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Protective psychological mechanisms against adolescent cannabis and kratom use: A mixed-methods study
1Chiang Mai Rajabhat University, Mae Hong Son Province, Thailand.
Journal of Health Psychology
|August 11, 2026
Summary
Adolescents living with parents showed better cannabis knowledge, while urban youth had higher kratom knowledge. Culturally relevant education and school-family partnerships are key for adolescent substance prevention.
Area of Science:
- Public Health
- Adolescent Psychology
- Substance Use Research
Background:
- Recent policy changes in northern Thailand have impacted adolescent substance use.
- Understanding protective mechanisms against cannabis and kratom is crucial.
Purpose of the Study:
- To examine protective factors against adolescent cannabis and kratom use.
- To inform culturally grounded prevention strategies in a changing regulatory environment.
Main Methods:
- Mixed-methods approach combining quantitative surveys (n=205) and qualitative focus groups (n=14).
- Analysis included descriptive, multivariate, and thematic analyses.
Main Results:
- Living with parents correlated with better legal/health knowledge of cannabis.
- Urban adolescents demonstrated higher scientific knowledge of kratom.
- Family engagement, cultural norms, and interactive education influenced prevention behaviors.
Conclusions:
- Culturally sensitive prevention strategies are essential for adolescent substance education.
- School-family partnerships can enhance substance literacy and engagement.
- Findings support interventions in post-decriminalization contexts.

