Evidence map›Paper›PMID 42444013›Full record

ArticleJournal of cannabis research2026

Cannabis knowledge and health literacy among Thai vocational students: a cross-sectional study following policy liberalization.

Jeerisuda Orosram, Charuwan Thanawiroon, Chaisit Soontara, Premsuda Kaewrongkham, Napat Tangsakul, Tawanchai Phohom, Prasittichai Poonphol, Teeraporn Sadira Supapaan

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Article in Journal of cannabis research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jeerisuda OrosramDepartment of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Ubon Ratchathani University, Ubon Ratchathani, Thailand.ORCID http://orcid.org/0000-0002-1930-5977
Charuwan ThanawiroonDepartment of Pharmaceutical Chemistry and Technology, Faculty of Pharmaceutical Sciences, Ubon Ratchathani University, Ubon Ratchathani, Thailand.ORCID http://orcid.org/0000-0002-7954-2480
Chaisit SoontaraDepartment of Pharmacy, Sunpasitthiprasong Hospital, Ubon Ratchathani, Thailand.
Premsuda KaewrongkhamFaculty of Pharmaceutical Sciences, Ubon Ratchathani University, Ubon Ratchathani, Thailand.
Napat TangsakulFaculty of Pharmaceutical Sciences, Ubon Ratchathani University, Ubon Ratchathani, Thailand.
Tawanchai PhohomDepartment of Industrial Engineering, Faculty of Engineering, Ubon Ratchathani University, Ubon Ratchathani, Thailand.
Prasittichai PoonpholDepartment of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Ubon Ratchathani University, Ubon Ratchathani, Thailand.ORCID http://orcid.org/0000-0002-5215-9449
Teeraporn Sadira SupapaanDepartment of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Ubon Ratchathani University, Ubon Ratchathani, Thailand. teeraporn.s@ubu.ac.th.ORCID https://orcid.org/0000-0002-6887-8181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThailand's decriminalization of cannabis in June 2022 substantially increased adolescent exposure. Cannabis knowledge and health literacy among vocational students remain poorly characterized.

methodsA cross-sectional online survey was conducted from January to March 2024 among vocational secondary students at one vocational institution in a province in northeastern Thailand. Of 2,656 eligible students, 555 provided valid responses (response rate 20.9%). Two 15-item instruments were used to measure cannabis knowledge and cannabis health literacy. Bivariate analyses and three multivariable regression models examined factors associated with knowledge scores, health literacy scores, and cannabis use experience.

resultsCannabis knowledge was low (mean 7.23/15, SD 4.43; 55.0% low), as was cannabis health literacy (mean 41.72/75, SD 12.72; 48.8% low). Knowledge level was not significantly associated with health literacy level (χ2[4] = 7.04, p = 0.134). In adjusted analyses, prior cannabis education and other substance use were associated with higher knowledge scores, whereas male sex and Year 3 enrollment were associated with lower knowledge scores. Higher health literacy scores were associated with prior cannabis education and family relationship quality in adjusted analyses; male sex showed only a weak adjusted association with lower health literacy. Cannabis use experience was associated with other substance use (OR 4.115), prior cannabis education (OR 3.683), male sex (OR 2.621), Year 2 enrollment (OR 1.733), and family relationship quality (OR 1.558).

conclusionsCannabis knowledge and health literacy were predominantly low among Thai vocational secondary students. Factual knowledge alone may not translate into functional cannabis health literacy. School-based interventions should strengthen critical appraisal, communication, self-management, and digital health literacy, with attention to male students, students without prior cannabis education, and those with other substance use experience.

Indexed as

CannabisCannabis educationHealth literacyKnowledgeSubstance useThailandVocational students

Identifiers

PMID42444013
PMCPMC13659949

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.