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

Xinguang CHEN, Ka Wai, Maggie LAU, Ming Yue KAN, I Chyun CHIANG, Yih-Jin HU, Jie GONG, Lue LI, King Lun NGOK

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

2 Citations (Scopus)

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.
Original languageEnglish
Pages (from-to)561-570
Number of pages10
JournalInternational Journal of Behavioral Medicine
Volume23
Issue number5
Early online date15 Mar 2016
DOIs
Publication statusPublished - Oct 2016
Externally publishedYes

Fingerprint

Macau
Addictive Behavior
Hong Kong
Life Style
Health Behavior
Gambling
Alcohol Drinking
Smoking
Students
Sedentary Lifestyle
Population Density
Health Status
Exercise

Keywords

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

Cite this

CHEN, Xinguang ; LAU, Ka Wai, Maggie ; KAN, Ming Yue ; CHIANG, I Chyun ; HU, Yih-Jin ; GONG, Jie ; LI, Lue ; NGOK, King Lun. / Lifestyle and addictive behaviors among Chinese adolescents in Hong Kong, Macau, Taipei, Wuhan, and Zhuhai : a first cross-subculture assessment. In: International Journal of Behavioral Medicine. 2016 ; Vol. 23, No. 5. pp. 561-570.
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title = "Lifestyle and addictive behaviors among Chinese adolescents in Hong Kong, Macau, Taipei, Wuhan, and Zhuhai : a first cross-subculture assessment",
abstract = "PurposeThis 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.ResultsThe 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.ConclusionFindings 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.",
keywords = "Addictive behavior, Adolescence, Chinese culture, Cross-subcultural research, Lifestyle behavior, Multilevel modeling",
author = "Xinguang CHEN and LAU, {Ka Wai, Maggie} and KAN, {Ming Yue} and CHIANG, {I Chyun} and Yih-Jin HU and Jie GONG and Lue LI and NGOK, {King Lun}",
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Lifestyle and addictive behaviors among Chinese adolescents in Hong Kong, Macau, Taipei, Wuhan, and Zhuhai : a first cross-subculture assessment. / CHEN, Xinguang; LAU, Ka Wai, Maggie; KAN, Ming Yue; CHIANG, I Chyun; HU, Yih-Jin; GONG, Jie; LI, Lue; NGOK, King Lun.

In: International Journal of Behavioral Medicine, Vol. 23, No. 5, 10.2016, p. 561-570.

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

TY - JOUR

T1 - Lifestyle and addictive behaviors among Chinese adolescents in Hong Kong, Macau, Taipei, Wuhan, and Zhuhai : a first cross-subculture assessment

AU - CHEN, Xinguang

AU - LAU, Ka Wai, Maggie

AU - KAN, Ming Yue

AU - CHIANG, I Chyun

AU - HU, Yih-Jin

AU - GONG, Jie

AU - LI, Lue

AU - NGOK, King Lun

PY - 2016/10

Y1 - 2016/10

N2 - PurposeThis 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.ResultsThe 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.ConclusionFindings 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.

AB - PurposeThis 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.ResultsThe 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.ConclusionFindings 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.

KW - Addictive behavior

KW - Adolescence

KW - Chinese culture

KW - Cross-subcultural research

KW - Lifestyle behavior

KW - Multilevel modeling

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U2 - 10.1007/s12529-016-9548-9

DO - 10.1007/s12529-016-9548-9

M3 - Journal Article (refereed)

VL - 23

SP - 561

EP - 570

JO - International Journal of Behavioral Medicine

JF - International Journal of Behavioral Medicine

SN - 1070-5503

IS - 5

ER -