Challenges and Contextual Dynamics in Implementing Smoke‐Free School Policies in Thailand: A Qualitative Study.
Background: Thailand has one of the strongest tobacco control frameworks in Southeast Asia, including comprehensive smoke‐free laws and a ban on e‐cigarettes. However, implementation of smoke‐free school policies remains uneven across diverse educational settings. This study examined the contextual...
| Publicado en: | Journal of School Health Vol. 96; no. 8; pp. 1 - 11 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196063853&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196063853 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00224391 JOS jtl: Journal of School Health issn: 00224391 maglogo: Y pubinfo: dt: Aug2026 vid: 96 iid: 8 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 196063853 196063853 196063853 10.1111/josh.70196 196063853 ppf: 1 ppct: 10 formats: tig: atl: Challenges and Contextual Dynamics in Implementing Smoke‐Free School Policies in Thailand: A Qualitative Study. aug: au: Phetphum, Chakkraphan Keeratisiroj, Orawan Boonyom, Supanee affil: Department of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand sug: subj: School Policies Thailand Smoking Prevention and Control Public Policy Implementation Science Thailand Human Qualitative Studies Tobacco Control School Administrators Teachers Thematic Analysis Leadership Health Promotion Semi-Structured Interview Program Implementation Organizational Culture Electronic Cigarettes Funding Source ab: Background: Thailand has one of the strongest tobacco control frameworks in Southeast Asia, including comprehensive smoke‐free laws and a ban on e‐cigarettes. However, implementation of smoke‐free school policies remains uneven across diverse educational settings. This study examined the contextual and governance dynamics shaping implementation and sustainability across school types. Methods: A qualitative study was conducted using 14 focus group discussions (FGDs) across 14 provinces. Participants (n = 122) included school administrators, teachers, and provincial tobacco control stakeholders. Data were analyzed using reflexive thematic analysis to identify key governance conditions influencing implementation. Results: Six interrelated themes emerged: institutional diversity, structural constraints, enforcement gaps, multi‐level enablers, sustainability challenges, and field‐driven recommendations. Implementation gaps were driven less by policy absence than by differentiated governance conditions. Hybrid authority structures, leadership turnover, digital diffusion of e‐cigarettes, and geographic monitoring disparities constrained enforcement capacity. While teacher networks and provincial endorsement enhanced legitimacy, sustainability depended on institutional embedding rather than individual leadership. Implications for School Health Policy, Practice, and Equity: Uniform national standards require context‐sensitive implementation strategies. Embedding smoke‐free criteria within evaluation systems, institutionalizing peer networks, and addressing geographic inequities are critical to strengthening sustainability and equity. Conclusions: Strong legislation alone is insufficient; tailored governance approaches are essential to achieve equitable and durable implementation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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