Title

Lifestyle and addictive behaviors among Chinese adolescents in Hong Kong, Macau, Taipei, Wuhan, and Zhuhai : a first cross-subculture assessment

Document Type

Journal article

Source Publication

International Journal of Behavioral Medicine

Publication Date

10-2016

Volume

23

Issue

5

First Page

561

Last Page

570

Publisher

Springer New York LLC

Keywords

Adolescence, Chinese culture, Lifestyle behavior, Addictive behavior, Cross-subcultural research, Multilevel modeling

Abstract

Purpose

This study aimed at assessing the differences in prevalence rates of common health behavior among adolescents in the five Chinese cities and the influential factors at the contextual and individual levels.

Method

We compared the standardized rates of three lifestyle behaviors (sedentary, dietary, and physical activity) and three addictive behaviors (cigarette smoking, alcohol consumption, and participation in gambling) among a sample of 13,950 adolescents. The sample was randomly selected from five cities, including Hong Kong, Macau, Taipei, Zhuhai, and Wuhan. Population size, GDP per capita, and literacy at the city level as well as parental monitoring and school performance at the student’s level were assessed. Multi-level mixed effect models were used to examine the interaction of individual level factors with study sites.

Results

The six health behaviors differed significantly across sites with the highest rates of alcohol consumption in Hong Kong (39.5 %), of cigarette smoking in Macau (9.8 %), and of gambling in Taipei (37.1 %) and Hong Kong (35.9 %). The city-level measures were associated with only a few behavioral measures. Relative to Hong Kong, parental monitoring had stronger association with the three addictive behaviors in the other sites.

Conclusion

Findings suggest that although the study sites share similar Chinese culture, students in the five cities differed from each other with regard to levels of health behaviors. Relative to the broad socioeconomic development, differences in parental monitoring played a significant role in explaining the observed difference.

DOI

10.1007/s12529-016-9548-9

Print ISSN

10705503

E-ISSN

15327558

Publisher Statement

Copyright © International Society of Behavioral Medicine 2016. Access to external full text or publisher's version may require subscription.

Full-text Version

Publisher’s Version

Recommended Citation

Chen, X., Lau, M., Kan, M. Y., Chiang, I-C., Hu, Y.-J., Gong, J, ... Ngok, K.-L. (2016). Lifestyle and addictive behaviors among Chinese adolescents in Hong Kong, Macau, Taipei, Wuhan, and Zhuhai: A first cross-subculture assessment. International Journal of Behavioral Medicine, 23(5), 561–570. doi: 10.1007/s12529-016-9548-9