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The purposes of this study were to identify the prevalence of alcohol drinking and cigarette smoking and to analyze the factors related to alcohol drinking and cigarette smoking among hearing impaired adolescents. The Theory of Triadic Influence (TTI) was used as a conceptual framework. The 289 participants were hearing impaired male and female upper secondary school students studying in schools for the deaf. Data were collected with questionnaires. Descriptive statistical analysis and binary logistic regression with a 95% confidence intervnal were used to analyze the data. The results of the study showed that the prevalence of alcohol drinking and cigarette smoking among hearing impaired adolescents were 49.5% and 24.8% respectively. Factors related to alcohol drinking were attitude towards alcohol drinking (OR=5.63; 95%CI=2.843-11.129), offers of alcohol drinking (OR=17.94; 95%CI=7.637-42.132) and parental approval of alcohol drinking (OR=2.10; 95%CI=1.105-3.994). Factors related to cigarette smoking were gender (OR=2.36; 95%CI=1.001-5.564), attitude towards alcohol drinking (OR=3.50; 95%CI=1.514-8.095), peer smoking (OR=3.67; 95 %CI=199-11.245) and offers of smoking (OR=24.84, 95%CI=6.980-88.363). The study results contribute to the overall understanding and knowledge of alcohol drinking and smoking behaviors among hearing impaired adolescents. Accordingly, these findings will be useful to be as a guideline to plan and develop effective prevention programs tailored to the context of hearing impaired adolescents, in order to prevent them from alcohol drinking and cigarette smoking.
Areemit, R. (2016). Psychological and social development. In R. Areemit., S. In-iw., B. Manaboriboon., S. Hongsanguansri., S. Jaruratanasirikul (Eds.). Textbook of adolescent medicine (pp115-130). Nonthaburi: Parbpim.
Assanangkornchai, S. & Sainggam, D. (2019a). Changing the prevalence of alcohol drinking among youth before and after the Alcoholic Beverage Control Act B.E. 2008 announcement. In S. Assanangkornchai., S (Ed.), Facts and figures alcohol in Thailand 2016-2018 (pp. 30-33). Bangkok: Sahamit Pattana Printing.
Assanangkornchai, S. & Sainggam, D. (2019b). Prevalence and drinking behavior of Thai people 2017. In S. Assanangkornchai., S (Ed.), Facts and figures alcohol in Thailand 2016-2018 (pp. 8-14). Bangkok: Sahamit Pattana Printing.
Blum, R. W., Kelly, A., & Ireland, M. (2001). Health-risk behaviors and protective factors among adolescents with mobility impairments and learning and emotional disabilities. Journal of Adolescent Health, 28, 481-490.
Brice, P., & Strauss, G. (2016). Deaf adolescents in a hearing world: a review of factors affecting psychosocial adaptation. Adolescent Health, Medicine and Therapeutics, 7, 67-76.
Chun, J. (2015). Determinants of tobacco use among Korean female adolescents:Longitudinal test of the theory of triadic influence. Children and Youth Services Review, 50, 83-87.
Colder, C. R., Shyhalla, K., & Frndak, S. E. (2018). Early alcohol use with parental permission: Psychosocial chacteristics and drinking in late adolescence. Addictive Behaviors, 76, 82-87.
Department of Empowerment of Persons with Disabilities. (2019). The situation report of disabled people in Thailand: 31 December 2019. Retrieved from
Flay, B. R., Hu, F. B., & Richardson, J. (1998). Psychosocial predictors of different stages of cigarette smoking among high school students. Preventive Medicine, 27, A9-A18.
Flay, B. R., Hu, F. B., Siddiqui, O., Day, L. E., Hedeker, D., & Petratis, J. (1994). Differential influence of parental smoking and friends’ smoking on adolescent initiation and escalation of smoking. Journal of Health and Social Behavior, 35, 248-265.
Flay, B. R., & Petraitis, J. (1994). A review of theory and prospective research on the causes of adolescent tobacco onset: A report for the Robert Wood Johnson Foundation. Chicago: University of Illinois.
Homsin, P. (2015). Concepts and theories for practice: Smoking and alcohol drinking prevention among adolescents. Chon Buri: Chonburi printing.
Homsin, P., & Srisuriyawet, R. (2008). Smoking stages among adolescents in the eastern part of Thailand (study report). Burapha University.
Homsin, P., & Srisuriyawet, R. (2010). Beliefs, patterns, and factors related to alcohol drinking stages among Thai youths in Eastern region. The Public Health Journal of Burapha University, 5(2), 28-39.
Homsin, P., & Srisuriyawet, R. (2011). Risk factors of smoking stages among adolescents in the Eastern part of Thailand. J. NRCT(Soc), 43(1), 85-102.
Jankaew, J., Homsin, P., & Srisuriyawet, R. (2015). Factors related to smoking initiation among male students in lower secondary schools, Pathum Tani. Journal of Nursing Science Chulalongkorn University, 27, 99-109
Jarrett, T., & Pignataro, R. M. (2013). Cigarette smoking among college students with disabilities: National college health assessment II, Fall 2008-Spring 2009. Disability and Health Journal, 6, 204-212.
Jajrujit, S., Srisuriyawet, R., & Homsin, P. (2015). Factors associated with regular smoking among male vocational students in Chanthaburi province, Journal of Nursing and Education, 8(1), 59-71.
Leather, N. C. (2009). Risk-taking behaviour in adolescence: A literature review. Journal of Child Health Care, 13, 295-304.
Leelatanaporn, S. (2009). Behavioral problems in children with hearing impairement. Thai pediatric Journal, 16(1), 18-28.
Loke , A.Y., Mak, Y.W., & Wu, C. S. T. (2016). The association of peer pressure and peer affiliation with the health risk behaviors of secondary school students in Hong Kong. Public Health, 137, 113 -123.
Maggs, J. L., Staff, J., Patrick, M. E., Wray-Lake, L., & Schulenberg, J. E. (2015). Alcohol use at the cusp of adolescence: A prospective national birth cohort study of
prevalence and risk factors. Journal of Adolescent Health, 56, 639-645.
Mayhew, K. P., Flay, B. R., & Mott, J. A. (2000). Stages in the development of adolescent smoking. Drug and Alcohol Dependence, 59(Suppl.1), 61-81.
Merline, A., Jager, J., & Schulenberg, J. E. (2008). Adolescent Risk Factors for Adult Alcohol Use and Abuse: Stability and Change of Predictive Value across Early and Middle Adulthood. Addiction, 103(Suppl 1), 84–99
Nagarajan, V. D., & Okoli, C. T. C. (2016). A systematic review of tobacco use among adolescents with physical disabilities. Public Health, 133, 107-115. 2018, Retrieved from http://pubs.niaaa.nih.gov/punlications/arh283/125-132.htm.
Nazarzadeh, M., Bidel, Z, Ayubi, E., Bahrami, A., Jafari, F., Mohammadpoorasl, A.,Delpisheh, A., & Taremian, F. (2013). Smoking status in Iranian male adolescents: A cross-sectional study and a meta-analysis. Addictive Behaviors, 38, 2214-2218.
Niyomthum, S. (2008). Deafness: Psychology, education and social effects (4th ed). Bangkok: Van Kawn.
Obradors-Ria, N., Ariza, C., & Continente, X., & Muntaner, C. (2020). School and town factors associated with risky alcohol consumptionamong Catalan adolescents. Alcohol, 82, 71-79.
Parel, C. P., Caldito, G. C., Ferrer, P. L., De Guzman, G. G., Sinsioco, C. S., & Tan, R. H. (1973). Sampling design and procedures. Paper for the Research Training Program of the Philippine Social Science Council, Quezon city.
Park, S. E., Yoon, S., Yi, Y., Cui, W., & Nam, B. (2011). Prevalence and risk factors of adolescents smoking: Difference between Korean and Korean-Chinese. Asian Nursing Research, 5, 189-195.
Pavin, M. N., Srisuriyawet, R., & Homsin, P. (2014). Factors associated with smoking among male college students in Dhaka city, Bangladesh. Narasuan University Journal: Science and technology, 22, 69-79.
Peterson, C. C., O’Reilly, K., & Wellman, H. M. (2016). Deaf and hearing children’s development of theory of mind, peer popularity, and leadership during middle childhood. Journal of Experimental Child Psychology, 149, 146-158.
Pierce, J. P., Farkas, A. J., Evans, N., & Gilpin. (1995). An improved surveillance measure for adolescent smoking, Tobacco Control, 4, S47-S56.
Pitayarangsarit, S., & Pankrajang, P. (2018). Thailand tobacco consumption statistics report 2019. Bangkok: Charoen De Mankhong Kanphim.
Pruksananonda, C. (2016). Brain development and cognition in adolescents. In R. Areemit., S. In-iw., B. Manaboriboon., S. Hongsanguansri., S. Jaruratanasirikul (Eds.). Textbook of adolescent medicine (pp. 139-149). Nonthaburi: Parbpim.
Rosenberg, M. (1979). Conceiving the self. New York: Basic Books.
Sainggam, D. (2019). Access to alcoholic beverages and the drinking pattern of the Thai people. In S. Assanangkornchai., S (Ed.), Facts and figures alcohol in Thailand 2016-2018 (pp. 34-42). Bangkok: Sahamit Pattana Printing.
Sainggam, D., Pruphetkaew, N. (2016). .Alcohol drinking behaviors and health risk behaviours among secondary school students in Thailand. In U. Saengow., P. Vichitkunakorn., S. Assanangkornchai (Eds.), Facts and figures alcohol in Thailand (pp. 17-22). Bangkok: Center of alcohol studies.
Tonpornkrang, R., Homsin, P., & Srisuriyawet, R. (2015). Factors related to binge drinking among male vocational students in Surin province. Journal of Public Health nursing, 29(1), 29-42.
Tseng, F., Chen, K., Liu, C., Chen, W. J., & Chen, C. (2017). School district variation in parental influence on underage drinking behaviors. Journal of Adolescent Health, 61, 355-362.
Weber, A. L. (1992). Social psychology. New York: HarperPerennial.
Wingkamon, S., Homsin, P., & Srisuriyawet, R. (2017). Life assets and factors related to early smoking stage among male male upper primary school students, Kalasin province, Journal of Public Health Nursing, 31, 89-107.