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Exploring associations of adverse childhood experiences with patterns of 11 health risk behaviors in Chinese adolescents: focus on gender differences by Xu, Huiqiong (author);Zhang, Xinyu (author);Wang, Jiaojiao (author);Xie, Yang (author);Zhang, Yi (author);Xu, Shaojun (author);Wan, Yuhui (author);Tao, Fangbiao (author) is a Psychology article available to read on EtoBox.

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Abstract Purpose Adolescents exposed to adverse childhood experiences (ACEs) are at increased risk for health-compromising behaviors. However, few studies have investigated how ACEs correlate with patterns of health risk behaviors (HRBs) during adolescence, a crucial developmental period. The aim was to extend the current knowledge about the relationship between ACEs and HRB patterns among adolescents, and to explore gender differences. Methods A multi-centered population-based survey was conducted in 24 middle schools in three provinces across China between 2020 and 2021. A total of 16,853 adolescents effectively completed anonymous questionnaires covering exposure to eight ACE categories and 11 HRBs. Clusters were identified using latent class analysis. Logistic regression models were utilized to test the association between them. Results There were four classes of HRB patterns: “Low all” (58.35%), “Unhealthy lifestyle” (18.23%), “Self-harm” (18.42%), and “High all” (5.0%). There were significant differences between HRB patterns in terms of the different numbers and types of ACEs in three logistic regression models. Specifically, compared to “Low all,” different types of ACEs wer

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Author

Xu, Huiqiong (author);Zhang, Xinyu (author);Wang, Jiaojiao (author);Xie, Yang (author);Zhang, Yi (author);Xu, Shaojun (author);Wan, Yuhui (author);Tao, Fangbiao (author)

Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Psychology (Social Sciences)