention should start at family. However, community participation should be promote for youth’s smoking cessation. The findings have implications for multidisciplinary health care providers, teams and policy makers seeking to control youth’s smoking. More research is needed to understand the knowledge of smoking health education and exercise that are protective for youth’s smoking and how to design efficacious interventions focused on both controlling family smoking behaviors, and enhancing parent and community monitoring skills.