Western journal of nursing research · 2026
The Role of Alcohol-Related Media Exposure on Rural Thai Adolescents' Drinking Intention: A Structural Equation Modeling Approach.
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Kantawong Eakachai, Kao Tsui-Sui Annie, Robbins Lorraine B, Ling Jiying, Anderson-Carpenter Kaston
Аннотация
BACKGROUND: Alcohol-related media exposure is strongly associated with adolescents' psychosocial factors, but the mechanisms underlying drinking intention and potential sex differences remain unclear.
OBJECTIVES: This cross-sectional study examined the associations between alcohol-related media exposure and rural Thai adolescents' drinking intention, focusing on psychosocial mediators-perceived drinking norms, attitudes, and perceived behavioral control-and the moderating role of biological sex.
METHODS: A total of 474 rural Thai adolescents (mean [±SD] age: 14.54 ± 0.92; 50.63% male) from 8 public district schools in Chiang Mai Province, Thailand, completed a self-administered survey. Data were analyzed using structural equation modeling with weighted least squares and variance-adjusted estimator.
RESULTS: Attention to pro-drinking messages was significantly associated with adolescents' perceived drinking norms (β = 0.76, P < .001), attitudes (β = 0.72, P < .001), and perceived behavioral control (β = -0.66, P < .001), which in turn were associated with greater drinking intention. Mediation effects were similar across sexes, but the negative effect of exposure on perceived behavioral control was stronger for males (βmale = -0.76 vs βfemale = -0.58).
CONCLUSION: Pro-drinking message attention was strongly associated with adolescents' drinking intention, mainly through perceived drinking norms and perceived behavioral control. Nurse-led prevention should enhance media literacy and strengthen adolescents' control over alcohol use.
OBJECTIVES: This cross-sectional study examined the associations between alcohol-related media exposure and rural Thai adolescents' drinking intention, focusing on psychosocial mediators-perceived drinking norms, attitudes, and perceived behavioral control-and the moderating role of biological sex.
METHODS: A total of 474 rural Thai adolescents (mean [±SD] age: 14.54 ± 0.92; 50.63% male) from 8 public district schools in Chiang Mai Province, Thailand, completed a self-administered survey. Data were analyzed using structural equation modeling with weighted least squares and variance-adjusted estimator.
RESULTS: Attention to pro-drinking messages was significantly associated with adolescents' perceived drinking norms (β = 0.76, P < .001), attitudes (β = 0.72, P < .001), and perceived behavioral control (β = -0.66, P < .001), which in turn were associated with greater drinking intention. Mediation effects were similar across sexes, but the negative effect of exposure on perceived behavioral control was stronger for males (βmale = -0.76 vs βfemale = -0.58).
CONCLUSION: Pro-drinking message attention was strongly associated with adolescents' drinking intention, mainly through perceived drinking norms and perceived behavioral control. Nurse-led prevention should enhance media literacy and strengthen adolescents' control over alcohol use.