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Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support

Author

Listed:
  • Lixia Zhang

    (Kent School of Social Work and Family Science, University of Louisville, Louisville, KY 40292, USA)

  • Liwei Zhang

    (Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA)

  • Alexander Testa

    (Department of Management, Policy and Community Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA)

Abstract

Research has documented that adverse childhood experiences (ACEs) significantly impact young people’s risky behaviors. Yet, few studies have explored if individuals’ perceived stress mediates the association between ACEs and risky behaviors; also if social support moderates the pathways from ACEs to risky behaviors through perceived stress. This study aimed to assess the mediation effect of perceived stress and the moderation effect of social support in the study of ACEs and risky behaviors. This study sample includes 1091 Chinese rural young people. A web-based survey was used to assess demographic information, ACEs, perceived stress, social support, and seven types of risky behaviors. Multivariate regression models were run to test associations between ACEs and different risky behaviors while controlling for confounding variables. The mediation model (Model 4) and the moderated mediation model (Model 58) were also performed using the PROCESS macro. Multivariate regression results showed that, with increasing ACEs values, there was an increased likelihood of all risky behaviors. The moderated mediation analysis confirmed that perceived stress mediated the linkage between ACEs and risky behaviors. However, no significant moderating effect of social support was found. The study findings indicate that ACEs, risky behaviors, and perceived stress are significant public health problems among rural Chinese young people. Culturally appropriate prevention and intervention programs and services need to be implemented to address these issues and promote rural Chinese young people’s wellbeing and development.

Suggested Citation

  • Lixia Zhang & Liwei Zhang & Alexander Testa, 2022. "Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support," IJERPH, MDPI, vol. 19(20), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13194-:d:941308
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    References listed on IDEAS

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    1. Hale, D.R. & Fitzgerald-Yau, N. & Viner, R.M., 2014. "A systematic review of effective interventions for reducing multiple health risk behaviors in adolescence," American Journal of Public Health, American Public Health Association, vol. 104(5), pages 19-41.
    2. Zhou, Yexin & Chen, Siwei & Chen, Yefeng & Vollan, Björn, 2022. "Does parental migration impede the development of the cooperative preferences in their left-behind children? Evidence from a large-scale field experiment in China," China Economic Review, Elsevier, vol. 74(C).
    3. Stillman, Steven & Gibson, John & McKenzie, David & Rohorua, Halahingano, 2015. "Miserable Migrants? Natural Experiment Evidence on International Migration and Objective and Subjective Well-Being," World Development, Elsevier, vol. 65(C), pages 79-93.
    4. repec:mpr:mprres:7934 is not listed on IDEAS
    5. Zsoka Koczan, 2016. "Being Poor, Feeling Poorer: Inequality, Poverty and Poverty Perceptions in the Western Balkans," IMF Working Papers 2016/031, International Monetary Fund.
    6. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
    7. Xuyang Li & Huilie Zheng & Winter Tucker & Wenyan Xu & Xiaotong Wen & Yixiang Lin & Zhihui Jia & Zhaokang Yuan & Wei Yang, 2019. "Research on Relationships between Sexual Identity, Adverse Childhood Experiences and Non-Suicidal Self-Injury among Rural High School Students in Less Developed Areas of China," IJERPH, MDPI, vol. 16(17), pages 1-13, August.
    8. Ronald Iannotti & Ian Janssen & Ellen Haug & Hanna Kololo & Beatrice Annaheim & Alberto Borraccino, 2009. "Interrelationships of adolescent physical activity, screen-based sedentary behaviour, and social and psychological health," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(2), pages 191-198, September.
    9. Jingdong Zhong & Yang He & Yuting Chen & Renfu Luo, 2020. "Relationships between Parenting Skills and Early Childhood Development in Rural Households in Western China," IJERPH, MDPI, vol. 17(5), pages 1-10, February.
    10. Sarah E. Domoff & Aubrey L. Borgen & Nicole Wilke & Amanda Hiles Howard, 2021. "Adverse Childhood Experiences and Problematic Media Use: Perceptions of Caregivers of High-Risk Youth," IJERPH, MDPI, vol. 18(13), pages 1-7, June.
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