Normalization and De-normalization Concepts Affecting Thais’ Health Perceptions and Behaviors: A Literature Review

Main Article Content

Kirati Kachentawa

Abstract

 The purpose of this study therefore aimed to conduct a literature review on how normalization and de-normalization concepts affect health perceptions and behaviors, following that the author offered recommendations that might be implemented for Thais in form of synthesized model. The author employed the purposive sampling technique from research and scholarly journals that researched the Thai population and were published in widely recognized national, as well as international databases in online format between 2020 and 2024. Ultimately, the 12 articles met the inclusion were selected. A review of relevant research papers revealed that the normalization of antibiotic usage behavior, e-cigarette smoking among Thai youth, alcohol consumption and feminine identity, and cannabis use among Thai youth were reconstructed, such as “Antibiotics can kill viruses,” “Antibiotics are anti-inflammatory drugs,” E-cigarettes vape are less risky than traditional cigarettes smoking,” “Using e‑cigarettes can help stop smoking,” “Alcohol women users symbolize the assertion of freedom,” “Cannabis can cure cancer,” “Cannabis makes people forget about their worries,” and “Cannabis use for generalized anxiety disorder and alleviate insomnia symptom,”  To deconstruct normalized norms and reconstruct proper health perceptions and behaviors, the government, public health professionals, and relevant health agencies should communicate neutrally and comparatively the potential dangers of these products if they consumed excessively or misused, in comparison with existing products.

Article Details

Section
บทความวิชาการ

References

Ajzen, I. (2020). The theory of planned behavior: Frequency asked questions. Human Behavior and Emerging Technologies, 2(4), 314-324.

Alamar, B., & Glantz, S. A. (2006). Effect of increased social unacceptability of cigarette smoking on reduction in cigarette consumption. American Journal of Public Health, 96(8), 1359–1362.

Apisarnthanarak, A., & Mundy, L. M. (2008). Correlation of antibiotic use and antimicrobial resistance in Pratumthani, Thailand, 2000 to 2006. American Journal of Infection Control, 36(9), 681–682.

Asbridge, M., Valleriani, J., Kwok, J., & Erickson, P. G. (2016). Normalization and denormalization in different legal contexts: Comparing cannabis and tobacco. Drugs: Education, Prevention and Policy, 23, 212 - 223.

Assanangkornchai, S., & Vichitkunakorn, P. (2020). Does drinking initiation of young Thai drinkers vary over time and generation? Results of the national surveys on tobacco and alcohol consumption of the Thai populations 2007 to 2017. Alcoholism: Clinical and Experimental Research, 44(11), 2239–2246.

Assanangkornchai, S., Thaikla, K., Talek, M., & Saingam, D. (2022). Medical cannabis use in Thailand after its legalization: A respondent-driven sample survey. PeerJ, 10, e12809.

Caluzzi, G., Livingston, M., Holmes, J., MacLean, S., Lubman, D. I., Dietze, P., Vashishtha, R., Herring, R., & Pennay, A. (2022). Response to commentaries: (De)normalization of drinking and its implications for young people, sociality, culture and epidemiology. Addiction (Abingdon, England), 117(5), 1217–1219.

Carpenter, C. J. (2010). A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Communication, 25(8), 661–669.

Center of Alcohol Studies (2022). Patterns and tendencies of alcohol drinking behavior of the Thai population. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://cas.or.th/wp-content/uploads/2022/05/FF-chapter-1-For-Print.pdf. (in Thai).

Champion, V. L., & Skinner, C. S. (2008). The health belief model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (pp. 45–65). Jossey-Bass.

Doswell, W. M., Braxter, B. J., Cha, E., & Kim, K. H. (2011). Testing the theory of reasoned action in explaining sexual behavior among African American young teen girls. Journal of Pediatric Nursing, 26(6), e45–e54.

Dumbili, E. W. (2020). Cannabis normalization among young adults in a Nigerian city. Journal of Drug Issues, 50(3), 286-302.

Emerson, E. (1992). What is normalisation? In H. Brown, & H. Smith (Eds.), Normalisation: A reader for the nineties (pp. 1–18). Tavistock/Routledge.

Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). Jossey-Bass.

Hfocus. (2022, December 27). The Addiction Research Center revealed the proportion of children under 20 using cannabis within 3 years has increased tenfold. https://www.hfocus.org/content/2022/12/26694. (in Thai).

Kachentawa, K. (2023). Media literacy (2nd ed.). Ramkhamhaeng University. (in Thai).

Kaewthep, K. & Hinviman, S. (2017). The stream of theorists: Political economy and communication studies. Intanil. (in Thai).

Kalayasiri, R., & Boonthae, S. (2023). Trends of cannabis use and related harms before and after legalization for recreational purpose in a developing country in Asia. BMC Public Health 23, 911.

Kelly, B. C., Vuolo, M., Frizzell, L. C., & Hernandez, E. M. (2018). Denormalization, smoke- free air policy, and tobacco use among young adults. Social Science & Medicine (1982), 211, 70–77.

Kenney, S. R., Anderson, B. J., Bailey, G. L., & Stein, M. D. (2019). Drug use-related normative misperceptions and behaviors among persons seeking heroin withdrawal management. Journal of Addiction Medicine, 13(3), 215–219.

Klinsophon, T., Thaveeratitham, P., & Waongenngarm, P. (2023). Factors associated with the use of electronic cigarettes among youths. Journal of Medical Sciences, 43(6), 252-257.

Levine, J. (2018). Cannabis discourse: Facts and opinions in context. Amazon Digital Services LLC - KDP Print US.

Månsson, J. (2016). The same old story? Continuity and change in Swedish print media constructions of cannabis. Nordic Studies on Alcohol and Drugs, 33(3), 267-286.

Montaño, D. E., & Kasprzyk, D. (2008). Theory of reasoned action, theory of planned behavior, and the integrated behavioral model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (4th ed., pp. 67–96). Jossey-Bass.

Pangtis, O., Chaiyun, S., & Ratipan, T. (2023). Alcohol drinking and feminine identity among female college students: An interpretative phenomenological analysis. Thai Journal of Clinical Psychology, 54(2), 32-45. (in Thai).

Parker, H. (2005). Normalisation as a barometer: Recreational drug use and the consumption of leisure by younger Britons. Addiction Research & Theory, 13, 205–215.

Parker, H., Aldridge, J., & Measham, F. (1998). Illegal leisure: The normalisation of adolescent recreational drug use. Routledge.

Parker, H., Williams, L., & Aldridge, J. (2002). The normalization of sensible recreational drug use: Further evidence from the north west England longitudinal study. Sociology, 36(4), 941–964.

Patanavanich, R., Aekplakorn, W., Glantz, S. A., & Kalayasiri, R. (2021). Use of e-cigarettes and associated factors among youth in Thailand. Asian Pacific Journal of Cancer Prevention, 22(7), 2199–2207.

Pongsavee, K., & Manee-in, M. (2023). Alcohol consumption behaviors of undergraduate Thai students: A systematic review of the literature 2018 – 2022. Health Science Journal of Thailand, 6(1), 83-89. (in Thai).

Romo-Avilés, N., Marcos-Marcos, J., Tarragona-Camacho, A., Gil-García, E., & Marquina-Márquez, A. (2018). “I like to be different from how I normally am”: Heavy alcohol consumption among female Spanish adolescents and the unsettling of traditional gender norms. Drugs: Education, Prevention and Policy, 25(3), 262–272.

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175–183.

Rost, M. (2021). To normalize is to impose a requirement on an existence. Why health professionals should think twice before using the term “Normal” with patients. Bioethical Inquiry 18, 389–394.

Sæbø, G., & Scheffels, J. (2017). Assessing notions of denormalization and renormalization of smoking in light of e-cigarette regulation. The International Journal on Drug Policy, 49, 58–64.

Saengungsumalee, S., Tantipiwattanasakul, K., Prajaknate, P., Pongthananikorn, S., & Thongtae, N. (2024). Factors associated with irrational antibiotic use behaviour among social media users in Thailand. Journal of Health Science of Thailand, 33(1), 27-37. (in Thai).

Sandberg, S. (2012). Is cannabis use normalized, celebrated or neutralized? Analysing talk as action. Addiction Research & Theory, 20, 372–381.

Shildrick, T. (2002). Young people, illicit drug use, and the question of normalisation. Journal of Youth Studies, 5, 35–48

Siddiqui, T. R., Ghazal, S., Bibi, S., Ahmed, W., & Sajjad, S. F. (2016). Use of the health belief model for the assessment of public knowledge and household preventive practices in Karachi, Pakistan, a dengue-endemic city. PLoS Neglected Tropical Diseases, 10(11), e0005129.

Siltrakool, B., Berrou, I., Griffiths, D., & Alghamdi, S. (2021). Antibiotics’ use in Thailand: Community pharmacists’ knowledge, attitudes and practices. Antibiotics (Basel, Switzerland), 10(2), 137.

Sirita, U. (2022). Construction and implications of cannabis discourse in Thailand’s cannabis legalization: A comparative study of English-language traditional and new media. Suranaree Journal of Social Science, 16(2), 95-118. (in Thai).

Stephens, E. (2019). #notnormal. Cultural Studies Review, 25(2), 278-280.

Sunpuwan, M., Punpuing, S., Jaruruengpaisan, W., & Wertheim, H. (2024). Understanding antibiotic use in the community setting in Thailand: Does communication matter?. PloS One, 19(4), e0298972.

Suwatpinyo, P., Kengkanpanich, M., & Kengkanpanich, T. (2021). Factors related to e-cigarette smoking among senior high school students in Bangkok metropolitan area. Thai Journal of Health Education, 44(2), 89-101. (in Thai).

Thai Health Promotion Foundation. (2021). Direction and goals for the 10-year period of Thai Health Promotion Foundation (2022-2031). Thai Health Promotion Foundation. (in Thai).

Thai Health Promotion Foundation. (2023). Thai Health Promotion Foundation adjusts communication strategy refrain from drinking during Buddhist Lent emphasis on preventing new drinkers, targeting children and women, creating awareness, reducing drinking, and reducing the risk of disease. https://www.thaihealth.or.th/สสส-ปรับกลยุทธ์การสื่อสาร/. (in Thai).

The MATTER. (2020, December 3). A new sustainable way of life Looking at future plans for health on the occasion of the Thai Health Promotion Foundation’s 19th anniversary https://thematter.co/brandedcontent/thaihealth_19th-anv/128743. (in Thai).

Williams, L., & Parker, H. (2001). Alcohol, cannabis, ecstasy and cocaine: Drugs of reasoned choice amongst young adult recreational drug users in England. International Journal of Drug Policy, 12, 397–413.

Wilson, H., Bryant, J., Holt, M., & Treloar, C. (2010). Normalisation of recreational drug use among young people: Evidence about accessibility, use and contact with other drug users. Health Sociology Review, 19, 164–175.

World Health Organization. (2023, May 17). Current context: The COVID-19 pandemic and continuing challenges to global health. https://www.who.int/about/funding/invest-in-who/investment-case-2.0/challenges

Wysocki, T. (2020). Normality: A two-faced concept. Review of Philosophy and Psychology, 11(4), 689–716.