Thai men's experiences of alcohol addiction and treatment.
BACKGROUND
Men are overrepresented with regard to alcohol addiction and in terms of alcohol treatment worldwide. In Thailand, alcohol consumption continues to rise, but few of those afflicted with alcohol addiction attend alcohol treatment programs, even though there is universal care for all. No comprehensive studies have been done on men's experiences with addiction and alcohol treatment programs in Thailand.


OBJECTIVE
The aim of this study was to explore men's experiences in terms of the 'pros and cons of alcohol consumption' in order to identify the barriers that exist for Thai men with regard to alcohol addiction and the decision to stop drinking.


METHODS
Purposive sampling was applied in the process of recruiting participants at an alcohol clinic in a hospital in Thailand. Thirteen men with alcohol addiction (aged 32-49 years) were willing to participate and were interviewed in thematic interviews. The analysis of the data was done with descriptive phenomenology.


RESULTS
Through men's descriptions, three clusters of experiences were found that were 'mending the body', 'drinking as payoff and doping related to work', and 'alcohol becoming a best friend' as ways of describing the development of addiction.


CONCLUSIONS
The results highlight the importance of addressing concepts of masculinity and related hegemonic ideas in order to decrease the influence of the barriers that exist for Thai men with alcohol addiction with regard to entering treatment and to stop drinking.
School of Health Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden; Basic Concept of Nursing Practice Department, Boromarajonani College of Nursing Changwat Nonthaburi, Nonthaburi, Thailand; kulnaree.hanpatchaiyakul@mdh.se; kulanree1122@gmail.com.
Kulnaree
K
Hanpatchaiyakul
School of Health Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden; Swedish Red Cross University College, Stockholm, Sweden.
Henrik
H
Eriksson
Praboromarajchanok Institute for Health Workforce Development (PIHWD), Ministry of Public Health, Nonthaburi, Thailand.
Jureerat
J
Kijsompon
School of Health Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
Gunnel
G
Östlund
D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D001294:Attitude to Health; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D013785:Thailand / Q000453:epidemiology
alcohol addiction; alcohol treatment; barriers; hegemonic masculinity; homo-social