The association of peer pressure and peer affiliation with the health risk behaviors of secondary school students in Hong Kong

Public Health ◽  
2016 ◽  
Vol 137 ◽  
pp. 113-123 ◽  
Author(s):  
A.Y. Loke ◽  
Y.W. Mak ◽  
C.S.T. Wu
Keyword(s):  
Hong Kong ◽  
Secondary School ◽  
Health Risk ◽  
Risk Behaviors ◽  
Secondary School Students ◽  
Peer Pressure ◽  
Health Risk Behaviors ◽  
School Students ◽  
Peer Affiliation

scholarly journals Co-occurrence subgroups of child sexual abuse, health risk behaviors and their associations among secondary school students in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yan Zhang ◽  
Xiayun Zuo ◽  
Yanyan Mao ◽  
Qiguo Lian ◽  
Shan Luo ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Secondary School ◽  
Health Risk ◽  
Risk Behaviors ◽  
Latent Variable ◽  
Secondary School Students ◽  
Latent Class ◽  
Computer Assisted ◽  
School Students

Abstract Background Little is known on the co-occurrence and heterogeneity of child sexual abuse (CSA) or health risk behavior (HRB) prevalence nor the associations among the victims. Objectives To detect the prevalence and subgroups of adolescents reporting CSAs or HRBs, and to examine the association between the subgroups. Methods Participants were secondary school students in a national survey in China (N = 8746). Self-reported CSA and HRB experiences were collected through a computer assisted questionnaire. Prevalence and confidence intervals were calculated. Multigroup latent class analysis (LCA) was used to examine latent subgroups of CSA and HRB. Dual latent class regression analysis was used to examine the association between CSA and HRB classes. Results A total of 8746 students participated in our study. The prevalence of having ever experienced any of the reported seven CSA items was 12.9%. The preferred LCA model consisted of a three-class CSA latent variable, i.e. “Low CSAs”(95.7% of the total respondents), “Verbal or exhibitionism CSAs”(3.3%), and “high multiple CSAs” (1.1%); and a three-class HRB latent variable, i.e. “Low HRBs”(70.5%), “externalizing HRBs” (20.7%), and “internalizing HRBs” (8.7%). Students in the “Verbal or exhibitionism CSAs” or “high multiple CSAs” classes had higher probabilities of being in “externalizing HRBs” or “internalizing HRBs” classes. The probabilities were higher in “high multiple CSAs” class(male externalizing OR 4.05, 95%CI 1.71–9.57; internalizing OR 11.77, 95%CI 4.76–29.13; female externalizing OR 4.97, 95%CI 1.99–12.44; internalizing OR 9.87, 95%CI 3.71–26.25) than those in “Verbal or exhibitionism CSA”(male externalizing OR 2.51, 95%CI 1.50–4.20; internalizing OR 3.08, 95%CI 1.48–6.40; female externalizing OR 2.53, 95%CI 1.63–3.95; internalizing OR 6.05, 95%CI 3.73–9.80). Conclusions Prevalence of CSA items varies. Non-contact CSAs are the most common forms of child sexual abuse among Chinese school students. There are different latent class co-occurrence patterns of CSA items or HRB items among the respondents. CSA experiences are in association with HRB experiences and the associations between latent classes are dose-responded. Multi-victimization has more significantly negative effects. The results could help identify high-risk subgroups and promote more nuanced interventions addressing adverse experiences and risk behaviors among at-risk adolescents.

scholarly journals Co-occurrence subgroups of child sexual abuse, health risk behaviors and their associations among secondary school students in China

2021 ◽  
Author(s):  
Yan Zhang ◽  
Xiayun Zuo ◽  
Yanyan Mao ◽  
Qiguo Lian ◽  
Shan Luo ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Secondary School ◽  
Health Risk ◽  
Risk Behaviors ◽  
Latent Variable ◽  
Secondary School Students ◽  
Latent Class ◽  
Computer Assisted ◽  
School Students

Abstract Background Little is known on the co-occurrence and heterogeneity of child sexual abuse (CSA) or health risk behavior (HRB) prevalence nor the associations among the victims. Objectives To detect adolescent subgroups reporting CSAs or HRBs, and to examine the association between the subgroups. Methods Participants were secondary school students in a national survey in China (N = 8746). Self-reported CSA and HRB experiences were collected through a computer assisted questionnaire. Multigroup latent class analysis (LCA) was used to examine latent subgroups of CSA and HRB. Dual latent class regression analysis was used to examine the association between CSA and HRB classes. Results A total of 8746 students participated in our study. The prevalence of having ever experienced any of the reported seven CSA items was 12.9%. The preferred LCA model consisted of a three-class CSA latent variable, i.e. "Low CSAs"(95.7% of the total respondents), "Verbal or exhibitionism CSAs"(3.3%), and "high multiple CSAs" (1.1%); and a three-class HRB latent variable, i.e. "Low HRBs"(70.5%), “externalizing HRBs” (20.7%), and “internalizing HRBs” (8.7%). Students in the "Verbal or exhibitionism CSAs" or "high multiple CSAs" classes had higher probabilities of being in “externalizing HRBs” or “internalizing HRBs” class. The probabilities were higher in "high multiple CSAs" class(male externalizing OR 4.05, 95%CI 1.71-9.57; internalizing OR 11.77, 95%CI 4.76-29.13; female externalizing OR 4.97, 95%CI 1.99-12.44; internalizing OR 9.87, 95%CI 3.71-26.25) than those in "Verbal or exhibitionism CSA"( male externalizing OR 2.51, 95%CI 1.50-4.20; internalizing OR 3.08, 95%CI 1.48-6.40; female externalizing OR 2.53, 95%CI 1.63-3.95; internalizing OR 6.05, 95%CI 3.73-9.80). Conclusions There are different latent class co-occurrence patterns of CSA items or HRB items among the respondents. CSA experiences are in association with HRB experiences and the associations between latent classes are dose-responded. Heterogeneity plays a role in the associations. The results could help identify high-risk subgroups and promote more nuanced interventions addressing adverse experiences and risk behaviors among at-risk adolescents.

Association of health-risk behaviors and depressive symptoms and anxiety symptoms: a school-based sample of Chinese adolescents

2019 ◽  
Vol 42 (3) ◽  
pp. e189-e198
Author(s):  
Xiaomin Luo ◽  
Yu Zhou ◽  
Ruimin Zheng ◽  
Xin Li ◽  
Yue Dai ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Health Risk ◽  
Risk Behaviors ◽  
Descriptive Analysis ◽  
Health Risk Behaviors ◽  
Anxiety Symptoms ◽  
Chinese Adolescents ◽  
School Students ◽  
Epidemiological Characteristics ◽  
Multiple Health

Abstract Background Depressive symptoms and anxiety symptoms of adolescents not only affect youth but also have wide-ranging impacts on the health of adults. The study was carried out to determine the epidemiological characteristics of depressive symptoms and anxiety symptoms and the associations between the two and health-risk behaviors in Chinese adolescents. Methods Participants were recruited from the junior and senior high schools in China. Data were collected by self-designed questionnaires. The questionnaires included questions about demographic characteristics, depressive symptom scales, anxiety symptom scales and nine categories of health-risk behaviors. Descriptive analysis and binary logistic regression were performed by SPSS 21.0 software. Results There were 4.4% of the participants with depressive symptoms. Approximately 32.0% of the participants had anxiety symptoms. Girls and general senior school students were risk factors for depressive symptoms and anxiety symptoms. Multiple health-risk behaviors were associated with depressive symptoms and anxiety symptoms in Chinese adolescents. Conclusion Depressive symptoms and anxiety symptoms were prevalent in Chinese adolescents. Their distribution was affected by certain health-risk behaviors. Multiple health-risk behaviors were associated with depressive symptoms and anxiety symptoms in Chinese adolescents.

Gender Differences in Health Risk Behaviors and Physical Activity Among Middle School Students

2006 ◽  
Vol 22 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Tsu-Yin Wu ◽  
Sherry E. Rose ◽  
Joanna M. Bancroft
Keyword(s):  
Physical Activity ◽  
Middle School ◽  
Gender Differences ◽  
Middle School Students ◽  
Health Risk ◽  
Risk Behaviors ◽  
School Setting ◽  
Health Risk Behaviors ◽  
Urban Setting ◽  
School Students

Adolescence is a period of accelerated growth and change, bridging the complex transition from childhood to adulthood. This period offers adolescents an opportunity to begin planning for their futures and to adopt healthy attitudes about risk behaviors that can continue into adulthood, thus setting the stage for a lifetime of desirable health behaviors. This study used the Youth Risk Behavior Survey on middle school students and examined the gender differences of health risk behaviors among 674 8th-graders from an urban setting. The results showed that males were more likely to be involved in fights, to initiate alcohol use, and to participate in physical activity; whereas females were more likely to try to lose weight with unhealthy practices, such as fasting and laxatives. School nurses are in a prime position to promote adolescent health in the school setting by providing health-related services and teaching to help students initiate and maintain healthy lifestyles.

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