Multi-dimensional self-esteem and substance use among Chinese adolescents

Substance Abuse Treatment, Prevention, and Policy

Alice Yuen Loke³  Carmen HM Shek²  Ho Ting Wong³  Cynthia ST Wu¹ 

[1] GH506, School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China;Hong Kong Sanatorium and Hospital, Kowloon, China;School of Nursing, The Hong Kong Polytechnic University, Kowloon, China

关键词: Tobacco;    Substance use;    Smoking;    Drugs;    adolescent health;    Child &;    Alcohol;   

Others  :  1135449
DOI  :  10.1186/1747-597X-9-42

 received in 2014-01-30, accepted in 2014-08-04,  发布年份 2014

【 摘 要 】

Background

Substance use among adolescents has caused worldwide public health concern in recent years. Overseas studies have demonstrated an association between adolescent self-esteem and substance use, but studies within a Chinese context are limited. A study was therefore initiated to: (1) explore the 30 days prevalence of substance use (smoking, drinking, and drugs) among male and female adolescents in Hong Kong; (2) identify the significant associations between multidimensional self-esteem and gender; and (3) examine the relationship between multi-dimensional self-esteem and substance use.

Methods

A self-esteem scale and the Chinese version of the global school-based student health survey were adopted. A total of 1,223 students were recruited from two mixed-gender schools and one boys’ school.

Results

Among females, there was a lower 30-day prevalence of cigarette, alcohol, and drug use. They also had significantly higher peer and family self-esteem but lower sport-related self-esteem. Body image self-esteem was a predictor of alcohol use among females, while peer and school self-esteem were predictors of drug use among males.

Conclusions

In summary, the findings demonstrated the influence of self-esteem to the overall well-being of adolescents. Schools could play a role in promoting physical fitness and positive relationships between adolescents and their peers, family, and schools to fulfill their physical and psychological self-esteem needs.

【 授权许可】

   
2014 WU et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Sells WC, Blum RW: Mobidity and mortality among US adolescents: an overview of data and trends. Am J Public Health 1996, 86:513-519.
• [2]Single E, Robson L, Rehm J, Xiaodi X: Morbidity and mortality attributable to alcohol, tobacco and illicit drug use in Canada. Am J Public Health 1999, 89:385-390.
• [3]Carvajal SC, Wiatrek DE, Evans RI, Knee CR, Nash SG: Psychosocial determinants of the onset and escalation of smoking: cross‒sectional and prospective findings in multiethnic middle school samples. J Adolesc Health 2000, 27:255-265.
• [4]WHO: Child and adolescent health. http://www.euro.who.int/en/what-we-do/health-topics/Life-stages webcite
• [5]Li HC, Chan SL, Chung OK, Chui ML: Relationships among mental health, self-esteem and physical health in Chinese adolescents. J Health Psychol 2010, 15:96-106.
• [6]Narcotics Division: The 2004 Survey of Drug Use among Students. http://www.nd.gov.hk/pdf/2004_Survey_of_Drug_Use_among_Students.pdf webcite
• [7]Narcotics Division: The 2008/09 Survey of Drug Use among Students. http://www.nd.gov.hk/en/survey_of_drug_use.htm webcite
• [8]Shek DTL, Ma HK, Sun R: A brief overview of adolescent developmental problems in Hong Kong. ScientificWorldJournal 2011, 11:2243-2256.
• [9]Kawabata T, Cross D, Nishioka N, Shimai S: Relationship between self-esteem and smoking behavior among Japanese early adolescents: Initial results from a three-year study. J Sch Health 1999, 69:280-284.
• [10]Reininger BM, Evans AF, Griffin SF, Sanderson M, Vincent ML, Valois RF, Parra-Medina D: Predicting adolescent risk behaviors based on an ecological framework and assets. Am J Health Behav 2005, 29:150-161.
• [11]Feldstein SW, Miller WR: Substance use and risk-taking among adolescents. J Ment Health 2006, 15:633-643.
• [12]Torres R, Fernandez F: Self-esteem and the value of health as determinants of adolescent health behavior. J Adolesc Health 1995, 16:60-63.
• [13]Tiggemann M: Body dissatisfaction and adolescent self-esteem: prospective findings. Body Image 2005, 2:129-135.
• [14]Jessor R, Van Den Bos J, Vanderryn J, Costa FM, Turbin MS: Protective factors in adolescent problem behavior: Moderator effects and developmental change. Dev Psychol 1995, 31:923-933.
• [15]Abernathy TJ, Massad L, Romano-Dwyer L: The relationship between smoking and self-esteem. Adolescence 1995, 30:899-907.
• [16]Neumark-Sztainer D, Story M, French SA, Resnick MD: Psychosocial coorelates of health compromising behaviors among adolescents. Health Educ Res 1997, 12:37-52.
• [17]Byrne DG, Mazanov J: Self-esteem, stress and cigarette smoking in adolescents. Stress Health 2001, 17:105-110.
• [18]Buhrmester MD, Blanton H, Swann WB Jr: Implicit self-esteem: Nature, measurement, and a new way forward. J Pers Soc Psychol 2011, 100:365-385.
• [19]Seigley LA: Self-esteem and health behavior: theoretic and empirical links. Nurs Outlook 1999, 47:74-77.
• [20]Wild LG, Flisher AJ, Bhana A, Lombard C: Associations among adolescent risk behaviors and self-esteem in six domains. J Child Psychol Psychiatry 2004, 45:1454-1467.
• [21]Ingledew DK, Iphofen R, Krayer A: Social comparison and body image in adolescence: a grounded theory approach. Health Educ Res 2008, 23:892-903.
• [22]DuBois DL, Felner RD, Brand S, Phillips RSC, Lease AM: Early adolescent self-esteem: a developmental-ecological framework and assessment strategy. J Res Adolesc 1996, 6:543-579.
• [23]Houbre B, Tarquinio C, Lanfranchi JB: Expression of self-concept and adjustment against repeated aggressions: the case of a longitudinal study on school bullying. Eur J Psychol Educ 2010, 25:105-123.
• [24]Brighi A, Guarini A, Melotti G, Galli S, Genta ML: Predictors of victimisation across direct bullying, indirect bullying and cyberbullying. Emotional Behav Difficulties 2012, 17:375-388.
• [25]Wild LG, Flisher AJ, Lombard C: Suicidal ideation and attempts in adolescents: associations with depression and six domains of self-esteem. J Adolesc 2004, 27:611-624.
• [26]Gothe NP, Mullen SP, Wójcicki TR, Mailey EL, White SM, Olson EA, Szabo AN, Kramer AF, McAuley E: Trajectories of change in self-esteem in older adults: exercise intervention effects. J Behav Med 2011, 34:298-306.
• [27]Schneider S, Iannotti RJ, Nansel TR, Haynie DL, Sobel DO, Simons-Morton B: Assessment of an illness-specific dimension of self-esteem in youths with type 1 diabetes. J Pediatr Psychol 2009, 34:283-293.
• [28]Barlow A, Woods SE: Relationships between self‒esteem and smoking experimentation in childhood. Early Child Dev Care 2009, 179:529-537.
• [29]WHO: Global school-based student health survey (GSHS). http://www.who.int/chp/gshs webcite
• [30]Tian BC, Zhang W, Qian L, Lv SH, Tian XY, Xiong GL: Health behaviors and protective factors of school students aged 13–15 years old in four cities of China. Int Electron J Health Educ 2007, 10:35-52.
• [31]Cheng Y, Tao M, Riley L, Kann L, Ye L, Tian X, Tian B, Hu J, Chen D: Protective factors relating to decreased risks of adolescent suicidal behavior. Child Care Health Dev 2009, 35:313-322.
• [32]Brown DW, Riley L, Butchart A, Meddings DR, Kann L, Harvey AP: Exposure to physical and sexual violence and adverse health bebaviors in African children: results from the Global School-based Student Survey. Bull World Health Organ 2009, 87:447-455.
• [33]Scheier LM, Botvin GJ, Griffin KW, Diaz T: Dynamic growth models of self-esteem and adolescent alcohol use. J Early Adolesc 2000, 20:178-209.
• [34]Mcgee R, Williams S: Does low self-esteem predict health compromising behaviors among adolescents? J Adolesc 2000, 23:569-582.
• [35]Shek DTL: Tackling adolescent substance abuse in Hong Kong: Where we should and should not go. ScientificWorldJournal 2007, 7:2021-2030.
• [36]Evans RR, Roy J, Geiger BF, Werner KA, Burnett D: Ecological strategies to promote healthy body image among children. J Sch Health 2008, 78:359-367.
• [37]Lam TH, Lee SW, Fung S, Ho SY, Lee PW, Stewart SM: Sociocultural influences on body dissatisfaction and dieting in Hong Kong girls. Eur Eat Disorder Rev 2009, 17:152-160.
• [38]Harter S: The development of self-representations. In Handbook of child psychology. Volume 3. 5th edition. Edited by Eisenberg N. New York: John Wiley & Sons; 1998::553-617. [Social, emotional and personality development]
• [39]Neumark-Sztainer D, Paxton SJ, Hannan PJ, Haines J, Story M: Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. J Adolesc Health 2006, 39:244-251.
• [40]Croezen S, Visscher TL, Ter Bogt NC, Veling ML, Haveman-Nies A: Skipping breakfast, alcohol consumption and physical inactivity as risk factors for overweight and obesity in adolescents: results of the E-MOVO project. Eur J Clin Nutr 2009, 63:405-412.
• [41]Chen H, Cohen P, Chen S: How big is a big odds ratio? Interpreting the magnitude of odds ratios in epidemiologic studies. Comm Stat Simulat Comput 2010, 39:860-864.
• [42]Jonge P, Slaets J: Response sets in self-report data and their associations with personality traits. Eur J Psychiat 2005, 19:209-214.
• [43]Naing L, Winn T, Rusli BN: Practical issues in calculating the sample size for prevalence studies. Arch Orofacial Sci 2006, 1:9-14.
• [44]Peng CYJ, Lee KL, Ingersoll GM: An introduction to logistic regression analysis and reporting. J Educ Res 2002, 96:3-14.
• [45]Winters KC, Leitten W, Wagner E, O'Leary Tevyaw T: Use of brief interventions for drug abusing teenagers within a middle and high school setting. J Sch Health 2007, 77:196-206.