This study examined the influence of immediate social environment on health compromising behaviors (HCB) among 6564 high school students in China. Results showed that physical abuse by parents was a major risk factor that accounted for high rates of HCB. Perceived positive school experience and social support were protective factors associated with low rates of HCB. These two protective factors also buffered the adverse influence of abuse on the practice of individual HCB. In particular, parental abuse was associated with sexual experimentation, non-fatal self-harm, and suicide behaviors only at low levels of protective factors.
Ajzen I. ( 1991) The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes50(2): 179-211.
2.
Ajzen I. and Fishbein M. ( 1980) Understanding Attitudes and Predicting Social Behavior . Englewood Cliffs, NJ: Prentice Hall.
3.
Barboza GE, Sciamberg LB, Oehmke J., Koreniewski SJ, Post LA, and Heraux CG ( 2009) Individual Characteristics and the Multiple Contexts of Adolescent Bullying: An Ecological Perspective. Journal of Youth & Adolescence38(1): 101-121.
4.
Bond L., Butler H., Thomas L., et al. (2007) Social and School Connectedness in Early Secondary School as Predictors of Late Teenage Substance Use, Mental Health, and Academic Outcomes. Journal of Adolescent Health40(4): 357.e9-357.e18.
5.
Brooks-Gunn J. ( 1993) Why Do Adolescents Have Difficulty Adhering to Health Regimes? In: Epstein L, Johnson S, Krasnegor N, and Yaffe S (eds) Developmental Aspects of Health Compliance Behavior. Hillsdale, NJ: Lawrence Erlbaum, 125-152.
6.
Cho Y. and Haslam N. ( 2010) Suicidal Ideation and Distress among Immigrant Adolescents: The Role of Accultration, Life Stress, and Social Support. Journal of Youth and Adolescence39(4): 370-379.
7.
Cohen S. ( 2004) Social Relationships and Health. American Psychologist59(8): 676-684.
8.
Cohen S. and Wills TA ( 1985) Stress, Social Support, and the Buffering Hypothesis . Psychological Bulletin98(2): 310-355.
9.
Cooper M., Wood PK, Orcutt HK, and Albino A. ( 2003) Personality and the Predisposition to Engage in Risky or Problem Behaviors during Adolescence. Journal of Personality & Social Psychology84(2): 390-410.
10.
Costa FM, Jessor R., Turbin MS, Dong Q., Zhang H., and Wang C. ( 2005) The Role of Social Contexts in Adolescence: Context Protection and Context Risk in the US and China. Applied Developmental Science9(2): 67-85.
11.
Davis C., Tang CS, and Ko J. ( 2004) The Impact of Peer, Family and School on Delinquency: A Study of At-Risk Chinese Adolescents in Hong Kong. International Journal of Social Work47(4): 489-502.
12.
Evans E., Hawton K., and Rodham K. ( 2004) Factors Associated with Suicidal Phenomena in Adolescents: A Systematic Review of Population-Based Studies. Clinical Psychology Review24(8): 957-979.
13.
Gaughan M. ( 2006) The Gender Structure of Adolescent Peer Influence on Drinking . Journal of Health & Social Behavior47(1): 47-61.
14.
Gershoff ET ( 2002) Corporal Punishment by Parents and Associated Child Behaviors and Experiences: A Meta-Analytic and Theoretical Review. Psychological Bulletin128(4): 539-579.
15.
Godley M., Kahn J., Dennis M., Godley S., and Funk R. ( 2005) The Stability and Impact of Environmental Factors on Substance Use and Problems After Adolescent Outpatient Treatment for Cannabis Abuse or Dependence. Psychology of Addictive Behaviors19(1): 62-70.
16.
Jessor R., Donovan JE, and Costa FM ( 1991) Beyond Adolescence: Problem Behavior and Young Adult Development . New York: Cambridge University Press.
17.
Jessor R., Turbin MS, and Costa FM ( 1998) Protective Factors in Adolescent Health Behavior . Journal of Personality & Social Psychology75(3): 788-800.
18.
Joiner TE ( 1996) Disentangling the Relationships between Hopelessness, Loneliness, and Sucidal Ideation. Suicide & Life Threatening Behavior26(1): 19-26.
19.
Ju H., Rich-Edwards JW, Boynton-Jarret R., Austin SB, Frazier AL, and Wright R. ( 2008) Child Abuse and Smoking among Young Women: The Importance of Severity, Accumulation and Timing. Journal of Adolescent Health43(1): 55-63.
20.
Kendall-Tackett K. ( 2002) The Health Effects of Childhood Abuse: Four Pathways by Which Abuse Can Influence Health. Child Abuse & Neglect26(6-7): 715-729.
21.
Kristjansson AL, Sigfusdottir ID, Allegrante JP, and Helgason AR ( 2009) Adolescent Health Behavior, Contentment in School, and Academic Achievement. American Journal of Health Behavior33(1): 69-79.
22.
Lau J., Kim J., Tsui H., Cheung MS, Lau M., and Yu A. ( 2005) The Relationship between Physical Maltratment and Substance Use among Adolescents: A Survey of 95,788 Adolescents in Hong Kong . Journal of Adolescent Health37(2): 110-119.
23.
Loukas A., Roalson LA, and Herrera DE ( 2010) School Connectedness Buffers the Effects of Negative Family Relations and Poor Effortful Control on Early Adolescent Conduct Problems . Journal of Research on Adolescence20(1): 13-22.
24.
Repettix RL, Taylor SE, and Seeman TE ( 2002) Risky Families: Family Social Environments and the Mental and Physical Health of Offspring. Psychological Bulletin128(2): 330-336.
25.
Rosenstock IM, Strecher VJ, and Becker MH ( 1988) Social Learning Theory and the Health Belief Model . Health Education Quarterly15(2): 175-183.
26.
Sarason BR, Sarason IG, and Pierce GR ( 1990) Social Support: An Interactional View. New York: Wiley.
27.
Shenk CE, Noll JG, and Cassarly JA ( 2010) A Multiple Mediational Test of the Relationship between Childhod Maltreatment and Non-Suicidal Self-Injury. Journal of Youth and Adolescence39(4): 335-342.
28.
Straus MA, Hamby SL, Finkelhor D., Moore DW, and Runyan D. ( 1998) Identification of Child Maltreatment with the Parent-Child Conflict Tactics Scales: Development and Psychometric Data for a National Sample ofAmerican Parents. Child Abuse & Neglect22(4): 248-270.
29.
Tang CS ( 1996) Adolescent Abuse in Hong Kong Chinese Families . Child Abuse & Neglect20(9): 873-878.
30.
Tang CS ( 2006) Corporal Punishment and Physical Maltreatment against Children: A Community Study on Chinese Parents in Hong Kong. Child Abuse & Neglect30(8): 893-907.
31.
Tian B. ( 2003) Global School-Based Student Health Survey - China (Beijing) 2003 Fact Sheet. Geneva: World Health Organization.
32.
Turbin M., Jessor R., Costa F., Dong Q., Zhang H., and Wang C. ( 2006) Protective and Risk Factors in Health-Enhancing Behavior among Adolescents in China and the United States: Does Social Context Matter ? Health Psychology25(4): 445-454.
33.
Wagner B. ( 1997) Family Risk Factors for Child and Adolecent Suicidal Behavior . Psychological Bulletin121(2): 246-298.
34.
Wetherill R. and Fromme K. ( 2007) Perceived Awareness and Caring Influences Alcohol Use by High School and College Students. Psychology of Addictive Behaviors21(2): 147-154.
35.
Williamson JM, Borduin CM, and Howe B. ( 1991) The Ecology of Adolescent Maltreatment: A Multilevel Examination of Adolescent Physical Abuse, Sexual Abuse, and Neglect. Journal of Consulting and Clinical Psychology59(3): 449-457.
36.
World Health Organizaton (2007) Adolescents, Social Support, and Health-Seeking Behavior: An International Literature Review and Program Consultation with Recommendations for Action . Geneva, Switzerland: World Health Organization.
37.
World Health Organization (2008) The World Health Statistics 2008. Geneva, Switzerland: World Health Organization.
38.
Xing Y., Ji C., and Zhang L. ( 2006) Relationship of Binge Drinking and Other Health-Compromising Behaviors among Urban Adolescents in China. Journal of Adolescent Health39(4): 495-500.
39.
Yan E. and Tang C. ( 2003) The Role of Individual, Interpersonal, and Organizational Factors in Mitigating Burnout among Elderly Chinese Volunteers. International Journal of Geriatric Psychiatry18(9): 795-802.
