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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

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...

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Autores principales: Zhang, Lixia, Zhang, Liwei, Testa, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603411/
https://www.ncbi.nlm.nih.gov/pubmed/36293775
http://dx.doi.org/10.3390/ijerph192013194
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author Zhang, Lixia
Zhang, Liwei
Testa, Alexander
author_facet Zhang, Lixia
Zhang, Liwei
Testa, Alexander
author_sort Zhang, Lixia
collection PubMed
description 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.
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spelling pubmed-96034112022-10-27 Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support Zhang, Lixia Zhang, Liwei Testa, Alexander Int J Environ Res Public Health Article 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. MDPI 2022-10-13 /pmc/articles/PMC9603411/ /pubmed/36293775 http://dx.doi.org/10.3390/ijerph192013194 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhang, Lixia
Zhang, Liwei
Testa, Alexander
Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support
title Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support
title_full Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support
title_fullStr Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support
title_full_unstemmed Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support
title_short Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support
title_sort childhood adversity and risky behaviors among chinese rural young adults: the mediation effect of perceived stress and moderation effect of social support
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9603411/
https://www.ncbi.nlm.nih.gov/pubmed/36293775
http://dx.doi.org/10.3390/ijerph192013194
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